And just some general comments on this issue
1)
Huh? You realize the addiction psychiatrists like Bankole Johnson are the people who push pharmacologic management in the first place and insistent on a pharmacologic panacea. ASAM's entire dimensional criteria system is based on treating the entire disease. More recently ASAM has become more medication tolerant and even to some extent driven, but to say that the addiction psychiatrists have the intellectual claim to addiction being more than a medication management issue is completely untrue; in fact, quite contrary to the truth.
That said, there is a palpable antagonistic relationship between addiction medicine and addiction psychiatry, which is becoming somewhat absurd. Addiction medicine physicians have historically viewed the the substance use disorder in isolation (meaning, ignoring other psychiatric pathology), whereas addiction psychiatrists view substance disorders in the context of, or perhaps being driven by other psychiatric pathology. And of course, in reality, this concept of dual diagnosis is a huge gray area anyway. Also, a significant number of patients with substance disorders carry no co-morbid psychiatric pathology, but given enough exposure and time to lazy psychiatrists, will come away with diagnoses of primary affective and/or psychotic disorders. Ultimately, addiction medicine physicians and addiction psychiatrists have unique skill sets and perspectives, and they really should be collaborating because America's number one health problem isn't going away any time soon, and even though we have some powerful harm reduction drugs and evidence based therapies like MI, 12 step facilitation, CBT, etc, we have "made little impression upon the problem as a whole" (quote from an early 20th century psychiatrist who wrote brilliantly on the subject).