"First Things First": What is the First Thing?

Substance Use & Misuse
Steve SussmanTimothy Grigsby

Abstract

This op-ed piece comments on the down-side of an otherwise useful 12-step slogan, "First Things First," which generally refers to staying sober (not drinking or using no matter what). While important, there are environmental, microsocial, psychiatric, and neurobiological considerations that may place other needs at an equal or higher priority than sobriety per se. That is, other changes may be needed to set the stage for, or enhance efforts at sobriety, prior to or concurrent with attempting to quit one's drug of choice. Perhaps slogans should be considered in a broader context and not be taken too literally.

References

Jan 1, 1986·Journal of Substance Abuse Treatment·J Wallace
Oct 1, 1994·Journal of Psychoactive Drugs·J M Sullivan, K Evans
Aug 16, 2002·Substance Use & Misuse·Steve Sussman
Jun 1, 2005·Addictive Behaviors·Maher Karam-HageKirk J Brower
Oct 18, 2005·The Journal of Primary Prevention·Stephen J BahrXiaoyan Yang
Apr 4, 2007·Australian Health Review : a Publication of the Australian Hospital Association·Debra Graves
Aug 30, 2008·Journal of Drug Education·Steve Sussman, David S Black
Jan 1, 2009·Recent Developments in Alcoholism : an Official Publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism·John F Kelly, Barbara S McCrady
Sep 15, 2010·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Adam M LeventhalMary Ann Pentz
Sep 30, 2010·Evaluation & the Health Professions·Steve SussmanMark Griffiths
Nov 11, 2011·International Journal of Environmental Research and Public Health·Steve Sussman, Alan N Sussman
Sep 4, 2013·The Nursing Clinics of North America·William J Lorman
Apr 5, 2014·Journal of Behavioral Addictions·Steve SussmanDonna Spruijt-Metz

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