1:05:48

In this episode of the Aftermath Podcast, host Dr. Dallas Bragg interviews Dr. Adi Jaffe, a former meth user, recovery coach, and author of The Abstinence Myth and Unhooked. The conversation critiques the traditional 12‑step, abstinence‑only model, introducing the "abstinence myth"—the idea that recovery success is wrongly measured solely by consecutive days sober. Jaffe proposes alternative metrics such as percent days abstinent, quantity of use, and broader quality‑of‑life assessments (relationships, work, health, etc.). They discuss the harmful effects of abstinence‑violation syndrome, shame, and black‑or‑white thinking, illustrating these points with client case studies (e.g., a woman reducing wine from 14 bottles a week to 2‑3). The dialogue covers the low success rates of conventional programs (90% drop‑out within a year) and the need for new, flexible recovery tools. Jaffe introduces his Sparrow model (Stimulus‑Perception‑Activation‑Response‑Outcome) and the EAT cycle (Explore‑Accept‑Transform) as frameworks for turning relapse into learning. They also explore the unique challenges of chemsex and meth use among MSM, the role of trauma, shame, and belief systems, and the importance of community, compassion, and ongoing personal growth. Throughout, both speakers emphasize a non‑shaming, data‑driven, and holistic approach to lasting change.

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