View on TED website:



View on TED website:


PharmaGossip – Nov 5, 2014: “Watch to the end please”

Note: full version of this video is not longer available on YouTube (sorry).





Drug policy: we probably need an “irrational authority” ―Letter to The BMJ

“One thing is for certain. When society gives power of diagnosis and treatment to individuals within a group schooled in just one uncompromising model of addiction with the majority attributing their very own sobriety to that model, they will exercise that power to diagnose and treat anyone and everyone according to that model. The birth of Addiction Medicine as an ABMS accepted discipline is sure to be a success for the drug and alcohol testing and 12-step treatment industry, but its spawn is sure to be an inauspicious mark on the Profession and Guild of Medicine and a bane of society for years to come.” ―Michael Lawrence Langan

Re: Drug policy: we need brave politicians and open minds Fiona Godlee. 349:doi 10.1136/bmj.g7603


Sobre el Debate de la Marihuana Medicinal en Colombia


Ramirez, Jorge H (2014): Debate sobre legalización de marihuana en Colombia: base de datos de estudios biomédicos. figshare

Debate sobre legalización de #marihuana en Colombia  base de datos de estudios biomédicos



 An open question to the American Society of Addiction Medicine (ASAM) ―@ASAMorg

An open question to the American Society of Addiction Medicine  ASAM  ―@ASAMorg   Chaotic Pharmacology




Ramirez, Jorge H (2014): Programa de adicciones y farmacodependencia. Facultad de Salud. Universidad del Valle, Cali, Colombia.. figshare.

Programa de adicciones y farmacodependencia. Facultad de Salud. Universidad del Valle, Cali, Colombia.

Drug testing database

Ramirez, Jorge H; Langan, Michael (2014): Drug testing database. figshare

Against the Rising Tide: Looking for Biostatisticians and Epidemiologists to help shape Drug-Testing Policy to be more Evidence-Based

Hi Michael, I am in… The only thing that I disagree with you is on that pyramid above… please allow me fix that… img_9150

Against the Rising Tide  Looking for Biostatisticians and Epidemiologists to help shape Drug-Testing Policy to be more Evidence-Based   Chaos Theory and Human Pharmacology

Dear Michael,

This pyramid have been frequently used since 1992 to represent the hierarchical levels of study designs by their strenght of evidence (according to the foundations of evidence-based medicine). The rationale of medical interventions described in clinical practice guidelines have supported their recommendations relying on incorrect appraisals of the strenght of evidence.

“The strength of evidence has been frequently represented as a pyramid: there is no pyramid of evidence – it is a collective delusion and now medicine has been severely broken.”

Read more: Evidence based medicine (EBM) not evidence-based: medicine is broken. (Re: Evidence based medicine: flawed system but still the best we’ve got Fiona Godlee.348:doi10.1136/bmj.g440)

This is the image that comes to my mind when I think about the pyramid of evidence-based medicine:

Face_on_Mars_with_Inset (2)

Kind regards, J. :)

  8 comments for “Addictions

    • July 12, 2015 at 7:15 pm

      Interesante artículo, gracias por compartir.

    • August 1, 2015 at 4:46 pm

      Indian J Psychol Med. 2014 Jul-Sep; 36(3): 326–328.
      doi: 10.4103/0253-7176.135392
      PMCID: PMC4100425
      Doing Psychiatry Right: A Case of Severe Avoidant Personality Disorder with Obsessive-compulsive Personality Disorder, Obsessive Compulsive Disorder, Intermittent Explosive Disorder and Sexual Paraphilias
      Sudhir Hebbar
      Author information ► Copyright and License information ►
      Go to:
      Over dependence on pharmacotherapy in psychiatry, known as biological imperialism, is a world-wide phenomenon. Some authors have opined that the inadequate and ineffective utilization of psychotherapeutic interventions and only dependence on pharmacotherapy amounts to institutional malpractice. Here is an example of such a case. A young male mainly received multiple psychotropic medicines, including clozapine (and also a failed psychotherapy) over a period of 4 years, without any benefit. His global assessment of function score remained at 30. However, with proper diagnosis and effectively conducted psychotherapy a significant improvement in Global assessment of functioning score of 70 was achieved, over a period of 1½ years.

      Keywords: Autogynephilia, avoidant personality, cognitive therapy, intermittent explosive disorder

      Gracias, lo acabo de citar aquí también.

    • August 1, 2015 at 4:58 pm

      I am uncertain about psychotherapy.

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