Newsletter 03

With Spring fully underway and summer fast approaching, we think about the ways in which we may bring new warmth and light into our lives. This theme is especially prominent in the work we do at CARTER. Whether someone is seeking help for the very first time, or seeking Information to maintain their progress in addiction recovery, we are dedicated daily transforming addiction into lifelong health and service to others.

We are always very keen to share important articles particularly relevant to addiction so that we can raise our collective addiction IQ! So, Read through this newsletter, and share it with others. There’s something for everyone and together we can enhance our awareness of addiction knowledge and skills “We may not have come over on the same ship, but we’re all in the same boat.” (Author Unknown) Don’t forget to follow us on social media!

Dr Rick Barnett

The effects of sexually explicit material use on romantic relationship dynamics

We are living in a world where we have never been more connected. Nonetheless there are real challenges that have arisen in the way we live thanks to the internet. As detailed by Mary Aiken in the Cyber Effect such changes are not just trivial concern, as “less eye contact could change the face of human civilization”. This is not just an issue confined to the US, but a global problem as we address the challenges that come with the rise of the online era, just as we celebrate its benefits. Within this work by Minarcik, Wetterneck and Short we see this phenomenon evidenced in the sphere of pornography. Older readers of this newsletter may remember a time where a Playboy was the exclusive piece of adult content an adult may come across. Now, with the internet it is a billion dollar industry with instant access. Utilizing a sample from a study of 96 participants based upon their use of sexually explicit material use in relationships, some revelatory findings have been revealed. A essential do-read here.

 

The Demand for Cigarettes as Derived from the Demand for Weight Loss: A Theoretical and Empirical Investigation

A society that places a high premium on being healthy is no bad thing. A society that places a premium on looking healthy can be. The relationship between cigarettes and pop culture is not new – for numerous icons in fashion, theatre, and elsewhere have made headlines as smokers – but the perceived correlation in the minds of many that smoking equals weight loss is diabolical. True, smoking can indeed engender weight loss given a cigarette can serve as an appetite suppressor – but just like reducing a car’s weight by removing its engine – the wider effects on the body’s capacity to function can be immensely damaged. This is why this article is so worthwhile. Seeking to explore the relationship between cigarettes and weight loss in-depth within the community, it offers a fantastic insight into how we may better pursue economic and social policies that encourage health and affirm the disparate link between smoking and healthy weight loss.

Food Addiction Affects Men Too: The Hidden Truth

Speaking of diets, one of the contemporary challenges we face is properly identifying avenues for men to further expand their own sense of identity. While we rightfully seek to champion today the progression of women across all society into roles previous denied them by the gender divide, so too does their remain good work to be done in seeking to build out the modern male identity. Chief among these efforts is fostering an understanding that a man who identifies he is struggling, and then seeks help, is not weak but instead strong. While food addiction has achieved widespread publicity as it relates to its impact upon women, less attention has been given to its impact on men. This article makes for compelling reading on how we may yet make greater inroads in battling a notable if often undiscussed addiction in men.

Exposure to and engagement with gambling marketing in social media: Reported impacts on moderate-risk and problem gamblers

With smartphones and tablets ubiquitous in our daily lives there’s the opportunity to easily do many things quickly. From sending an email to paying a bill to ordering a pizza, apps have cut down time and made more seamless daily tasks in our routine. By and large this can be a great thing, but it also poses some unique dangers. In a bygone era someone who has a gambling addiction would have been able to form a plan built upon staying away from places like casinos, not reading a newspaper that has gambling advertisements, and so on. Today this is not possible, with social media, native advertising, and the wider ease-of-access to gambling services owed to the rise of user friendly tech. This article serves as an important assessment of this new dynamic, and how we may better understand the new challenges people recovering from gambling addiction face in their daily online life.

Physician Capacity to Treat Opioid Use Disorder With Buprenorphine-Assisted Treatment  

It is not news there can be a discord between medical professionals and policy makers. While some good faith should exist both sides – practitioners need recognise politicians may not fully appreciate the nuance of a treatment just as politicians should fairly give weight to expertise opinion – whenever a communication breakdown does occur, patients always lose out in the end. This article illustrates this reality well, surrounding the current rollout of Buprenorphine, a drug to assist in the treatment of opioid use disorders, but currently beset by red tape surrounding prescriptions beyond the first year of treatment. This piece a must-read not only for an insight into the challenge surrounding the effective utilisation of Buprenorphine, but also the wider challenge that exists navigating the gulf between best medical practice, and the communication of it within the public sphere.

Newsletter 02

Foreword from Dr. Rick Barnett

The Center for Addiction Recognition Treatment Education and Recovery official newsletter, The CARTER Report, presents Issue #2 and focuses on overlapping addictions. Articles contain info on two or more substances and/or behavioral addictions. The online version of this piece can be found at cartervermont.org contact us directly at cartervermont@gmail.com, follow Dr. Rick on twitter @drrickbarnett

We’ve a fascinating article on a possible unified theory of all addictions, research on the connection between sugar and gambling, nicotine cessation in drug and alcohol treatment, and the dangers of combining opioids and benzodiazepines. The final article points to a great blog about sex addiction which is definitely worth a read. Addiction is a complex phenomenon. It requires in-depth and detailed consideration of every cause or reported cure as well as a broad understanding of the cultural and philosophical issues it invokes.

There’s something here for everyone. Read through this newsletter. Share it with others. Together we can raise our collective addiction intelligence to help ourselves and help each other!

ALL MAJOR ADDICTIONS – Towards a Unified Theory of Addiction? ‘Largely overlapping neuronal substrates of reactivity to drug, gambling, food and sexual cues: A comprehensive meta-analysis.’

Healthcare providers are in the business of expertise: expert diagnosis, expert planning, and expert treatment. This requires a specialized approach to treatment of individual addictions – but this could soon change. This article seeks to map the neurobiological underpinnings of all major addictions including food, sex, gambling, and alcohol and drugs. It validates the focus of CARTER, Inc. as it encompasses these prominent addictions. You’ll see that there’s significant overlap across addictions. And, it describes important distinctions between addictions at the level of diverse neuronal systems. This may explain why specialized knowledge and treatment of specific addictions is so important.

NICOTINE ADDICTION -Quitting nicotine during alcohol and drug treatment for teens improves treatment outcomes!

Smoking tobacco has always occupied a unique place within the addiction sphere. While the negative impact on health from smoking far exceeds all other addictions, smoking (and nicotine addiction) is often seen as a ‘secondary concern’ in treatment while other addictions are addressed. This research addresses a longstanding debate in chemical dependency treatment AND it strikes to the core of my own addiction recovery.

I quit a 7 year pack-a-day habit when I entered treatment of alcohol and drug addiction at age 20. I attribute my long-term sobriety to making that change early in sobriety. From teens to older adults, all smokers (including e-cigarette users) who enter drug and alcohol treatment who quit nicotine at the same time as their drug of choice are more likely to achieve lasting sobriety. While this article is the latest addition to this research, this has been confirmed in tons of research.

Here’s another review worth reading: Smoking Cessation and Alcohol Consumption in Individuals in Treatment for Alcohol Use Disorders

OPIOID ADDICTION AND OTHER DRUG USE

The best treatment has the best resources. The reality of availability of such resources (and the health providers to provide them) often means a diagnosis and treatment plan is based not on outcomes but efficiency. As this piece well argues, too often we seek to treat when “we know less about the context and life circumstances of the people who experience these events”. Opioid overdoses often include benzodiazepines (and/or alcohol).

Overdoses from benzodiazepines has been on the increase in recent years, outpaces prescriptions written, and disproportionately affects women. These charts show disturbing trends. Opioid addiction treatment is complex and a number of risk factors must be consistently and frequently reviewed in order to reduce the number of ever-increasing overdose deaths. Polypharmacy, other mental health conditions, other alcohol and drug use, and unstable social factors contribute dramatically to overdose deaths. This is an excellent overview article.

PROBLEM GAMBLING AND SUGAR?

Let’s talk about a form of cross-addiction you probably never heard of: Sugar/Fat consumption and problem gambling! These two fields may at first seem to have little in common. But actually, gambling and compulsive overeating share a number of links that can prove a real challenge in treating either (or both together). In an article entitled “Calorie Intake and Gambling: Is Fat and Sugar Consumption ‘Impulsive’?”, researchers found a strong correlation between sugar and fat intake and gambling.

Subjects in the study who were found to have high sugar/fat intake also had more severe gambling pathology and higher anxiety scores. They were also more likely to be depressed and drink more alcohol. Treatment for problem gambling might be more successful when dietary modifications are included to reduce sugar/fat intake.

Sex and Porn Addictions: Misconceptions and Bias

Admitting to an addiction to sex or pornography can often feel particularly difficult for an individual. This needs to change. A huge part of bringing about this change shall depend upon growing a wider understanding of the nature of sex/porn addictions, and the environment in which an addiction can exist. Shame reduction is essential. This fact is often overlooked. A variety of views exist in our society about sexuality. Due to technological advances, access to pornography is unprecedented. We are in the midst of a new sexual revolution.

While the exact size of the porno graphy industry is difficult to ascertain, a recent estimate put annual revenue at $97 billion. With online porn ubiquitous, these are very different times from the days of simple Playboy magazines. Understanding this new dynamic is the foundation of finding the best way to treat those with a sex or porn addiction. A healthy approach towards sexuality is good, but like any addiction when such a need becomes overwhelming and uncontrollable – so often to the detriment of people’s lives and happiness – the need for treatment is vital. This article is a must-read and serves as an important contribution to creating a positive climate for those seeking help.

Newsletter 01

Foreword from Dr. Rick Barnett

With the fall comes time for introspection and reflection about who we are
and what we are doing in our lives, for our health, and within the wider community.

This newsletter is the first in what will be an ongoing exploration and conversation for all of us about important issues in our work and personal lives. It highlights important articles in FIVE major addictions: Food, Sex, Alcohol/Drugs, Nicotine, and Gambling/Gaming – something for EVERYONE!

There’s something here for everyone. Read through this newsletter. Share it with others. Together we can raise our collective addiction intelligence to help ourselves and help each other!

As always, I’d value hearing your thoughts on these articles too! So, once done reading, be sure to send me an email or connect with me on social media.

Dr Rick Barnett

The effects of sexually explicit material use on romantic relationship dynamics

http://www.akademiai.com/doi/full/10.1556/2006.5.2016.078

We are living in a world where we have never been more connected. Nonetheless there are real challenges that have arisen in the way we live thanks to the internet. As detailed by Mary Aiken in the Cyber Effect such changes are not just trivial concern, as “less eye contact could change the face of human civilization”. This is not just an issue confined to the US, but a global problem as we address the challenges that come with the rise of the online era, just as we celebrate its benefits.

Within this work by Minarcik, Wetterneck and Short we see this phenomenon evidenced in the sphere of pornography. Older readers of this newsletter may remember a time where a Playboy was the exclusive piece of adult content an adult may come across. Now, with the internet it is a billion dollar industry with instant access. Utilizing a sample from a study of 96 participants based upon their use of sexually explicit material use in relationships, some revelatory findings have been revealed. A essential do-read here.

The Demand for Cigarettes as Derived from the Demand for Weight Loss:
A Theoretical and Empirical Investigation

http://onlinelibrary.wiley.com/doi/10.1002/hec.3118/full

A society that places a high premium on being healthy is no bad thing. A society that places a premium on looking healthy can be. The relationship between cigarettes and pop culture is not new – for numerous icons in fashion, theatre, and elsewhere have made headlines as smokers – but the perceived correlation in the minds of many that smoking equals weight loss is diabolical.

True, smoking can indeed engender weight loss given a cigarette can serve as an appetite suppressor – but just like reducing a car’s weight by removing its engine – the wider effects on the body’s capacity to function can be immensely damaged. This is why this article is so worthwhile.

Seeking to explore the relationship between cigarettes and weight loss in-depth within the community, it offers a fantastic insight into how we may better pursue economic and social policies that encourage health and affirm the disparate link between smoking and healthy weight loss.

Food Addiction Affects Men Too: The Hidden Truth

https://goodmenproject.com/featured-content/food-addiction-affects-men-hidden-truth-bbab/

Speaking of diets, one of the contemporary challenges we face is properly identifying avenues for men to further expand their own sense of identity. While we rightfully seek to champion today the progression of women across all society into roles previous denied them by the gender divide, so too does their remain good work to be done in seeking to build out the modern male identity.

Chief among these efforts is fostering an understanding that a man who identifies he is struggling, and then seeks help, is not weak but instead strong. While food addiction has achieved widespread publicity as it relates to its impact upon women, less attention has been given to its impact on men. This article makes for compelling reading on how we may yet make greater inroads in battling a notable if often undiscussed addiction in men.

Exposure to and engagement with gambling marketing in social media:
Reported impacts on moderate-risk and problem gamblers

https://www.ncbi.nlm.nih.gov/pubmed/26828642

With smartphones and tablets ubiquitous in our daily lives there’s the opportunity to easily do many things quickly. From sending an email to paying a bill to ordering a pizza, apps have cut down time and made more seamless daily tasks in our routine. By and large this can be a great thing, but it also poses some unique dangers.

In a bygone era someone who has a gambling addiction would have been able to form a plan built upon staying away from places like casinos, not reading a newspaper that has gambling advertisements, and so on. Today this is not possible, with social media, native advertising, and the wider ease-of-access to gambling services owed to the rise of user friendly tech.

This article serves as an important assessment of this new dynamic, and how we may better understand the new challenges people recovering from gambling addiction face in their daily online life.

Physician Capacity to Treat Opioid Use Disorder With Buprenorphine-Assisted Treatment

http://jamanetwork.com/journals/jama/article-abstract/2553439

It is not news there can be a discord between medical professionals and policy makers. While some good faith should exist both sides – practitioners need recognise politicians may not fully appreciate the nuance of a treatment just as politicians should fairly give weight to expertise opinion – whenever a communication breakdown does occur, patients always lose out in the end.

This article illustrates this reality well, surrounding the current rollout of Buprenorphine, a drug to assist in the treatment of opioid use disorders, but currently beset by red tape surrounding prescriptions beyond the first year of treatment. This piece a must-read not only for an insight into the challenge surrounding the effective utilisation of Buprenorphine, but also the wider challenge that exists navigating the gulf between best medical practice, and the communication of it within the public sphere.