Episode 2: The Changing Vocabulary of Addiction and Recovery
Beyond The Two Pillars of Recovery®: a MEETINGHOUSE SOLUTIONS® Podcast With Geoff Kane, MD, MPH
Release Date: 03/01/2023
Beyond The Two Pillars of Recovery®: a MEETINGHOUSE SOLUTIONS® Podcast With Geoff Kane, MD, MPH
Bilingual and bicultural psychologist Dr. Carlos Canales expands on how humans develop emotionally, learn to express emotions constructively or otherwise, and become more attuned to themselves and others through group psychotherapy.
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Psychologist Dr. Joshua DeSilva and the graduate students they train help marginalized individuals and groups give more to and receive more from their communities—not by telling them what to do, but by listening to who they are.
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Dr. Jessi Gold—psychiatrist, educator, media presence, and author—describes healthcare workers and others who delay or altogether avoid obtaining help for their own mental health needs, which increases their risks for burnout and worse. She encourages individuals in need to get help promptly, encourages healthcare institutions to set realistic expectations for employees, and has chronicled her own journey of growth in the October 2024 book How Do You Feel? One Doctor’s Search for Humanity in Medicine. Geoff said reading it was “a human experience worth having."
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Psychologist and group psychotherapist Dr. Kavita Avula specializes in conflict resolution and large group dynamics. She explains how we make collaboration possible and grow community when we “avoid the wish to convince” people to think and feel as we do.
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Guest Maria Kontarini, as a diplomat for the Greek Ministry of Foreign Affairs in the early 2000s, helped restore stability in Bosnia after the Bosnian War—a conflict known for human-to-human atrocities. Years later, with a person-centered understanding of people and the powerful influence of social context on behavior, she believes humans’ potential for good will outshine their potential for violence, as long as we create communities of listening, empathy, and shared responsibility.
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Tobacco users in every state in the U.S. can connect with well-trained helpers who listen—not lecture—and provide encouragement and resources to individuals who want to leave tobacco behind. On request, some states, including Vermont, send free nicotine replacement therapy (NRT) such as patches, gum, and lozenges. Guest Dana Bourne MPH manages telephone and online “quit” services for Vermont residents and describes how call centers operate locally and nationally. Many individuals quit tobacco simply because they keep at it and don't go it alone.
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Dr. Theresa Moyers, Professor of Psychology at the University of New Mexico, has collaborated on the methods, research, and dissemination of motivational interviewing since the early 1990s. In this episode, Terri describes therapist attitudes and skills that promote successful addiction treatment and deeper connections in relationships. Recommended video: The Confirmed Smoker Recommended book: Effective Psychotherapists: Clinical Skills that Improve Client Outcomes (Miller & Moyers, Guilford Press, 2021) Also mentioned: Bill Miller on Social Dominance https://vimeo.com/281421233
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Paul Rodrique—psychotherapist, teacher of insight meditation and self-compassion, and serious bicyclist— converses with Geoff and Erin about how Buddhist psychology informs his work with clients and shares his view that references to an “authentic self” can distract us from awareness of a greater whole.
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Content warning: This episode contains discussion of suicide at the end of the podcast. If you or someone you know is in crisis, call or text the 988 Suicide & Crisis Lifeline at 988. The Lifeline provides 24-hour, confidential support to anyone in suicidal crisis or emotional distress. Call 911 in life-threatening situations. Addiction medicine physician Dr. Cara Poland is a lively educator who advocates person-first language in healthcare—and recognition that patients hold leadership positions. One of her priorities is helping early-career professionals relate to...
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Dr. Elizabeth Salisbury-Afshar applies her background— family medicine, public health, and addiction medicine— to conscientious, respectful, individualized clinical care to people with substance use disorders, including their medical complications. She reminds us all, however, not to stop there. For lasting change, we must also think about and intervene on the “broader social and economic factors” that initiate harm “upstream” from our hospitals and clinics.
info_outlineEveryone is different. Geoff and Reggie discuss how descriptions are often more helpful than
labels and the importance of positive interpersonal relationships in the treatment and prevention
of substance use disorders. Geoff answers, “What happened to ‘rehab’?”