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Inside Rehab: The Surprising Truth About Addiction Treatment--and How to Get Help That Works, by Anne M. Fletcher
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Review
“Eye-opening... Ms. Fletcher’s book, replete with the experiences of treated addicts, offers myriad suggestions to help patients find addiction treatments with the highest probability of success.”–Jane Brody, The New York Times “The information and perspective Fletcher provides are indispensable. Anyone in the unfortunately position of needing her advice on how to find the best addiction treatment will find this book invaluable, but the rest of us have a lot to learn from it as well.”–Salon.com “Inside Rehab is an invaluable addition to addiction literature. It is fascinating, insightful, and unafraid to upset the establishment. And Anne Fletcher is a measured, detailed, and insightful reporter. Her book is also a great tool for any family struggling with an addicted loved one. Getting sober is hard. Staying sober is hard. Having more options to get clean just might mean that more people do so.”–The New Republic “Fletcher presents what works, why, where to find it, and how much it costs. It’s startling, difficult, and important information for those traveling toward recovery, and anyone who wants to help.” –Publishers Weekly (starred review)"Fletcher’s book has much to recommend it as a layperson’s guide to the way substance abuse is treated in the United States and how this treatment can be improved." –Health Affairs “Fletcher... provides answers to fundamental questions: How much does it cost? How long does it last? What do people actually do there? Inside Rehab is a valuable road map for navigating the multiple pathways and programs dealing with the problem of substance abuse.” –Booklist (starred review) “An extensive, critical overview of modern treatment methods for substance abuse. A valuable guide for individuals seeking help and for their families, as well as for policymakers.” –Kirkus “With the degree of addiction in this country, cutting across all communities, this book looks to be an important purchase.”–Library Journal “Like her stunning Sober for Good, Inside Rehab is a transformational read that distinguishes myth from reality in the murky and uncertain world of addiction treatment. This isn’t just a useful guide to addiction treatment, Inside Rehab is landmark: it is a brave, bold and paradigm-shifting contribution to the literature. Inside Rehab is a must read for anyone with a stake in addiction treatment.” –Howard J. Shaffer, Ph.D., Director, Division on Addiction, The Cambridge Health Alliance (A Harvard Medical School Teaching Affiliate); Associate Professor, Harvard Medical School “This is an extraordinary book. I know of nothing like it. Objective, informative and extraordinary detailed, this book tells the truth about how addiction treatment measures up to modern science and medicine and how you can find a quality addiction treatment program.” –David C. Lewis, MD, Founder, Brown University Center for Alcohol and Addiction Studies “The stigma, desperation, and fear that accompany addiction are so often exacerbated by our ignorance of where to turn for help, what to expect, and what to ask. No longer. This long overdue resource informs and empowers suffering individuals and families to know what effective treatment should look like, to ask the right questions, and ultimately, to obtain the quality care they deserve.”–John F. Kelly, Ph.D. President, Society of Addiction Psychology, American Psychological Association; Associate Professor in Psychiatry, Harvard Medical School; Director, ARMS Program, Mass. General Hospital “What a great book – so needed and timely! If you’re asking yourself, ‘What should I do?’ for yourself or for a loved one struggling with an addiction, you should read this book. Combining personal stories with in-depth research, Anne Fletcher offers you invaluable inside information about the currently available treatment options. As a professional who has long worked in this field, I learned some useful things that I know I will return to.” –F. Michler Bishop, Ph.D., CAS, Director, Alcohol and Substance Abuse Services, The Albert Ellis Institute “Finally, a book that takes an inside look at addiction treatment by blending an investigative-reporter feel with research-minded rigor—invaluable for patients, policy makers, service providers and program administrators. It also offers a fresh perspective on the complexities of treating a person suffering from chronic addiction. To accomplish this with such empathy toward the predicament faced by patients and treatment providers is a real achievement.” –Ken C. Winters, Ph.D., Professor, Department of Psychiatry, University of Minnesota Medical School “[Inside Rehab] is carefully researched, draws upon considerable expert opinion and research data, and communicates with compassion, ideas about how to navigate this unnecessarily complex field.”–Mark P. McGovern, Ph.D., Associate Professor of Psychiatry and of Community & Family Medicine, The Geisel School of Medicine at Dartmouth “Fletcher has written one of the most important clinical books in the past decade. Before spending a dime on rehab, for yourself or a loved one, read this book! Her work may do more to help people get and stay sober than millions spent in high dollar rehab facilities.”–David Ley, Ph.D., author of The Myth of Sex Addiction “This is the definitive guide to effective rehab – not only a cogent and highly informative summary of what good rehab should look like, but also a bird’s-eye view of what it’s like to get good and bad treatment. Finally, consumers will have a way to know how best to help themselves or their family members.” –Michael V. Pantalon, Ph.D., Research Scientist, Yale School of Medicine & CEO of the Center for Progressive Recovery
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About the Author
Anne M. Fletcher is a nationally known health and medical writer and the author of seven books, including the national bestsellers Thin for Life, Eating Thin for Life, and Sober for Good. Her articles have appeared in Vogue, Good Housekeeping, Redbook, Better Homes and Gardens, Readers Digest, and many other publications. Among her many prestigious awards, she has received numerous National Health Information Awards. She lives in Minnesota. Visit www.AnneMFletcher.com.
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Product details
Paperback: 448 pages
Publisher: Penguin Books (December 31, 2013)
Language: English
ISBN-10: 0143124366
ISBN-13: 978-0143124368
Product Dimensions:
5.5 x 1 x 8.5 inches
Shipping Weight: 12.8 ounces (View shipping rates and policies)
Average Customer Review:
4.1 out of 5 stars
103 customer reviews
Amazon Best Sellers Rank:
#164,873 in Books (See Top 100 in Books)
Good book exposing the rehab industry, and it is an industry, the book makes that very clear. While many individuals are helped by this form of treatment, the book describes a lack of evidence-based treatment that is quite concerning. Another issue is the often poor training and lack of credentialing of addiction professionals. An additional barrier is the widespread reluctance to use proven pharmacologic treatments such as Suboxone. Imagine if we refused to give diabetics insulin because we thought they should be able to overcome the disease on their own! The book emphasizes the chronic disease model of addiction and is an essential read for addicts and their families.
I am an addict. I started abusing prescription narcotics after my first major surgery. I have been struggling with it now for 18 years. To compound matters I was diagnosed as having Bi-Polar disorder (type 2) 12 years ago. I had maintained a very high level of functionality while being improperly medicated by a score of psychiatrists. In 2009 my world collapsed then disintegrated. Between 2009 and 2014 I have been to detox/treatment almost 20 times. I have lived in three group homes, and went to jail for a DWI. I have spent literally 100's of hours dissecting the Big Book, attending AA or NA meetings, and voraciously absorbing any material on addiction I could get my hands on. My intense research led me to this book. I have to agree with the "uncited" conclusion and statements the Author asserts. Reading this book was not a revelation but more of an affirmation of my views on the subject. I have read other reviews and I am left to wonder if we were reading the same book? Some wrote they thought she "had it out for 12 step recovery programs". With what I have read and witnessed in several 12 step programs, I think she was Offly mild in her statements. In fact she took it pretty easy on the whole addiction/ mental health Industry as a whole.Very well presented. Thank You.
Fifteen years ago, I sat shaking with a phone book in my hand. I had reached the end of a 25 year addiction to alcohol and I was desperate. I had decided to quit drinking and I knew, or at least I assumed, that I had to go to rehab to do it.I'd heard many times that addiction is a disease so I naively assumed that it was treated like other diseases. You called the hospital and they helped you get better, using proven scientific protocols. So based on this assumption, I picked up the phone book, called a local hospital that had an affiliated rehab, and scheduled an appointment.Since over 90% of rehabs in the late '90s were completely 12 step based, I naturally found myself in a 12 step based program. The main goal of the program was to connect clients to the 12 step community and convince them that the sole path to recovery was lifelong participation in a 12 step group. Its educational component consisted of movies, photocopied literature, and discussions about AA and the 12 steps. We worked steps, and the steps were posted on the wall of every room in the rehab. The sole clinical "credential" of the counselor I saw was that he had been an AA member for nearly 20 years (he did have a masters degree in an unrelated field). In retrospect I should have understood that there was nothing scientific about this experience, but I didn't question it as I might have under other circumstances. It is tough to be an educated consumer when your brain is addled with chemicals; tougher still to question authority when you are beaten down and full of shame as the result of an addiction.But despite what I'd been taught in rehab, I just didn't care for AA. I thought the people were (mostly) nice and well meaning, and I found the social support helpful, but I saw the underlying premise of the program (that the power to recover comes from a "Higher Power"--from OUTSIDE the individual) as being illogical and counterproductive. It seemed to me, both in rehab and in AA, that the focus was more on finding a connection with this outside force than on actually learning skills to live life.This led to a terrible internal conflict. Although I felt a deep disconnect with AA's philosophy, I'd learned in rehab that such thoughts were evidence that I was still sick. They were "the disease talking." So instead of moving on, I devoted myself to the program. I "acted as if": I got a sponsor, I worked the steps repeatedly, I went to meetings frequently (every day for the first two years), I sponsored others, I took on service positions...and I kept waiting for the moment when I'd finally "get it."Days, months, and years of sobriety passed, but that moment never came. It was nearly a decade later--a decade of painful mental gymnastics later--before I finally came to the point where I understood that I wasn't "acting as if," I was living a lie. The truth was that AA was not a good fit for me, never had been, and never would be.I decided to leave, but leaving was tough, almost as tough as quitting my addiction was. Even though the program had never made sense to me, I'd made such an effort at adapting myself to it that it took a couple of years before I could unravel what I really thought and felt. I essentially had to recover...from recovery.This is not to bash AA or denigrate the recovery of those who find it helpful. It is simply to back up one of the many excellent points that Ms. Fletcher makes in this important book: one size does not fit all. Addiction treatment should be individualized. No one recovery pathway should ever, EVER be sold as "the only way." No person seeking recovery should ever, EVER be told that they are hopeless and doomed to die unless they follow a particular protocol.I sincerely hope that anyone who is considering rehab will read this book before making any decision about how to proceed. Making your treatment choice carefully may save your life, your wallet, your sanity--or all three.
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