Ethan Nadelman, executive director, Lindesmith Center Drug Policy Foundation: Personal dignity and responsibility as well as compassion and the recognition that one's steps take place one day at a time are fundamental to both harm reduction and 12-steps approaches to drug addiction. Tatarsky's excellent new paradigm rescues these principles with courage, compassion, and intellectual rigor. Harm reduction psychotherapy has come of age.

The paper presents harm reduction’s rationale, principles, treatment implications, and application to psychotherapy. The author describes his model of Integrative Harm Reduction Psychotherapy.