Lance Dodes

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]

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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.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.
  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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