The Sober Professor: Reflections on the Sober Paradox, Sober Phobia, and Disclosing an Alcohol Recovery Identity in Academia

Fueled by stigma, individuals in, or seeking recovery from addiction struggle with disclosure across personal and professional life domains. Guided by the concepts of stigma and alcogenic environments, this paper explores the risks, benefits, and paradoxes of disclosing an alcohol addiction recovery identity from the perspective of an assistant professor in a Canadian university context. It argues that disclosure can be a promising way to strengthen personal recovery, combat self and public stigma, help build community, model authenticity and transparency in teaching and research roles, shift university drinking culture, and provide a safer environment for others to disclose and/or seek help for addiction. Policy and practice recommendations are provided.

Interventions to Improve Post-Detoxification Treatment Engagement and Alcohol Recovery: Systematic Review of Intervention Types and Effectiveness

Aims Most inpatient alcohol detoxification patients do not seek treatment post-discharge, which increases the risk of relapse and re-hospitalization. To date, there have been no efforts to synthesize the evidence supporting the broad range of available interventions for this critical transition. The current study is a systematic review and evaluation of interventions designed to promote treatment engagement and recovery following alcohol detoxification. Methods The initial literature search yielded 6419 articles, published since 1999, from PubMed, CINAHL, PsycINFO, Psychology & Behavioral Sciences Collection and PsycARTICLES databases, 49 of which were eligible for full review. Data extraction included in-depth evaluation of intervention types, study and research design features, reported outcomes and study quality/bias indicators. All articles were coded by independent raters and final results were obtained through consensus. Results Interventions included medical/medication, psychological/psychosocial, technological, mutual-help and combined approaches. On average, medical/medication interventions were less, and psychological/psychosocial and technological interventions were more likely to demonstrate efficacy with respect to treatment engagement and recovery. There was significant variability in study quality/bias but no significant differences across intervention types. Studies differed considerably across measured outcomes, internal and external validity, in/exclusion criteria and documentation of co-occurring psychiatric disorders. Conclusion Over half of studies reviewed reported empirical support for the intervention(s) evaluated. Although findings slightly favor non-medical interventions, the variability in study design and quality/bias requires more rigorous follow-up research. Recommendations from this review may guide future implementation and intervention development, which are critically needed to improve post-detoxification care and outcomes for patients with alcohol use disorder.

Fostering Student Work-Based Experiences Through Service-Learning

This case study explains how a complete overhaul to the national high school equivalency test posed a significant organizational challenge to Grace Centers of Hope, a nonprofit based in Pontiac, Michigan in the United States. All adult clients participating in Grace Centers of Hope's one-year drug and alcohol recovery program who are without a high school diploma or equivalent are required to take in-house adult basic education classes to prepare for taking the high school equivalency test. Faced with the need to completely redesign their existing adult basic education program, Grace Centers of Hope reached out to Designers for Learning, an instructional design and performance improvement consultancy that matches nonprofits with instructional design students in service-learning projects. The resulting 100% virtual e-service-learning collaboration among volunteer college students, their faculty sponsors, and other advisors provided Grace Centers of Hope with educational resources to support the organization.

Validating Flow-through Respirometry

This chapter describes methods for validating the measurements made using flow-through respirometry. These methods include the injection of nitrogen at a known flow rate into a respirometry system; burning a small flame of ethanol or methanol at a rate measured by weighing the lamp (often called “alcohol recovery”); and burning hydrocarbon gases such as methane, ethane, or propane. The first two techniques yield information on absolute oxygen consumption rates; the gas flame technique yields information on ratios between oxygen consumption and carbon dioxide production, as does the alcohol recovery technique. Full practical details including all relevant equations are given.

Giantin Is Required for Post-Alcohol Recovery of Golgi in Liver Cells

In hepatocytes and alcohol-metabolizing cultured cells, Golgi undergoes ethanol (EtOH)-induced disorganization. Perinuclear and organized Golgi is important in liver homeostasis, but how the Golgi remains intact is unknown. Work from our laboratories showed that EtOH-altered cellular function could be reversed after alcohol removal; we wanted to determine whether this recovery would apply to Golgi. We used alcohol-metabolizing HepG2 (VA-13) cells (cultured with or without EtOH for 72 h) and rat hepatocytes (control and EtOH-fed (Lieber–DeCarli diet)). For recovery, EtOH was removed and replenished with control medium (48 h for VA-13 cells) or control diet (10 days for rats). Results: EtOH-induced Golgi disassembly was associated with de-dimerization of the largest Golgi matrix protein giantin, along with impaired transport of selected hepatic proteins. After recovery from EtOH, Golgi regained their compact structure, and alterations in giantin and protein transport were restored. In VA-13 cells, when we knocked down giantin, Rab6a GTPase or non-muscle myosin IIB, minimal changes were observed in control conditions, but post-EtOH recovery was impaired. Conclusions: These data provide a link between Golgi organization and plasma membrane protein expression and identify several proteins whose expression is important to maintain Golgi structure during the recovery phase after EtOH administration.