The paradigm of Harm Reduction is a kindergarten-simple. Thankfully, Harm Reduction is not a novel idea, and the most common techniques of Harm Reduction have been supported empirically. Excessive behaviors occur along a continuum of risk ranging from minimal to extreme . Changing addictive behavior is a stepwise process, complete abstinence being the final step. Those who embrace the harm reduction model believe that any movement in the direction of reduced harm, no matter how small, is positive in and of itself.
Sobriety simply isn t for everybody .
Bold and radical, this statement requires the acceptance that many people live in horrible circumstances. Some are able to cope without the use of drugs, and others use drugs as a primary means of coping. G. Alan Marlatt, Ph.D. of the University of Washington, pioneer in the area of addiction research and long time advocate of harm reduction, spoke of the difference between the Dutch and American approach to addiction at the first Harm Reduction Conference in Seattle, January 13 of this year. The Dutch approach addiction from a standpoint of normalcy. Addictions are viewed from a public health standpoint, not a criminal justice standpoint.