It
all seems complicated . . .
Yes - well as we have said - everything inside and about a person in addiction
is pulled in to the problem. It partly seems complicated - because so much becomes
involved.
Then of course there is the addicted
person - looking every which way but to the one place where
the problem resides. And they need us to tag along with
them - so that their denial is not challenged. That is
when things can get very complicated - because when we
collude with the ways of addiction - we can end up as sick
and dizzy as the addicted person them self.
Recovery simplifies things - because
it does not say to tackle all of this at once right now.
Recovery is a here and now and one step at a time program
of behavioral change - and that cuts right to the core
of who we are. It weeds out addiction from the inside out.
Once this is understood - things get
simpler. Otherwise - trying to help a person in their addiction
is like trying to hold a burning house together - without
putting out the fire inside of it.
But there are also issues about how we
look at addiction - and about how we do or don’t
understand it well. It’s the old story about the
blind men touching different parts of an elephant. One
touches the tail - another touches the side of his belly
- and yet another touches the elephant’s ivory tusk.
Each is left with a very different belief of what an elephant
is like - but none truly gets the whole picture. And things
would quickly become complicated - once they started to
talk with one another.
It is the same with addiction. It is
seen as a biochemical problem - a disorder of mental health
- a personal choice or a spiritual sickness. Others see
it as a social condition or as a complication of vulnerable
people raised in a society that teaches a gospel of pills
- and their quick fix.
Addiction is not one or the other of
these - but neither are any of these theories false. The
condition of addiction is bits and pieces of all these
viewpoints - and each person with the condition will have
differing factors that have contributed to their illness.
How can you help
me to understand this better?
One way that helps me is to think of addiction as similar
to a heart attack.
Most of us understand that there are many different risk
factors to a heart attack. Some people have a genetic disposition.
Others smoke cigarettes. Still others have high cholesterol,
obesity or a poor level of fitness. Many people who have
a heart attack have several of these risk factors combined.
Some will have one, another - or none. And a few people
will have all these risk factors - but will never have
a heart attack.
The point is - that there are many pathways to the occurrence
of a heart attack - the same as there are many different
factors that contribute to the occurrence of addiction.
Not everyone is prone to the occurrence of a heart attack
- the same way that not all people seem prone to developing
the condition of addiction - even many of those who use
alcohol or drugs.
But once a heart attack has occurred - a new and dangerous
condition has now developed. Heart muscle has been damaged.
The heart is unstable and may not work well until it has
healed - and regained some of its strength. But regardless
- a new condition of health is now present - distinct from
those things that caused it in the first place - with a
clinical course of its own and requiring specific treatment.
It is the same with addiction - that once addiction has
shown itself - it is now a condition of health that is
distinct from all that has given rise to it. It will now
take its own dangerous course - with a driving force of
its own.
So many search in the past - struggling to understand
the condition of addiction. They do not seem to remember
- that people start to use alcohol and drugs for so many
different reasons - but only a small proportion develop
addiction to these substances. And once addiction has occurred
within that smaller group of vulnerable people - it needs
to be understood as a distinct clinical condition that
tangles its roots deep inside the addicted person
as they stand here today - and not as they were twenty
years ago.
The most important thing to know about a heart attack
that has happened today - is how much heart muscle has
been damaged. It is not that the past history is unimportant
in the larger view of recovery. But understanding why a
person began to smoke as a teenager is not going to get
us very far in treating their heart attack today.
The roots of addiction do not lie in things that happened
twenty years ago. And it does not much matter what were
the reasons why the addicted person began to use drugs
in the first place. The root of addiction is only to be
properly understood in the ways that the condition is tangled
today within the brain, mind and spirit of the addicted
person.
Is it even possible to grasp the whole picture
of addiction and recovery?
It is not as simple as some would like it to be. But neither
is it so complicated that it cannot be understood by an
interested person.
Do you have some way that you pull it all
together?
I have this picture in my head - of a car driving down
a road. The car is me - and its not in perfect working
order - because I’ve been too busy to look after
it properly. But the road I’m on is all downhill
- and I’m just sailing along without much effort
- just taking the easy way - as it seems to me at the time.
Turns out the car has a serious
problem underneath it - in a place I’ve not noticed.
A wheel fall completely off my
car - and rolls off down the hill. That’s the part
of me that is now addiction. But the tire has disconnected
from the rest of me - and is speeding off down the hill
on its own course.
And that is your way of understanding all
this?
I don’t know if it illustrates every detail -
but it helps to understand the larger picture of addiction
and recovery.
How so?
Well - a tire flying down a hill can create a lot of damage
- and I am quite powerless to stop it - being a broken
car stuck at the side of the road.
And people are always trying to fix the car - to treat
my bad nerves - to sort out the problems in my life - to
understand all the bad things that have happened to me.
These are not terrible things to
do - and they are all well motivated. It’s just that they’re
beside the point right now - because the best mechanic
in the world is not going to make a car with three wheels
go very far. The tire may even stop at a bump for a while
- take a break. But if it just takes a little nudge to
set if off again - all the other repair work on the car
will come to nothing.
It is the disconnected nature of
addiction - of the compulsive use - that so many do not
appreciate - or respect in their efforts at treatment.
Specific measures have to be taken in the treatment of
addiction. It’s not enough to
just put band aids on all of the problems that develop.
And it’s not enough to understand any reasons why
the addicted person began to use drugs in the first place.
It is also this disconnection within the addicted person
- that demands their participation in treatment. It is
why treatment for addiction is never enough - in of and
by itself.
For me to stay well, I must do
things that change me on the inside - things that put
me in a healthier condition to counteract the lingering
compulsion to use again. And to persist in doing these
things - I must be an active participant in my own recovery.
Does recovery stop the tire?
Good question. But that tire’s on a powerful force
of its own - way off down the hill.
So what does recovery do?
Well - in my picture of this car and loose tire - recovery
has to change the road underneath us. Trying to fix all
the broken bits and pieces at once right now doesn’t
seem to work - or at least to last very long.
When you look at those people who
do well - one day at a time over time - it seems that
they have changed the very path that they’re on - deep things within and
beneath them have changed - and they’re now taking
a completely different way.
So what happens to the tire?
Well - again in this picture within my mind - I imagine
that the things that we do in recovery changes the slope
of the road beneath us - so now instead of going down
a hill - we’re on more level ground - and the tire
loses some of its speed.
Maybe in time - the road changes
even more - so our car is now a the bottom of a valley
- and the tire rolls back towards the car on its own
- not because we’ve done
anything directly to make that tire stop - but because
we have changed the ground that has given it force.
The tire rolls back towards the
car - and we reconnect. And once we’re better connected
- a whole person on more even ground - everything seems
to get a little easier - as long as I look after the
car better - and do what I need to do - to keep all its
parts together.
And what is it that connects things back together?
I don’t know much about cars - but in recovery -
honesty is a first big step.
Listening is another huge part of it. Just taking in what
we hear - without defending or distancing our self.
And not running - just sitting with our self and allowing
time to heal - without stirring up a new problem every
day.
Addition pulls us apart. It drains us of our energy -
and demoralizes our person.
The activities of recovery help us to heal. They connect
us on the inside and with others. They put us in touch
with the inner wisdom - and natural source of energy that
is always there - if we just stop side stepping away from
our selves.
Recovery is not a direct fight with the condition of addiction.
And it is not a quick fix to all of the complications that
may have come into our life as a result of our addicted
behaviors.
Recovery is taking a break from the mad rush to fix all
the stuff that is on the outside of us - and doing the
things that are necessary to heal and grow better on the
inside.
It seems to make sense
- I’ll think
about it more. . .
Go ahead. You’ll be surprised at how many pieces
of the puzzle fit with the picture. Anyway - that image
has helped me to imagine a larger picture of how addiction,
recovery and change seem to relate.
And what does all this have to do with SupportNet?
Writing on SupportNet helps me to organize my thoughts
- about things that have been necessary for me to understand.
It’s not written
to help other people?
It’s a way of passing on some things that were given
to me - mostly words - things said to me along the way.
I know that there are people looking for a way out of
their mess. SupportNet is simply written - understandable
to me - and accessible to those who want to use it.
There must be a lot of people who need this
sort of information?
Yes - but there are not as many who see their need - or
who are willing to follow through on what they read.
Much of what is written on SupportNet sounds
simple. Does it work?
Recovery is simple - once you catch on to it. But that
does not mean that its ways are obvious at the outset -
or that it is an easy path to follow.
The Principles and Ways of Recovery are clear enough.
What could be simpler than to talk honestly - to listen
to others - to meditate or to ask for help?
But it turns out that these are things difficult for many
of us to do - particularly when we think that things will
not work out according to our wishes. And the ways of recovery
are contrary to so much about the necessary ways of persisting
in addiction.
It is not easy to endure in the
ways of recovery - one day at a time over time - to the
extent or for long enough that the benefits of recovery
fill one’s life. There
are many ways that seem easier - or faster.
You seem to encourage recovery group - over
individual counseling?
Mutual support and group are the tradition of recovery.
It is a more potent - and immediate way of learning. It
is a powerful means of personal change.
Alcoholics and addicts spend years
talking circles around individual therapists and counselors
- going over all the reasons they have to stay sick.
Try that stuff for five minutes in a good recovery group.
You can’t get away
with it.
There is no place more welcoming than Recovery Support
Group. But I think people know that it is harder to hide
in a group. Individual counseling is a much safer place.
But addiction leaves people in such a mess.
There must be more to recovery than just doing things
differently - in the ways suggested?
Well - there is another assumption that keeps people stuck
in their sickness.
So you really believe that recovery is possible
- just by doing these things differently?
I know it to be true.
And that recovery can change people in such
profound ways?
Yes - I know that to be true also.
But what about medical treatment?
There are many people in recovery who require medical treatment
for health conditions.
There is nothing on SupportNet that is inconsistent -
or in any disagreement with proper medical treatment.
You work with opiate addicted persons on methadone
treatment?
Yes.
You don’t see
anything inconsistent about methadone and recovery?
No - I do not. Opiate drugs change the brain functioning
of some people in ways that create a great deal of difficulty
for them - in recovery and in other areas of their life.
Methadone treatment does nothing but respond to those
physical changes. It is a simple medical treatment that
provides the opiate addicted person with some stability
to their life - and opportunity to learn about recovery
from addiction.
Otherwise - there is so much nonsense talked about methadone
- that it is not worth discussing much further.
Is SupportNet compatible with harm reduction?
There is nothing inconsistent between recovery and harm
reduction. Sick people deserve access to medical support
- and to be provided with education about their safety.
Those with interest can also learn about the opportunity
for recovery - and which of course is the best of all harm
reduction strategies.
But SupportNet itself is concerned with issues of recovery
from addiction - not with the many issues of managing persons
within their addiction.
Is it only for those with drug addiction?
No. SupportNet began as a resource for the people I work
with - those with deep opiate drug addiction. But the
Principles and Ways of Recovery apply to any conditions
of addiction - to drugs, alcohol, food, gambling or relationships.
As SupportNet has grown - it relates more to those with
the condition of addiction - regardless of substance
or behavior.
Is recovery always a struggle?
No - it is not. After a while so many things become easier.
Much of what we used to struggle with - just becomes
obvious. And we are not wasting so much energy on ways
that are useless to our condition - or that just make
things worse.
There is always a day when I don’t
want to hear something that I know to be true - or a
day when I feel justified to let anger seethe. Those
are the days that recovery is a struggle. Recovery is
a pleasant life - when everything is going my way. It
is not as easy when things are not going as I believe
that they should.
SupportNet encourages the idea of a Personal Program of
Recovery - sort of a tracking system for our activities
of recovery. It is a way to help one to sustain the effort
- one day at a time over time.
Do you think that recovery is beyond rational
understanding?
No - I do not. I’ve seen what appear to be magical
results of recovery - of people transforming in remarkable
ways - but I do not think that recovery is a magical process.
I think that its powerful ways of transformation are not
even anything new - just things that have been neglected
- or forgotten - or that we just find too hard to follow
through with.
I think it is magical that recovery can work in the powerful
ways that it does. But I do not think that recovery works
in magical ways.
But isn’t recovery
a spiritual process?
I’m not sure what you mean by a spiritual process. Recovery
says to do things differently - to adopt its Principles
and Ways in everyday life - and to apply these ways to
the challenges that life brings our way. When we do so
- things change. We change - and the direction seems to
be away from the ways of ego desire and self will - and
towards a more spiritual perspective on the living of life.
Recovery is a process. But spiritual
awakening is a gradual outcome of the things that we
do differently in recovery. And I don’t think that it is beyond understanding
or reach. It would seem to be a quite normal step of human
potential - for those who are willing to set their self
will aside - and who don’t mind to have their ego
torn to shreds. But for some of us - the condition of addiction
had already looked after that issue.
Opposites can have value to each other. Addiction consumes
everything. Spiritual awakening changes everything. Addicts
want to live satisfying lives and to feel well. Spiritual
growth is the best way to find a settled life. The ways
of addiction torment those who suffer in it. The ways of
recovery provide a way out - to a life of satisfaction
- and meaning.
Sounds like it would be good for everybody?
Life with a spiritual perspective is a better life. But
the addicted person has particular reasons to step outside
of their person - as the alternative is quite dangerous
to them. It not just a matter of personal choice or aspiration
- it is a matter of health - life and death.
And everything on SupportNet is available
for free?
Yes. There are no SupportNet resources that require payment.
Will I have to find my way through pages of
advertisements?
SupportNet hosts no advertisements - and neither does it
provide links to any vendor. It is not affiliated with
any group - and does not receive financial support from
any government agency, pharmaceutical, health or other
industry.
What is in the MarketPlace?
The MarketPlace is for institutions or treatment programs
that want to offer SupportNet resources to their clients
- during treatment or in aftercare.
Some people prefer to have printed manuals, eBooks or
compact disks with higher quality sound than can be played
over the Internet.
The MarketPlace offers these. But all SupportNet resources
are available on the web site and without cost.
What is your goal for SupportNet?
SupportNet is a means of sorting through some things that
have been necessary for me to understand. I start out
thinking what it is that I want to write. But I end up
seeing things differently than when I began.
SupportNet is a hobby - and a personal challenge. We live
in a remarkable time - with our ability to share ideas
across the world.
SupportNet helps me to connect - and to pass on some of
what has been given to me.
|