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Lance Dodes

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Lance Dodes is an American psychiatrist and psychoanalyst.[1][2][3]

Biography

Dodes received an A.B. from Dartmouth College in 1966, and D.M.S. also from Dartmouth in 1966, and his M.D. from Harvard Medical School in 1970. [4]

Work on addiction

Dodes has the view that addiction has been deeply misunderstood in both our culture and clinical practice.[5] He has described addiction as an uncontrollable psychological mechanism that is a subset of psychological compulsions in general.[6]

In his book The Heart of Addiction, Dodes argues that people act in addictive ways because they do not feel empowered.[7] 

The Sober Truth

Dodes, in The Sober Truth, says that most people who have experienced Alcoholics Anonymous (AA) have not achieved long-term sobriety, stating that research indicates that only five to eight percent of the people who go to one or more AA meetings achieve sobriety for longer than one year.[8] Gabrielle Glaser used Dodes' figures to state that AA has a low success rate in a 2015 article for The Atlantic, which says that better alternatives than AA for alcohol treatment are available.[9]

The 5–8% figure put forward by Dodes is controversial;[10] Thomas Beresford, M.D., says that the book uses "three separate, questionable, calculations that arrive at the 5–8% figure."[11][12] The New York Times calls The Sober Truth a "polemical and deeply flawed book".[13] John Kelly and Gene Beresin state that the book's conclusion that "[12-step] approaches are almost completely ineffective and even harmful in treating substance use disorders" is wrong[14] (Dodes responded by pointing out that "I have never said that AA is harmful in general"), noting that "studies published in peer-reviewed scientific journals have found that 12-step treatments that facilitate engagement with AA post-discharge [...] produce about one third higher continuous abstinence rates."[15] Jeffrey D. Roth and Edward J. Khantzian, in their review of The Sober Truth, called Dodes' reasoning against AA success a "pseudostatistical polemic."[16]

Lance Dodes said in a March 2020 interview that he had not yet read the 2020 Cochrane Review which shows AA more effective than some other methods,, but that he does not feel creating a social support network helps with addiction.[17]

Other works

In 2004 Dodes appeared in an episode of Penn & Teller: Bullshit![18][19] In 2015 he appeared as an expert in the film "The Business of Recovery".[20] He contributed an essay to the 2017 book The Dangerous Case of Donald Trump.

Honors

He is listed as a "distinguished Fellow" at the American Academy of Addiction Psychiatry.[21]

References

  1. ^ Silverman, M. A. (2005). "THE HEART OF ADDICTION. By Lance Dodes, M.D. New York: Harper Collins, 2002. 258 pp". By Lance Dodes M.D. New York: Harper Collins, 2002. 258 pp.. Psychoanal Q.,: 912–917.{{cite journal}}: CS1 maint: extra punctuation (link)
  2. ^ Flanagin, Jake (2014-03-25). "The Surprising Failures of 12 Steps". The Atlantic. Retrieved 2020-02-12.
  3. ^ Glyde, Tania (2014-07-01). "The recovery position". The Lancet Psychiatry. 1 (2): 119–120. doi:10.1016/S2215-0366(14)70295-0. ISSN 2215-0366.
  4. ^ Furlong, Lisa (September–October 2014). "Lance Dodes '66, DMS'68". Dartmouth Alumni Magazine. Retrieved April 27, 2020.{{cite web}}: CS1 maint: url-status (link)
  5. ^ "PEP Web - Statistics". pep-web.org. Retrieved 2020-02-12.
  6. ^ Dodes, L. M. (1996). "Compulsion And Addiction". J. Amer. Psychoanal. Assn. 44: 815–835.
  7. ^ "Nonfiction Book Review: THE HEART OF ADDICTION: A New Approach to Understanding and Managing Alcoholism and Other Addictive Behaviors by Lance M Dodes, Author HarperCollins $24.95 (272p) ISBN 0-06-019811-7". PublishersWeekly.com. Retrieved 2020-02-12.
  8. ^ Lance Dodes, M.D.; Zachary Dodes (2014). The Sober Truth: Debunking the Bad Science Behind 12-Step Programs and the Rehab Industry. ISBN 978-0-8070-3315-9. University of California professor Herbert Fingarette cited two [...] statistics: at eighteen months, 25 percent of people still attended AA, and of those who did attend, 22 percent consistently maintained sobriety. [Reference: H. Fingarette, Heavy Drinking: The Myth of Alcoholism as a Disease (Berkeley: University of California Press, 1988)] Taken together, these numbers show that about 5.5 percent of all those who started with AA became sober members.
  9. ^ Glaser, Gabrielle. "The Irrationality of Alcoholics Anonymous". The Atlantic. Retrieved 2016-04-15.
  10. ^ Singal, Jesse. "Why Alcoholics Anonymous Works". The Cut. Retrieved 2017-12-25. [Lance Dodes] has estimated, as Glaser puts it, that "AA's actual success rate [is] somewhere between 5 and 8 percent," but this is a very controversial figure among addiction researchers.
  11. ^ Beresford, Thomas (2016), Alcoholics Anonymous and The Atlantic: A Call For Better Science, National Council on Alcoholism and Drug Dependence, archived from the original on 2019-07-15, retrieved 2019-07-16, [Herbert Fingarette used] two publications from the Rand Corporation [...] At 4-year follow-up the Rand group identified patients with at least one year abstinence who had been regular members of AA 18 months after the start of treatment: 42% of the regular AA members were abstinent, not the "calculated" 5.5% figure.
  12. ^ Emrick, Chad; Beresford, Thomas (2016). "Contemporary Negative Assessments of Alcoholics Anonymous: A Response". Alcoholism Treatment Quarterly. 34 (4): 463–471. doi:10.1080/07347324.2016.1217713.
  13. ^ Friedman, Richard A. (2014-05-05). "Taking Aim at 12-Step Programs". The New York Times.
  14. ^ Kelly, John F.; Beresin, Gene (7 April 2014). "In Defense of 12 Steps: What Science Really Tells Us about Addiction". WBUR's Common Health: Reform and Reality. Archived from the original on 2014-04-11. Retrieved 2018-01-05.
  15. ^ Humphreys, Keith; Moos, Rudolf (May 2001). "Can encouraging substance abuse patients to participate in self-help groups reduce demand for health care? A quasi-experimental study". Alcoholism: Clinical and Experimental Research. 25 (5): 711–716. doi:10.1111/j.1530-0277.2001.tb02271.x. PMID 11371720. 12-step patients had higher rates of abstinence at follow-up (45.7% versus 36.2% for patients from CB [cognitive-behavioral] programs, p < 0.001)
  16. ^ Roth, Jeffrey D; Khantzian, Edward J (2015). "Book Review: The Sober Truth: Debunking the Bad Science behind 12-step Programs and the Rehab Industry". Journal of the American Psychoanalytic Association. 63: 197–202. doi:10.1177/0003065114565235.
  17. ^ Becker, Deborah. "AA Keeps People From Drinking Alcohol Longer Than Other Tools, Cochrane Review Finds". WBUR-FM.
  18. ^ "Penn & Teller Bullshit! 12-Stepping (full cast and crew)". IMDb.
  19. ^ "Penn & Teller: Bullshit! - Season 2". TV.com.
  20. ^ Munro, Dan (April 27, 2015). "Inside The $35 Billion Addiction Treatment Industry". Forbes. Retrieved February 12, 2020.
  21. ^ "Distinguished Fellows of AAAP - AAAP". American Academy of Addiction Psychiatry. Retrieved 2020-02-12.
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