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The Forum Must Remain Open

September 13, 2011
by Gary Enos, Editor
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Our July/August 2011 issue had several distinguishing features. It was the largest by page count in Addiction Professional’s nine-year history, allowing us to publish comprehensive preview coverage of September's National Conference on Addiction Disorders (NCAD). It also unleashed strong reader responses ranging from the thoughtful to the accusatory, which gives me an important opportunity to talk about our role as an editorial team.

Lee Tannenbaum, MD’s article entitled “ASAM’s split personality” focused on his concerns over directions he observed in his membership organization, but its impact was felt well beyond the addiction medicine community. Several readers from addiction treatment centers saw his words as an attack on the validity of 12-Step treatment approaches that have saved countless lives.

Some went further, saying the article signaled that this magazine holds a bias against 12-Step treatment protocols and favors medication-focused strategies. When they saw that the same issue of the magazine included an ad for a pharmaceutical product wrapped around the cover, they claimed to have found further evidence of their point.

I take these concerns seriously. At the same time, I urge readers to place them in the context of what they have seen in a magazine that from day one has established a forum open in all ways to all relevant viewpoints, treatment approaches, and advertisers. Our cover reiterates our mission of offering “tools for clinical excellence,” and in this relatively young sector of healthcare, clinical and administrative professionals are constantly re-examining the contents of the toolbox.

The reason we launched this journalistic enterprise was to share with clinical professionals a diversity of information that could help them do their jobs better. We are guided by a widely held notion among national field leaders that there are multiple paths to recovery. Rather than pit one treatment modality against another, these research and government experts believe the evidence points not to the type of treatment as having the greatest effect on outcome, but rather to the time an addict is able to spend in treatment and the rapport he/she builds with a significant person (such as a counselor, a sponsor, or a physician).

The September/October issue’s Letters section opens with two direct replies to Dr. Tannenbaum’s article, including an official response from the American Society of Addiction Medicine (ASAM). The National Association of Addiction Treatment Providers (NAATP) plans to join this conversation with an article in the November/December issue. A question on 12-Step and medication treatments posted to the Addiction Professionals group on LinkedIn in late August generated more than 150 comments in less than two weeks.

We welcome the dialogue, because we believe that everyone involved in treating addiction must continue to talk to each other. We also would like to cast a vote for disagreeing without being disagreeable. At a time when addiction treatment’s place in the emerging healthcare world remains poorly defined, this field can ill afford to be portrayed as territory that other disciplines can divide and conquer.

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Great article Gary. I believe a good industry publication should be a forum for the debate of best practices. I understand that this means the magazine itself will have to endure complaints from one side or another of the given issue as it sounds like happened after a rather charged article on ASAM was published. Don't ever shy away from letting all of us have it out if it is in the best interest of the addicts and families we serve. They deserve for us to fiercely defend and protect them.

Thank you for doing your part Addiction Pro.

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Gary Enos

Editor

Gary Enos

@apeditor

www.addictionpro.com

Gary A. Enos has been the editor of Addiction Professional since its inception. He...