Treatment of Pain and Substance Abuse When specialists and academics and researchers come together to discuss common barriers to optimal pain management, they have found opioid therapy complicated, in both the pain medicine and addiction medicine fields, by misapprehensions and myths. Portenoy and Payne identified “Four types of phenomena that exemplify the accommodations that must be made to further [the goal of dissemination of accurate and up to date information to the fields].” 2 I will consider these briefly, excerpting from “Pain Specialists and Addiction Medicine Specialists Unite to Address Critical Issues.” 3 in Public bookmarkswith opioidopioid-therapypainpain-managementpain-reliefundertreatment