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Carl Erik Fisher

@drcarlerik.bsky.social

Addiction psychiatrist, bioethicist, associate professor at Columbia University. | The Urge: Our History of Addiction (Penguin Press, 2022) | Rat Park newsletter--> carlerikfisher.substack.com

47 Posts704 Follower413 Folgt
Carl Erik Fisher@drcarlerik.bsky.social · 9mo ago

I spoke with Dr David Nutt of @Drug_Science on one of addiction science’s biggest errors: dopamine as the whole story. “Patently daft,” he says. (We also talk psychedelics, drug development, and circuit models) Read more and listen here: carlerikfisher.substack.com/p/what-addic...

What Addiction Science Got Wrong About Dopamine, with Dr. David Nutt | Flourishing After Addiction #45

"It's inconceivable there can be just a single chemical that mediates all the effects of what addicted drugs have. That was so patently daft."

carlerikfisher.substack.com

Carl Erik Fisher@drcarlerik.bsky.social · last yr.

I got to interview Owen Flanagan, an excellent philosopher of addiction (and much more), about his new book, What Is It Like to Be an Addict? open.substack.com/pub/carlerik...

What Is It Like to Be an Addict? with Prof. Owen Flanagan | Flourishing After Addiction #40

"One cannot have a complete theory of addiction without incorporating the addict’s experience. Listen carefully to what addicts say about what it is like to be an addict."

open.substack.com

Lev Facher@levfacher.bsky.social · 2y ago

RFK says he supports methadone and buprenorphine — but majorly misrepresents a study that he claimed shows 12-step programs are more effective vs. opioid addiction (The study was exclusively about alcohol!) www.statnews.com/2025/01/30/r...

RFK Jr. endorses medications for opioid addiction at confirmation hearing, but misleads on 12-step programs

During his Thursday Senate confirmation hearing, RFK Jr. shed light for the first time on his attitudes toward medication-assisted treatment for opioid addiction.

statnews.com

Carl Erik Fisher@drcarlerik.bsky.social · 2y ago

As a clinician and someone in recovery from a serious alcohol use problem, I find this paper very thoughtful and useful! Very good starting point and call to action. "Alcohol research has a problem with pleasure". I agree, but I would also suggest that pleasure research has a problem with pleasure

James Nicholls@jamesnicholls.bsky.social · 2y ago

New 'For debate' paper in @addictionjournal.bsky.social in which we ask whether alcohol research needs to take pleasure more seriously. It's an invitation to discuss, so I'd be interested to hear views! onlinelibrary.wiley.com/doi/10.1111/...

James Nicholls@jamesnicholls.bsky.social · 2y ago

New 'For debate' paper in @addictionjournal.bsky.social in which we ask whether alcohol research needs to take pleasure more seriously. It's an invitation to discuss, so I'd be interested to hear views! onlinelibrary.wiley.com/doi/10.1111/...

Taking pleasure seriously: Should alcohol research say more about fun?

Background This paper invites discussion on whether pleasure should receive more attention in public health-oriented research on alcohol. While there is a history of sociological and anthropological...

onlinelibrary.wiley.com

Carl Erik Fisher@drcarlerik.bsky.social · 2y ago

I was very happy to be involved with this study of AI depictions of psychiatric diagnoses--it shows how image generation models reflect cultural perceptions of mental disorders, including harmful bias. Open access: mentalhealth.bmj.com/content/27/1...

AI depictions of psychiatric diagnoses: a preliminary study of generative image outputs in Midjourney V.6 and DALL-E 3

Objective This paper investigates how state-of-the-art generative artificial intelligence (AI) image models represent common psychiatric diagnoses. We offer key lessons derived from these representati...

mentalhealth.bmj.com

Omid V. Ebrahimi@omidvebrahimi.bsky.social · 2y ago

Stigmatising and inaccurate portrayals of mental disorders: Researchers asked generative AI models to depict different disorders. Images reflected historical biases & pop-culture references rather than evidence-based clinical representation of these conditions mentalhealth.bmj.com/content/27/1...

Figure 1 from BMJ Mental Health paper, showing AI generated images for different mental disorders.
Carl Erik Fisher@drcarlerik.bsky.social · 2y ago

I love the articulation of 'discursive pollution’ here- how commercial actors and forces "contaminate scientific and policy debates and harm public and environmental health." Nice angle on a big topic

Prof Samantha Thomas@docsamantha.bsky.social · 2y ago

“Health-harming industries seeking to avoid regulation or liability portray themselves as ‘part of the solution’, while shifting the blame for harms onto others” - @maizie333.bsky.social @markpetticrew.bsky.social et al new in @healthpromint.bsky.social academic.oup.com/heapro/artic...

Carl Erik Fisher@drcarlerik.bsky.social · 2y ago

I wrote about the specific technology design features that can weaken our self-control. A brief review of some recent commentary and classification What makes the internet addictive? carlerikfisher.substack.com/p/what-makes...

What makes the internet addictive?

The next hellsites. What makes us stay online. Bluesky. The allure of simplicity and the inexorable pull toward complex design features eroding our self-control.

carlerikfisher.substack.com