Word: quitting
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...writers', Rodney Rothman (see, I credited him)." When Apatow asks me how I'm doing with this article and I tell him I've been stymied by laziness, he sends me an e-mail that reads, "The reason you are having trouble is the same reason why I quit stand-up - I am not that interesting...
...nothing undertaking, involving complete abstinence - as promulgated by supporters of 12-step programs like AA - rather than a regimen of moderation. For many, that definition includes abstinence even from drugs that would help fight cravings. Indeed, for decades, experts have debated whether drug addicts who cannot or will not quit should even be offered ongoing treatments that would reduce harm related to their drug abuse. Although many providers have recently become more open to new options, the majority of American addiction treatment continues to use the 12-step abstinence model...
...many other countries harm reduction is a widely accepted treatment model. In Europe and Canada, government-funded antiaddiction programs routinely help alcoholic patients reduce drinking, even if they won't quit; in Sweden, health officials suggest that cigarette smokers switch to snus (smokeless tobacco), which, unlike smoking, is not associated with lung cancer or cardiovascular disease. American proponents of moderation also argue that by demanding complete sobriety, it is possible that we are missing the chance to improve the health of smokers or problem drinkers who cannot or are not ready to stop entirely...
What's more, the abstinence-only model is far from foolproof: 90% of alcoholics do not get sober on their first attempt, and most rehab programs report a more than 50% relapse rate in their patients within months. First attempts to quit smoking cold turkey fail just as often. So, helping drinkers and smokers cut down, even if they can't quit immediately, may have significant value, says Teri Franklin, a professor of neuroscience at the University of Pennsylvania. "If you can prevent people from inhaling the 4,000 chemicals in just one cigarette, over 400 of which are carcinogenic...
Whether or not baclofen proves to be the next big quit drug - there are at least four other prescription drugs currently available to help people stop smoking or drinking, including naltrexone, buproprion, acomprosate and Chantix, which have shown varying degrees of benefit - most addiction researchers would continue to encourage abstinence. "There are always some patients who can [cut down] to drink small amounts, but they are the exception," says Dr. Nora Volkow, director of the National Institute on Drug Abuse, which is funding several ongoing trials of baclofen. Although Volkow thinks baclofen shows promise in helping patients quit drinking altogether...