Category: Family Dynamics

  • Recovery Rising – A memoir of William L White

    Recovery Rising is the memoir of foremost recovery researcher and advocate, William L White. It has just been released on Amazon. White, for over five decades has had different roles in the addiction treatment field, beginning in Chicago’s inner city as a street worker working with addicts and the homeless, an addiction counselor, clinical supervisor, treatment administrator, educator, clinical and organizational consultant, and research scientist to being honored as the addiction field’s preeminent historian, one of the fields most visionary voices and a most prolific author.

    In Recovery Rising, William White’s ideas, methods, and organizational studies emerge to give the reader an idea on how dynamic a leader White is in the modern addictions field. These stories, sometimes poignant, sometime humorous always are revealing and informative. Williams White’s life work has been affirmed by this memoir and (hopefully) a younger generation of addiction advocates and professionals will be inspired by his story  to continue his good work.

    This link to his book on Amazon is:

    https://www.amazon.com/Recovery-Rising-Retrospective-Addiction-Treatment-ebook/dp/B07526ZDVD/ref=sr_1_1?s=books&ie=UTF8&qid=1506351061&sr=1-1&keywords=recovery+rising

  • What is a recovery coach?

    In 2013, I published Recovery Coaching – A Guide to Coaching People in Recovery from Addictions, since then the duties and responsibilities of recovery coaches, peer recovery support specialists and professional recovery coaches have expanded significantly.

    In this article, I hope to define some different recovery coaching titles for those interested in becoming a recovery coach, what certifications they should seek, the places they could work and what they can anticipate as compensation for their work.

    What kind of certification should a future recovery coach receive?

    Recovery coach training and certification is a requirement in this field. Coaching certification and training is one of the fastest growing aspects of the healthcare field. The number of recovery coaching training and certification courses has expanded to over 300 institutions nationwide. Many employers require recovery coach and peer recovery support specialist certifications. In the links section of this web site is a state by state listing of all the organizations that offer certifications for addiction recovery coaches. If you are reading this to receive basic recovery coaching information, first decide if you enjoy working with people in recovery from substance misuse or want to work with people in recovery from a mental health or behavioral health disorder.

    Are you interested in working with people in recovery from addictions or in recovery from a mental health or behavioral health diagnosis?

    A nearly universal definition of a peer recovery support specialist or a recovery coach is “an individual with the lived experience of their own recovery journey and wants to assist others who are in the early stages of the healing process from psychic, traumatic and/or substance misuse challenges, thus, this peer can aid and support another peer’s personal recovery journey”. Some certifications for a peer recovery support specialist give an individual the training necessary to work with individuals with a behavioral health disorder or a mental health diagnosis. These certifications include more training on the nature of behavioral health disorders, the medications used to treat these disorders, crisis interventions, life/occupational skills, and trauma informed care. A recovery coach working with people in addiction recovery does not necessarily need these types of training. In this article, I will focus on the recovery coach working with people in recovery from substance misuse.

    The individuals that work with people in recovery from substance misuse are called recovery coaches, as well as peer recovery support specialists (PRSS), peer recovery support practitioners (PRSP), recovery support specialists (RSS), sober companions, recovery associates or quit coaches. In all cases, they support individuals in recovery from addiction(s), which can include alcohol, drugs, gambling, eating disorders as well as other addictive behaviors.

    The basic recovery coaching credential is required. If you want recovery coaching certification, google this term with the region you live in. For addition recovery coaching education, I suggest: adding certification for treating co-occurring disorders, training on the application of Narcan which includes the certification for coaching persons detoxing from an opioid overdose, also certification for counseling individuals in Suboxone or Methadone treatment also called Medication Assisted Treatment (MAT) and Medication Supported Recovery (MSR), certification for spiritual recovery coaches and credentials for coaches working with individuals with behavioral addictions such as sexual compulsivity, internet gaming and gambling disorders. If you would like to work in an inpatient treatment center, drug and alcohol counseling certification maybe required.

    Recovery coaching credentialing has expanded to include coach supervision certification, which is training for individuals who want to manage other recovery coaches. Also there is an elevated level of certification called professional recovery coaching. A professional recovery coach is an individual that has been coaching for several years, has hundreds of coaching hours under their belt, manages other coaches and/or has received other coaching credentials. A professional recovery coach is sometimes referred to as a life recovery coach. A professional recovery coach can receive training from any of the organizations that train peers or recovery coaches, and in addition, they can receive training from the International Coach Federation’s accredited life coach training program or a professional recovery coach certification from Recovery Coaches International. Recently, Connecticut Community of Addiction Recovery (CCAR) has started developing a Professional Coaching Certification.

    Where do you want to work?

    Some recovery coaches seek to work at a recovery community organization (RCOs) or a recovery support center. An RCO is an independent, non-profit organization led and governed by representatives of local communities of recovery. The recovery coaches at these recovery community organizations work with people of all financial means, addicts that are homeless, offenders, even professionals like nurses, teachers, lawyers and highly educated individuals, who have hit bottom. Sometimes, the recovery coaches at these centers receive a salary from the RCO. RCO recovery coaches can also be volunteers, opting to perform their coaching duties for no reimbursement at all.

    Recovery coaches can be employed by treatment centers coaches, developing a coaching relationship with a client outside of the clinical treatment. They can escort a client home from a treatment center and stay with the client for a period of time, insuring they do not relapse after discharge. More half way houses or sober living environments are employing recovery coaches. In fact, many recovery coaches have opened a transitional living home or a supportive sober living environments. They act as a recovery coach and a house manager at the same time, their presence adds to the quality of the recovery experience for the residents. Recovery coaches can work in emergency departments in hospitals, detoxification centers or sobering centers; working with individuals in crisis, either detoxing from an alcohol or opioid overdose.

    Lastly, some recovery coaches run their own coaching business. They will visit clients or talk with them over the phone or on SKYPE. These recovery coaches market themselves by contacting a treatment center’s aftercare coordinator or will seek referrals from therapists. The client is billed directly for the coaching services, there is no insurance coverage for a recovery coach.

    How much do you want to be paid for your services?

    Recovery coaches are paid a variety of rates. A recovery community organization, a treatment center, sober living environment or social services agency recovery coaching rates are from $12-$18 per hour. If a recovery coach receives their salary from a social services agency, or a recovery community organization that agency may have received a grant to run a peer program from the State or Federal government.

    A professional life recovery coach can bill from $35 up to $100 an hour for their coaching services. These professional recovery coaches bill their clients directly and incur expenses for running their coaching practice such as insurance, travel and overhead. This ‘pie in the sky’ $100 per hour fee of a professional recovery coach is not for the inexperienced or newbie coach. There are significant responsibilities a recovery coach has for their client, primarily keeping them free from relapse or overdose, or in other words- keeping them alive.

    Soon, there will be reimbursement from health insurance companies for recovery coaching for individuals who are diagnosed as dependent on a substance. New York has an arrangement with the state’s Medicaid offices to reimburse for recovery coaching for individuals who are diagnosed as dependent on a substance. Other states, Tennessee, Pennsylvania, Maryland and Massachusetts, are formulating similar Medicaid payment plans, but these reimbursements are not yet in place. However, currently, private independent health insurance companies do not cover the services of a recovery coach working with an individual in recovery from an addiction.

    In less than five years the field of recovery coaching has grown significantly. With the advent of the Affordable Care Act and the legislation to fight addiction, the 21st Century CURES and the CARA Acts, recovery coaching is now recognized as one of the most important tools to initiate and maintain long term recovery. This recognition will continue as the benefits from recovery coaching continue to be realized.

     

  • Addicted to Porn: Chasing the Cardboard Butterfly

    Addicted to Porn: Chasing the Cardboard Butterfly is a new documentary by writer-director Justin Hunt and is narrated by Metallica’s James Hetfield.

    The movie is not about James Hetfield. Hetfield’s connection to the film is solely based on his connection with Hunt after the two worked on Hunt’s previous film Absent, a documentary about disengaged and absent fathers. Hetfield, who grew up without a father, spoke candidly in that movie—about his road to recovery.

    Hunt named the film as a nod to a scientific study where painted cardboard butterflies were used to see if male butterflies would be more attracted to the larger, more ornate butterflies. Guess what? They were. The analogy? Humans who choose a two-dimensional sexual exchange versus the real thing.

    There is no sex or porn education in schools, so porno films are serving as the only educator kids can find on sex. Then, guess what? Kids get into relationships and try to do what they see in porn, and think that is the way to be sexual, romantic or intimate. Well, it doesn’t work that way.

    Don Hilton, the neurologist in the film, explained that viewing porn can create the same chemical reaction as cocaine use—activating endorphins and the delta FosB. “The reason I wanted to include the portion about the brain in the film,” Hunt told writer, Dorri Olds for an exclusive interview published in theFix.com, “was because many try to discredit the idea of an addiction to porn.” He described naysayers who said porn is impossible to define. “An image I think is pornographic may not be to somebody else,” said Hunt, “so I had to come up with a common denominator. For the purpose of this film, the word ‘pornography’ refers to sexual images that cause the chemical reaction in the viewer’s brain.”

    It’s easy to draw parallels to alcohol and drug addiction. Another parallel is what Hunt called the shame cycle. Porn addicts use sexually explicit images to manage their mood. After indulging in the compulsive behavior, they then feel ashamed. That shame creates anxiety, so they watch more porn to calm their nerves. It is the same circular shame spiral that exists in substance abuse.

    Hunt said, “I’ve interviewed people who said, ‘The only way I knew how to stop feeling bad was to look at porn, but the reason I felt so bad was that I’d looked at too much porn.’ My first film, American Meth, was about drug addiction.

    “By the way, Absent wasn’t about James Hetfield—it was about the impact of absent fathers. You can have that father wound and turn it into something positive, like James did with his music. While we were making that movie, we built a friendship based on paternity—or should I say, the fraternity of fatherhood. [Laughs] We talked about our kids, parenting, being husbands, so when I discussed this project with him we both felt it was important to try to make a difference in the world. That’s why he decided to be a part of this and help me out. I commend him because he did this right as the band’s new album was coming out and touring. It’s not like he was sitting around with nothing to do.”

    There have been many movies about porn, but they’ve been about the industry, about adult film stars. Those weren’t about the brain or what Hunt calls the “porn progression.” Another remarkable aspect is that he created the whole movie without any provocative imagery. I asked him if that was intentional to avoid including any possible triggers for pornography addicts.

    “Yes, a big problem with documentaries about porn is that people struggling with that issue can’t watch those films because they become triggered. You can’t make a movie to help people with an addiction, and then fill it full of triggers. That’s like me saying, ‘Dorri, I think you have a drinking problem, let’s go have a beer and talk about it.’”

    The movie is not anti-porn. Hunt calls it “porn informative.” He believes the topic should be more openly talked about. Hunt said, “We’re just letting you know that porn addiction is a real thing and we need to start having conversations about it.”

    Another important issue the film raises is how technology is allowing people to be exposed at an earlier age and at a much higher rate. “We know how it affects the brain and we know that young kids’ brains are not ready for that. They get into public schools and public education, but there is no education on sex or porn so the porno films are serving as the educator. Then, guess what? They get into relationships and try to do what they see in porn, and it doesn’t work that way.”

    The movie shows one couple whose relationship is being destroyed by the husband’s addiction to porn. Hunt said this could have easily been a seven-hour movie. “There are so many different avenues that we could have gone down,” said Hunt. To fit everything into a movie-length film, Hunt said his goal was to expose people to the idea that kids are learning about intimacy and sexuality from porn. A doctor in the film points out, “Kids are learning about sex from ejaculations to the face. That’s what they’re learning about sex and romance and intimacy.”

    Hunt has three children, 16 and 13, and a three-year-old daughter. I asked if he had broached the topics of drugs, alcohol, and pornography with the two teenagers.

    “Yeah,” said Hunt. “They’ve been with me through the entire process of working on these films, and they’ve been on stage with me and they’ve watched me speak. They’ve watched the newspaper and the magazine articles come out. They’ve gone to radio spots with me, so they’ve seen this. They’ve seen the impact that drug addiction has, and they’ve seen the four-year process of making this film and what porn can do. That’s one of the beautiful side effects of what I do for a living—my kids get to see and learn.”

    It seems his kids are open with him. “My daughter is in eighth grade and she told me that she knows of sixth graders who are texting nude photos of each other back and forth on Snapchat.”

    He pointed out that because of technology, “we’re choosing synthetic relationships over authentic relationships. We’re not seeing the beauty in the people before us because we’re buying into the myth of what we’re seeing on computers and smart phones and movies. That’s just sad because we’re missing out. We’re destroying the essence of women and we’re buying into this imitation beauty.”

    He said 88% of the scenes in porn have aggressive behavior of some kind, physically or verbally. The other thing to consider is how many of these films make people seem like objects. They’re objects for release. That’s all they are. And that’s what kids are learning when they’re watching porn in those formative years.

    Hunt said, “When young people are naturally going to want to learn about sex and relationships and sexuality and intimacy, instead of learning courtship and humanity, they learn a selfishness, a way to just get theirs. One of the guys that I interviewed who didn’t make it into the film, was a juvenile therapist. He said there’s a massive increase in anal sex and oral sex amongst teenagers because of porn. They are mimicking what they see.”

    Another part that had to be cut for length reasons was about a porn-addicted pastor. “We had an entire segment on how prevalent porn has become in the church,” said Hunt. “He was busted because his wife had gone away for the weekend at a time when he was really deep in his addiction. While she was gone he’d spent the entire weekend on the computer looking at porn. She got back when he was in bed reading. She tried to get on the computer but it crashed. When she rebooted it, all these sexual images came up. She said, ‘Hey, can you come here for a second?’ He got out of bed in his underwear and went over to her. She said, ‘What’s this?’ And that’s how he was busted; exposed. He’s standing there in his underwear exposed, at the moment his addiction was exposed.”

    At that point Hunt looked at his watch and said, “We’ve been talking for 36 minutes, right? That’s 120 million searches for porn that have happened since you and I began talking.”

    As our conversation was coming to a close, I asked him who his target audience for the film was. He laughed and said, “I’m going to go with a quote from the movie Argo: ‘People with eyes.’ The average age that people start actively looking for porn is about 10 years old. One in three porn addicts are women, 58% of divorces cite porn as one of the reasons, and 67% of men look at porn once a week at least. It affects the whole human demographic.

    “When you look at someone you can often tell if they’re an alcoholic or a drug addict, but you can’t look at anyone to see if they’re a porn addict. Also, getting back to the topic of the brain, your brain can purge coke when you stop using it. It can purge alcohol. But you can’t purge these pornographic images completely out of your mind.”

    I asked Hunt if he was in recovery from an addiction. “No,” he said, “never done a drug in my life and have never been addicted to anything else either.” So, why did he become interested in addiction? “I saw people facing problems. When we made American Meth, people weren’t talking about the topic all that much. Far Too Far came from what was left over in my brain from making American Meth. I turned it into a narrative that was based on a true story where a woman on meth pulls her ear drum out with pliers because she thinks the FBI is listening to her thoughts. When we made Absent, people weren’t talking about absent fathers like they are now. I hope that my new film will open up a conversation about porn addiction.”

    This article was written by Dorri Olds and was originally published at www.thefix.com on 02/05/17

  • Lions, Tigers, Bears and the Yellow Brick Road to Recovery

    This is a guest post by Steve Devlin, a recovery coach from Philadelphia PA, and a long time friend. I chose to post this over the Holiday weekend, because it brings me such joy, and brings back wonderful memories of watching the Wizard of Oz on TV during the 60’s. Thank-you Steve, and Happy Holidays to all of my readers.

    Over the past week, I have been thinking about the Serenity Prayer and its connection to the Wizard of Oz.  Some of you might be looking at your computer and wonder if I have lost my mind.  I beg for your patience and to hear me out.  First a caveat or two.  I represent only myself in this message.  The second caveat is this message was inspired by a share I heard at a 12-step meeting.  The person who said it gave me permission to use it.  So here we go!

    We all know the Serenity Prayer.  “May God grant me the serenity to accept the things I cannot change, the courage to change the things that I can, and the wisdom to know the difference.”  And almost everyone knows the story of the Wizard of Oz or at least the movie version of the story. Dorothy is not happy with life on the farm, runs away, is swept up in a tornado, lands in a strange place, and gathers three companions on her journey to the Emerald City to meet the Wizard.  On the way, she must deal with witches – good and bad – flying monkeys, and castle guards before she finds she always had the power to grant her wish of returning home.

    So what does this story have to do with the Serenity Prayer, let alone recovery?  We cannot find fulfillment, happiness, or peace in our lives. We run away and just when we realize that we have run too far, we are swept up in the tornado (or drug of our choice).  Its path of destruction destroys the landscape of our lives and carries us far away. Thankfully, when the storm passes we land in a new brightly-colored world filled with sober people singing about the blessings of recovery.  Yet our own work is just beginning.  There is a road we must follow with steps leading to the Emerald City of sobriety.  We also learn that we cannot walk the path alone.  There are still temptations, flying monkeys, people, places, and things calling us back to the darkness.  However, as we follow the path we first find the companion of serenity – the heart to love ourselves and others.  A new heart also gives us the gift of forgiveness and acceptance.

    The second companion is the courage to move forwards even when encountering lions, tigers, and bears.  It is courage which lets us turn over our lives, let go of character defects, and make amends.  It is also courage that lets us pick up the phone or go to a meeting.

    Finally, there is wisdom, which gives us the ability to see choices in our lives and to know what we can and cannot change.  After long periods of feeling tied up like a scarecrow on a post, we are set free to walk a brick road of new life.  Of course, finding these three companions to fight back addiction is only part of the story and the Emerald City is not the ultimate destination.  Our companions bring us to the shining light of recovery, but we must take the gifts back home and use them in our daily lives outside of the rooms.

    I wish recovery was as easy as clicking our heals together.  Finding our way home takes work but with heart, courage, and wisdom we can overcome all the flying monkeys and stay out of the way of tornadoes.  We also learn that the greatest companion of recovery is gratitude which was always just in our own backyard.

    Question: Who are your companions on the brick road?

  • Getting through the tough times

    As a recovery coach, I often see my clients need help getting through the tough times, without using, picking up or acting out. Recently, I personally encountered some rough patches in my life, so, I went to my library of recovery books. Several years ago, when I was experiencing trouble living life on life’s terms, I became an avid reader of Pema Chodron.

    Pema Chodron Celebrates her 80th Year

    Pema Chodron, is a Buddhist nun, she was born in 1936, in New York City, and is celebrating her 80th year. After a divorce, in her mid-thirties, Pema traveled to the French Alps and encountered Buddhist teacher Lama Chime Rinpoche, and she studied with him for several years. She became a novice Buddhist nun in 1974. Pema moved to rural Cape Breton, Nova Scotia in 1984, ­­­to be the director of Gampo Abbey and worked to establish a place to teach the Buddhist monastic traditions (waking before sunrise, chanting scriptures, daily chores, communal meals and providing blessings for the laity). In Nova Scotia and through the Chodron Foundation, she works with others, sharing her ideas and teachings. She has written several books, and in my time of deep spiritual need, I went to her book “When Things Fall Apart”.

    A Compassionate Tool

    Drawn from traditional Buddhist wisdom, Pema’s radical and compassionate advice for what to do when things fall apart in our lives helped me. There is not only one approach to suffering that is of lasting benefit, Pema teaches several approaches that involve moving toward the painful situation and relaxing us to realize the essential groundlessness of our situation. It is in this book, I discovered a simple breathing exercise, I can use during these chaotic times so I can move into a better space. Pema advocates this tool as a breathing exercise, although this exercise could also be considered a mindful meditation.

    I use Chodron’s tool whenever and wherever life hits me below the belt. I share this tool with my clients. It is all about breathing and consciously repeating words to yourself to accompany the breathing. Since we breathe every day, it is indiscernible whether you are using this tool as you travel on the bus commuting home from work, in a conference room with your boss, or when you are feeling low and want to curl up in a ball and die.

    Breathe

    Breathe. Pema explains in her book, when things get way too complicated; step back and breathe. When the force of the world, the politics of the U.S., Great Britain or Italy start weighing heavily on your mind, breathe. When you look at all the pain around you and feel powerless to do anything, breathe.

    Pema explains, inhale and say silently to yourself breathe in the pain, then exhale and say breathe out relief. Then, inhale, and say silently to yourself breathe in the relief, and exhale and say breathe out the pain. I find I need about 15 minutes of conscious breathing, breathing in the pain and breathing out relief, works for me. After doing this, I find I have new energy or something else crosses my path to move me into a more uplifting space.

    Chodron’s exercise places me in a space I need to be. If I continue to be in that “negative space” of worry or feeling powerless, then absolutely nothing will be accomplished that day. I know we all have something to accomplish every day, whether it is just getting out of bed, taking a shower and brushing our teeth or running a Fortune 500 company, this exercise gets us from zero to ten in fifteen minutes. It is the boost we need.

     So, I invite you to try this simple exercise…and remember…keep breathing

     

  • Why Can’t You Do the Dishes? Part 2

    This week’s guest blogger, Jeff Garson from Radical Decency Group, shares with us a very common example of a partner/spouse/husband/wife interaction. A husband and wife are about to leave for work and his wife, looking at a sink filled with breakfast dishes, says, “Why can’t you do the dishes?” A fight ensues.

    What could have happened is an honest, problem solving discussion; that is, mutual and authentic exchange. Instead, the typical outcome is a cycle of escalating attacks and counter-attacks.

    As a child of our fight or flight culture, the wife, ever vigilant to the possibility of attack, sees the dirty dishes as evidence of danger: That her needs are being ignored; that love is being withdrawn. With her fight or flight physiology activated, her words seek to deal with the perceived source of the attack: Her husband, evidenced by his past behaviors including, very particularly, the choices he’s made in the run-up to this current interaction.

    The husband is equally focused on the immediate past; moving into defense mode; judging and criticizing the words that just came out of her mouth. Why? Because in his culturally reinforced, overly vigilant state, he also feels under attack: Unappreciated, devalued, unloved.

    What is so sad in all of this is that there is nothing to defend – on either side. As a functioning couple, they have each put enormous amounts of time and energy into the relationship and are vitally invested in seeing it continue. Beneath the bickering is a vast reservoir of trust and love. So, the perceived attacker isn’t a source of danger at all. He/she is, instead, the other partner’s staunchest ally in life.

    Given this reality, the couple would be better served by focusing, not on illusory dangers from the recent past, but instead on the near future. Why? Because they each want to increase the love flowing back and forth between them, and the best way to do that is to focus on what they do next, rather than picking apart choices already made.

    Here’s how it would work.

    The wife wants to be loved in a specific way – by coming home to a clean kitchen. So she would ask for what she longs for: “Honey, it makes me feel great when you do the dishes before you leave in the morning.”

    Now, he is set up for a positive, loving response (“sure, I’ll do my best to do it”) rather than a defensive counter-attack (“I am not a bad person for forgetting to do the dishes this morning”). Alternatively, he might acknowledge her desire but say, “My mornings are really tight. Taking time to do the dishes is tough.”

    Importantly note this; that if this second alternative is his authentic response, the couple is still set up for a positive outcome. With defensiveness eliminated and the needs of both partners on the table – hers, for a completed chore (and a concrete expression of love); his, for a routine that accounts for the pressures he feels – creative problem solving can flow from the common goal, shared by both partners: How can I best meet my needs AND the needs of this partner I dearly love?

    A similar transaction can also be initiated from the husband’s end of the conversation. Instead of rising to the bait of her nascent reactivity ( “why can’t you do the dishes”) with a counter-attack, he can thank (yes, thank!) his wife for raising the issue. Why? Because he now has a more vivid roadmap for loving her. And in this frame of mind, he will be able, once again, to move toward a forward-looking outcome that attends, with equal attentiveness, to his needs and hers.

    While this different way of treating our intimate partner may seem a little unusual and strange, it is only because we are so relentlessly pushed toward very different ways of thinking, feeling and acting. The sad reality is that these more loving techniques are seldom taught and find precious little reinforcement in our culture.

    Hopefully, this post has introduced some healing correctives in your intimate relationships – and in all other areas of living as well.

    Jeff Garson, a Philadelphia based psycho -therapist and attorney, is the originator of Radical Decency and his weekly blog called Reflections.   If you want to contact Jeff or the Decency Group, or if you want to be added to the Reflections e-mailing list, contact Jeff at info@thedecencygroup.com.

    The Reflections, published weekly by The Decency Group, explore the philosophy’s application in all areas of living — from the most private and personal to the most public and political. Earlier Reflections are available at www.radcialdecency.com.

  • Why can’t you do the dishes?

    Guest blogger Jeff Garson from Radical Decency Group shares with us a very common example of a partner or spouse interaction. A husband and wife are about to leave for work and his wife, looking at a sink filled with breakfast dishes, says, “Why can’t you do the dishes?” His response: “Look, I have a really busy morning. I usually do them. Give me a break.”

    What happens next?

    A disagreement and argument.

    Jeff asks “Is our approach to living – are our habits of thinking, doing or saying allowing us, in every interaction, to express our needs in constructive ways and, equally, to hear the needs of others?” Jeff, a therapist and attorney from Philadelphia states we are innately, empathic beings, however, we need some skills that will allow us to more easily and instinctively move toward some more empathetic choices in our interactions.

    In this week’s post, Jeff helps us out with some new choices:

    The formulation sounds simple. But as I have discovered in my work as a psychotherapist and coach, and in my own relationships, its application is frustratingly difficult. The reason? Because, when disagreements arise, we are culturally wired to lapse into the fight or flight ways of being, or the culture’s “compete and win, dominate and control” mindset that has so deeply engrained in our habitual ways of being in the world.

    In this post, I work through one very common example of this phenomenon. A husband is about to leave for work and his wife, looking at a sink filled with breakfast dishes, says, “Why can’t you do the dishes?”

    Even assuming a relatively restrained tone in the “music” of these communications, their fight/flight motivation is unmistakable. Both partners remember the past hurts and will mix it with what just happened, the dirty dishes. Now they are locked into judgment mode; a hallmark of fight or flight mindsets.

    The wife, thinking her words were relatively neutral words, doesn’t realize they are words of judgment and attack: You didn’t do something – something you were supposed to do – and (by reasonable inference) something you all too frequently fail to do.

    nAnd how does the husband respond? Equally focused on the past, he counterattacks. Instead of dealing with the merits of the issue – who should do the dishes and when – a response that would invite further dialogue – he seeks to disqualify his wife’s position: You are wrong on the facts AND emotionally out of line in even raising the issue (“give me a break”).

    What very often happens next is – each person, being subtly attacked, feels disconnected and sore. But the interaction is, in their minds, too minor to be worthy of further discussion. Better to absorb the pain and head to work.

    What could have happened is an honest, problem solving discussion; that is, mutual and authentic exchange. Instead, the couple chooses to get into it, and the far more typical outcome is a cycle of escalating attacks and counter-attacks.

    Her: “You’re always have an excuse!”

    Him: “You never stop complaining, get off my back!!”

    And round and round it goes, until one or both of them goes cold and withdraws; that is, retreats into the flight part of fight or flight. They both go to work; mad.

    When it comes to our romantic partner, most of us have some sense of how to charm and seduce; an unsurprising fact given the endless stream of books, movies, and ads that promote and teach these ways of interacting. And yet, at the same time, we have little guidance in the art of lovingly engaging with our partner at our points of sensitive difference – even though much of the hard work of relationship needs to be done in precisely these small moments.

    So why does this strange dichotomy exist? Why do we, as a culture, neglect this vital relational skill even as we celebrate and promote romantic seduction? Because “charm and seduce” – a wonderful gift, when done with judgment and respect – is also entirely consistent with our culture’s predominant values. In this all too typical version, seduction is an effort, through a series of manipulative moves, to get our partner to feel and act in specific ways; ways that very much suit our purposes – but not necessarily theirs.

    By contrast, a loving engagement with our partner in tense times is the antithesis of this competitive/manipulative mindset. For this reason, the predominant culture has an unacknowledged but powerful interest in minimizing this skill; an interest unerringly reflected in the marginal attention it receives in popular culture.

    Thus, one of the key challenges, implicit in my approach to living is to learn to fight well, weaning ourselves from our current fight or flight ways, replacing them with more mutual and authentic ways of interacting.

    What would that look like? Check out my next post next week.

    Jeff Garson, a psycho -therapist and attorney, is the originator of Radical Decency and his weekly blog called Reflections.

    You can contact Jeff at: wjgarson@thedecencygroup.com or the Decency Group, if you want to be added to the Reflections e-mailing list, at info@thedecencygroup.com.

    The Reflections, published weekly by The Decency Group, explore the philosophy’s application in all areas of living — from the most private and personal to the most public and political. Earlier Reflections blogs are available at www.radcialdecency.com.

  • I am most vulnerable when I am naked

     

    As a recovery coach, I approach my clients as a peer, as someone who has gone through the slings and arrows of addiction and emerged on the other side, in recovery and sober from drugs, alcohol and some behavioral addictions. As a peer I have the experiential knowledge to help my clients walk the pathway to recovery.

    However, there are some clients, I do not seek to help. These clients are the ones that identify as having eating disorders. That is because (I have to be truthful here) I struggle with disordered eating. I am an overeater. Carbohydrates, dairy and processed sugars are my heroin and I have not overcome this addiction.

    I also spent my formative years, in fact up from age one until well into my thirties, in the grips of body dysmorphia. In Wikipedia, body dysmorphia is defined as Body dysmorphic disorder (BDD), also known dysmorphic syndrome, a mental disorder characterized by an obsessive preoccupation that some aspect of one’s own appearance, is severely flawed and warrants exceptional measures to hide or fix it. I saw myself as a fat person. When I looked in the mirror I saw a person three or more dress sizes larger than I really was. I thought I was fat, when all along I was a person with a normal sized body.

    What’s Underneath Project

    This blog will not go into my years of body dysmorphia, but on a recent awakening: how to accept me as I am. Just last week, I was viewing a www.thefix.com article on Tallulah Willis, Bruce Willis’ and Demi Moore’s daughter and her recent stay in a treatment center. There was a link to a video of Tallulah that I clicked on. I was introduced to a whole new way of seeing myself, through the “What’s Underneath Project”.

    Seven years ago, Elisa Goodkind, a veteran fashion stylist, and her daughter, Lily Mandelbaum, a former film student, created StyleLikeU as an alternative to the fashion culture’s crippling status quo. Launched in 2009, StyleLikeU is home to a series of intimate video portraits that redefine our culture’s notion of beauty, called the What’s Underneath Project. These simple videos, show unapologetic individuals who are true to themselves in both their style and in their lives. Individuals, gay, straight, recovering from breast cancer or transitioning to their true gender, exude confidence in their own skin. And the viewers are empowered to discover this same sense of confidence and beauty can be their own.

    As I was browsing through the videos, and I clicked on Olivia Campbell’s (a well-known British plus style model) video. I cried when I listened to her journey through bullying and sexual abuse. I came to the realization that I am still beautiful, even though I am over sixty, thanks to Jacky O’Shaughnessy’s video. I was transfixed that her story, was exactly my story, one of poor body image and how it affects my relationships. Jacky’s statement saying she feels the most vulnerable when she is naked in front of a man, and she feels the most beautiful when she is naked in front of a man, was so honest. Because underneath it all, I felt the same thing.

    A Viral Phenomenon

    The What’s Underneath Project strips everyday people and celebrity’s down to their bra and panties to open them up, exploring the power of genuine self-acceptance as they undress. Since its launch in 2014, the response has been monumental. The videos went viral, and has received over 9 million YouTube hits, international press, and fan-mail floods in from people wanting to help, donate funds and participate. The What’s Underneath Project has produced 70 plus videos, ranging from 5 to 15 minutes in length, and has posted them on YouTube.

    In November 2014, the What’s Underneath Project launched a Kickstarter campaign to support the production of a documentary film that will capture this viral video series. The campaign was a wild success and in just 18 days, exceeded the initial goal of $100k. By the end of the month-long campaign, the What’s Underneath Project raised a total of $135,655. The upcoming documentary film is in production and the What’s Underneath Project documentary film will be released in the Spring of 2017.

    The What’s Underneath Project is on the road to becoming a global movement for self-acceptance.

  • Disagreements are normal in relationships

    Expect every relationship to have a disagreement along the way. Disagreements are normal in relationships. Disagreements, however, can trigger other feelings, such as loss of control, powerlessness, or feelings of abuse. Mix into this situation your partner’s personality, the triggers the disagreements bring up for both of you, and a dash of how we saw disagreements resolved in our childhood and you may have a very dysfunctional approach to resolving conflict.

    Are you willing to change? Most importantly, is your partner willing to change, too?

    IntimacySome disagreements are not disagreements but break downs in communication, or misinterpreted statements. Sometimes the way a message is delivered (i.e. in a text or email) can open the door for miscommunication and result in a fight between partners. Your partner may be upset over reading an email, or hearing your message on their voicemail and you may not know why there is such high level of upset. The answer usually is: they misinterpreted your statement.

    Simple miscommunication

    Miscommunication typically results from not explaining yourself clearly, specifically and completely. All very difficult to do in a voice mail, text or email. So make a rule that all difficult conversations be made face to face. Your partner deserves this quality of conversation and you deserve not to be in the realm of upset over this predicament.

    When communicating with your loved one, ask yourself the following, are you:

    1. Communicating with a lack of emotion in your voice?
    2. Leaving out information you assume your partner should know about?
    3. Are you really saying what you want to say?
    4. Is there a hidden agenda lurking behind this communication? Perhaps all of these things you have reviewed, resolved, cleaned up and cleared out. It was a simple miscommunication, end of story. Now, you both can move on to your weekend chores or favorite Netflix program.

    It’s a bigger thing . . .

    If this is more than a miscommunication problem, the next step is picking a time to discuss it, calmly, quietly and with no interruptions. Maybe at lunch on Sunday, or after the kids go to bed, most definitely when both of you have cooled down. Plan on sitting down with your partner and starting with an opening statement affirming your love and commitment to the relationship. Pledge that this meeting is an attempt to change how you communicate. Make fastidious notes regarding your presentation, because you may have to make an appointment with your partner to discuss this again, in a few days. Chances are you will forget all about your thoughts and feelings about this miscommunication, so keep your notes handy. If your partner is not looking you in the eye, or multitasking on their cell phone while you are attempting a conversation, maybe they had some difficulties coming to this meeting. Kindly ask, with a lack of emotion in your voice, the following:

    1. Ask if they heard your request to discuss this problem
    2. If there would be a better time to have this discussion when you could have their full attention
    3. Are they bringing up old resentments from past conflicts, if so, ask them to set these resentments aside for a time
    4. Is something really bothering them about this problem, and would they like to speak first?

    Identify avoidance

    Couples become very good at avoiding conflict. Sometimes one partner is so good at it, they teach the other partner avoidance through osmosis. Soon both partners are adept at sidestepping the real issues, and all conflicts because they won’t like the results. Remember your intimate relationship with your partner is not a win/lose proposition. Avoidance leaves one or both partners feeling unloved, not respected and upset that they are not being “heard.” It is important to work through a few of these exercises, so each partner can realize that discussing and resolving conflict is very important for a healthy, intimate relationship.

    Avoidance looks and feels like this:

    1. You are so resentful at your partner that you are unwilling to do anything to resolve it
    2. All conversations like this devolve into conflict, anger, shouting and negative outcomes
    3. You don’t see any problem to discuss
    4. These meetings are a waste of time, dull boring and I could be mowing the lawn, paying bills or doing the wash instead of doing this
    5. If you have to have these discussions at the therapist’s office, a common thought is, I would rather spend my money on something other than this.

    How to prepare for the meeting to resolve a problem

    Before your meeting, identify your “hot button” issues. You know the ones, identify your pattern in most of your arguments. Does talking about money set you off, does mention of your domineering mother make you defensive, does worrying about your partner leaving you bring up actions you would rather not display (like aggression) or when things aren’t going your way do you start to cry? Review your reactions to your hot-button issues before hand, come up with some solutions to control your reactions (bite your lip, light a cigarette, hold a teddy bear) this will help you cope better during this meeting. Here are some ground rules both you and your partner should read and agree on prior to this meeting:

    1. Pick a time to discuss a problem so it can be resolved. Don’t discuss a problem when either of you are angry
    2. In this discussion, stay focus on the one problem. Use the specific example of your “upset” over this problem. Even if you have to repeat this specific example several times, stay focused
    3. Have a goal in mind when you discuss this problem. What are the changes you hope to make by discussing this problem? Why is it important for you to discuss this problem? Is this problem something you and your partner can change? Can you both commit to the change?
    4. Tell your partner what has upset you and what you are willing to do to change things going forward. Ask your partner what he/she is willing to do or change
    5. Be courteous when speaking to your partner, no back stabbing, knife twisting or “I’m better than you” comments
    6. Express positive messages, focus on the good attributes your partner has. As in the Jungle Book, “Accentuate the positive.” Or as in Mary Poppins, “A spoonful of sugar helps the medicine go down.”
    7. Ask for changes to this problem in a positive way, avoid a cynical tone of voice or aggressive body language
    8. Do something nice for your partner, without expecting something in return.
    9. Complain about the things that matter. Attempt to limit your complaints to one thing that will make a difference or has to be acted upon immediately
    10. Let go of the past. Don’t allow yourself to bring up old problems, behaviors or incidents from the past. This will derail this conversation and it will devolve into a shouting match
    11. Be open to compromise. Intimate relationships are not a winner-take-all environment. Be open to your partner’s ideas
    12. Remove ultimatums from your vocabulary. Phrases like “I am leaving you” or “Pack your bags” should be turned into a “Let’s cool down and discuss this at another time.”

    Using these tools to improve your intimate relationship is just like going to a board retreat or a workshop to improve your job performance. Isn’t it worth it to improve your intimate relationship’s performance? To advance change with the person you trust more than your boss, manager or administrator?

    In an intimate relationship, the ultimate goal is not to dominate, control, or win. It is, instead, to create nourishing and mutually supportive intimacy; that is, to fully see your partner and to be fully seen; to be lovingly held by your partner (and vice versa) and to listen to them. The highest priority is on the relationship itself, on creating and maintaining an empathetic, loving environment. Acknowledging there is no boss, no subordinate, no winners, no losers. In other words, an intimate relationship is a place where two people, sometimes being in direct opposition or conflict, ultimately, trust the other’s predominant values enough to find equilibrium.

    Go at it!

  • A Call for Clinical Humility in Addiction Treatment

    by William White and video featuring Chris Budnick

    The history of addiction treatment includes a pervasive and cautionary thread: the potential to do great harm in the name of help.  The technical term for such injury, iatrogenesis (physician-caused or treatment-caused illness), spans a broad range of professional actions that with the best of intentions resulted in harm to individuals and families seeking assistance. My recounting of such insults within the history of addiction treatment (see endnotes 1, 2 and 3 below) also includes the observation that such harms are easy to identify retrospectively in earlier eras, but very difficult to see within one’s own era, within one’s own treatment program, and within one’s own clinical practices.

    The challenges for each of us who work in this special service ministry and for william_l_white_portrait_1the specialized industry of addiction treatment include conducting a regular inventory of clinical and administrative policies and practices to identify areas of inadvertent harm, altering conditions linked to such harm, making amends for such injuries, and developing mechanisms to prevent such injuries in the future. In my own professional life, many of the projects in my later career were products of such an inventory and served as a form of amends for actions I took or failed to take in my early career due to lack of awareness or courage. (See endnote 4 and 5 for two vivid examples.)

    There have also been times I have taken the larger field to task for practices I deemed harmful. I have suggested at times that what were perceived as personal failures to achieve lasting recovery could be more aptly characterized as system failures (endnote 6). I have suggested at times that the field was becoming addicted to professional power and money and that the field itself was in need of a recovery process that should include processes of rigorous self-inventory, public confession, and amends (endnote 7 and 8).

    The shift from acute care models of addiction treatment to models of sustained recovery management (RM) and recovery-oriented systems of care (ROSC) involves dramatic changes in clinical practices, including a shift in the basic relationship between the service provider and service recipient. The service relationship within the RM/ROSC models shifts from one dominated and controlled by the professional expert to a sustained recovery support partnership, with the provider serving primarily as a consultant to the service recipient’s own recovery self-management efforts. Those who have made this relational shift inevitably look back on areas of potential harm that emerged from the expert relational model they once practiced. And then the question inevitably arises, “How does one make amends for past harm in the name of help within the context of addiction counseling?”

    Chris Budnick, an addictions professional in North Carolina and founding Board Chair for Recovery Communities of North Carolina, Inc. (RCNC), recently responded to that question by preparing a formal letter of amends to the individuals, families, and communities he has served. Below is the text of that letter, which was presented at the North Carolina Recovery Advocacy Alliance Summit, February 24, 2016. (The link to the video is: https://www.youtube.com/watch?v=A5MYhZbnhfU)

    Chris-Budnick LCSW,LCAS,CC,MSWMy name is Chris Budnick and I am a Licensed Clinical Addiction Specialist. I first began working in the addiction treatment and recovery field in 1993. 

    There are many components involved in the broad issue of substance use disorders and recovery. Employers, first responders, the criminal justice system, policy makers, politicians, companies, advertisers, treatment providers, addiction professionals, the recovery community, families, and the individual with the substance use disorder. Of all these components, individuals with substance use disorders face the greatest scrutiny, stigma, discrimination and blame. For too long they have stood alone bearing the full brunt of this responsibility while systems of care and policies impacting housing, education, and employment have largely conspired to undermine any chance of sustaining recovery.

    Last week I found myself approaching a police department to apologize for failing them. When they reached out to us in the middle of the night seeking services for a young woman we told them “no.”  “We can’t help her tonight.”  She was killed within hours of this decision leaving behind a 2-year-old daughter.  I told the officer that we pledge to do better.

    This experience has nudged me to put to paper ideas that I’ve articulated and ideas I’ve only contemplated. I feel compelled as an addiction professional to make amends and pledge to do better.

    While I have changed my attitudes and practices over the years, I have not spoken up to say I’m sorry. So here are the things I want to make amends for:

    • I’m sorry for all the barriers you confront when trying to access help.
    • I’m sorry for contradictory “sobriety” and “active use” requirements you encounter when trying to access services.
    • I’m sorry for the harm that has come to you, your family, your unborn children, and your community when you have not been provided services on demand.
    • I apologize for expecting that you will provide all the motivation to initiate recovery when I have assumed no responsibility for enhancing your readiness for recovery.
    • I am sorry for creating unrealistic expectations of you.
    • I’m sorry for provider success statistics that have misled you and your family.
    • I’m sorry that I have discharged you from treatment for becoming symptomatic. I’m even more sorry, though, for abandoning you at your time of greatest vulnerability. And I am sorry for how this failure has contributed to the heartbreak of your loved ones.
    • I am sorry for abandoning you when you have left treatment, either successfully or unsuccessfully.
    • I am sorry for the irritation in my voice when you have returned following a set-back because you didn’t do everything that I told you to do.
    • I am sorry for my arrogance when I’ve assumed that I am the expert of your life.
    • I am sorry for privately finding satisfaction in your failure because it reinforces the fallacy that I know best and if you just do as I say, you’ll recover.
    • I am sorry for not celebrating as enthusiastically your successes when you have achieved them through a different pathway or style then me.
    • I am sorry for being a silent co-conspirator for the stigma that has resulted in systems of punishment and discriminatory policies and practices.
    • I’m sorry for turning you away from treatment because you’ve “been here too many times.”
    • I’m sorry for not referring you to different services when you have not responded to the services I offer.
    • I am sorry for allowing you to take the blame when treatment did not work instead of defending you because you received an inadequate dose and duration of care.
    • I am sorry for reaping the benefits of recovery yet failing to do everything I can to make sure those benefits are available to anyone, regardless of privilege, socio-economic status, education, employability, and criminal history.
    • I’m sorry for being an addiction professional who has not provided you with the recovery supports needed to sustain recovery. More importantly, I apologize for conspiring through silence and inaction with a system that ill prepares you to achieve success.
    • I’m sorry for not calling to check on you when you don’t show up for treatment. I’m sorry for not calling to support you after you leave treatment.
    • I’m sorry for letting society maintain the belief that you used again because you chose to.
    • I’m sorry for not fighting for adequate treatment and recovery support services. All persons with substance use disorders should be entitled to a minimum of five years of monitoring and recovery support services.
    • I’m sorry for not advocating for you to have opportunities to gain safe and supportive housing and non-exploitive employment.
    • I am sorry for being so self-centered that I only think about you in the context of treatment while failing to fully understand the environmental and social realities of your life and how they will impact your ability to initiate and sustain recovery.
    • I am deeply sorry to your loved ones who have been robbed of chances to have a healthy member of their family. I am deeply sorry to your community, who has been robbed of the gifts that your recovery could have brought them.
    • I’m sorry that systems of control and punishment has been the response to communities of color during drug epidemics.
    • I am sorry that through my silence and inaction that I have contributed to belief that persons with substance use disorders are criminals and should be punished.
    • I am sorry for not speaking as a Recovery Ally to families, friends, neighbors, colleagues, policy makers, and public officials about why I support recovery.
    • I’m sorry for all the things that I have left off this list because I’ve failed to regularly solicit your feedback about how effective I have been in supporting you in your recovery.

          This sorrow is the foundation of my commitment to improve the accessibility, affordability, and quality of addiction treatment and recovery support services and to create the community space in which long-term personal and family recovery can flourish.

                                  -Chris Budnick, Licensed Clinical Addiction Specialist

    This is a remarkable statement worthy of emulation. I look forward to the day when leaders prepare such a statement of amends to individuals, families, and communities on behalf of American addiction treatment institutions. I look forward to the day when clinical humility becomes a foundational ethic guiding the practice of addiction counseling.  WW

    I honor and applaud Bill and Chris for bringing this message to clinical professionals across the nation. It is time to shed and change these old models that have not been working and embrace these new tenants that Bill, Chris and many others espouse.  Truly such client-centered treatment can change the course of recovery for many. MK


    End Notes

    This post was previously published on William White’s web site- www.williamwhitepapers.com on April 29, 2016. William White and Chris Budnick authorized this reposting.

    Video: https://www.youtube.com/watch?v=A5MYhZbnhfU

  • How Adverse Childhood Experiences affects long term health – a TED MED Talk by Dr. Nadine Burke Harris

    Dr. Nadine Burke Harris, during her TED-Med talk presents the benefits of the Adverse Childhood Experience study and the substantiated affects the study has brought forth on how childhood trauma can impact the quality of one’s health and length of a person’s lifespan. The San Francisco based pediatrician explains that the repeated stress of abuse, experience of neglect and living with parents struggling with mental health or substance abuse issues has real, tangible effects on the development of a child’s brain. The ACE study concludes that those who’ve experienced chronic, and high levels of trauma are at triple the risk for heart disease, addictions and lung cancer. She gives an impassioned plea for clinicians to use the Adverse Childhood Experiences questions during intake on all of their patients and confront the prevention and treatment of trauma, head-on.

     

  • Recovery Coaches to the Rescue

    Recovery Coaches to the Rescue

    FBI PhotoIt is 5:30 am and a band of FBI and local sheriff authorities pull up to a New Jersey suburban house in a development not far from Philadelphia. Adorning Kevlar vests, and windbreakers with the yellow letters FBI on their backs, they storm past a toy doll stroller in the sidewalk. They bang on the door with their fist, demanding “Open up this is the FBI”. After a few more wraps, a bleary eyed woman about 40 years old opens the door a crack and peers out. With a burst of energy, five FBI agents and two local police enter her foyer, issue her a search warrant and spew out demands, only one she actually hears, “Your husband is under arrest for child pornography, where are the computers?”

    Emily, (all real names in this story will be withheld for privacy purposes) is dazed. She is in her bathrobe, and slippers, her hair is mussed, her eyeglasses crooked. She is barely awake. She glances at the stairs. She sees her two children at the top of the stairs, as a troop of agents make their way up to them. The agents ascend, as her girls descend squeezing towards the wall making way for the army of six foot, 250 pound men barreling past them. They are asking “Mommy, what is happening?” A sheriff from the local police department asks where her husband is. She says he is at work; he works the midnight shift at a local hospital. The Sheriff gets on his walkie-talkie and bursts out some demands, heralding a similar event at her husband’s workplace.

    It is 6:00 am, and Tom is just wrapping up from his shift as a nurse. His supervisor walks up to him and a force of blue windbreakers flank him on either side. “Tom,” his supervisor says, “these gentlemen want to see you in my office”. As they turn to go to the office to FBI agents take Tom at the elbows and nearly lift him off his feet. He arrives in the supervisor’s office, is placed in an arm chair and the door slams. Tom hears the words he has feared for the past two decades. “You are under arrest for the possession of, and the suspected distribution, copying, or advertising of images containing sexual depictions of minors.” For some strange reason, Tom is relieved. He thinks “It’s over, it is finally over.”

    It is Monday night, a steady stream of middle aged men drift into a hospital conference room, and take a seat. One of them opens a gym bag and starts to place books, pamphlets and tri-fold fliers on the table. A clear plastic envelope stuffed with one dollar bills is placed next to a thin loose-leaf binder. He sits down, opens the binder, checks the time on his cell phone and says, “Welcome to the Monday night meeting of Sex and Love Addicts Anonymous, my name is Ken, and I am a sex and love addict.” The seemingly normal cohort of men reply, “Hi Ken”.

    The Monday night meeting of Sex and Love Addicts Anonymous begins. The reading is on Step Three; made a decision to turn our will and our lives over to the care of God, as we understood God. During the share a newcomer tells his story about what brought him into the rooms tonight. He is not sure he can be helped. He knows he has been a porn addict for all of his adult life. He says he has just been found out and he has no idea what will happen next, to his life, to his marriage, to his kids. He was advised to go to a 12 step meeting, and luckily he saw this meeting listed.

    The members of this unlikely band of brothers looks at Tom. His head is down. His focus is on the ravaged cuticles of his right thumb. As he raises his thumb to his mouth, a tear rolls down his cheek. They know how he feels. Each one of them have felt this same despair. Joe raises his hand to share. Joe is almost 45, yet one would think he is no older than 35. His Goorin Brothers Slayer cap is on backwards, his flannel plaid shirt is unbuttoned revealing an LA Dodgers vintage t-shirt. Appropriately ripped skinny jeans end in Vans pull ons. He gets current, talking about his therapist, his groups and what the third step means to him. Then he looks directly at Tom. “I know there is no cross talk in this meeting, so let me just say this, Tom, can we talk after the meeting?”

    Joe knows what has happened to Tom. Tom need not even say the word ‘legal’ for the subliminal message to be delivered. Joe knows because it happened to him, less than two years ago. The Cop Knock. The end of life as he knew it. The opening up of a new world. A new life without any more hiding.

    Relief.

    Joe and Tom walk to the café and Joe buys Tom a coke and a sandwich. It is the first thing Tom has eaten in two days. The café is empty, so they find a corner table and sit down. After just a few minutes, Tom’s experience from the last week is told. Joe’s head was nodding the whole time, but he lets Tom talk.

    Before an hour was up, Joe had given Tom the name of three men, Michael, Steve and Mike. Also, the number of an attorney and of a therapist that specialized in treating offenders. As they walked out of the hospital, Joe said the first call should be to Michael. Michael will coordinate everything. And Joe was right, Michael coordinated everything.

    Michael answers the phone at 9:15, and Tom was on the line. Michael was already prepared by Joe’s call, just minutes before. By 10:00, Michael assembled the team and briefed us all. The attorney appointment will be made by Tom. The therapist introduction will be on the phone, and the first group therapy meeting is tomorrow and Joe will bring Tom. Mike and Steve will call Tom daily for support. I am assigned to work with the wife.

    Every one of us responds to this call. It initiates a recruitment effort that rivals the Avenger’s response to Ultron’s threat to eradicate humanity. This team is committed to  respond to any sexual addiction crisis- the family affected by a patriarch’s incest, the individual devastated by sexual abuse, or the man that has heard the “Cop Knock”. We know they feel alone, whether they have been abandoned by their family, abused by loved ones or in this case, arrested for an illegal act. Tom needs his Avengers team to help him, because this is territory he is not familiar with. But this team is very familiar with it; the family dynamics, the law, the courtroom, treatment and therapy, prison and re-entry. We have walked this path, and emerged on the other side, as healthier and better people for the experience. So we are there, in order to keep our sobriety, we are doing service to give back what we have freely received.

  • Why are Love Addicts and Love Avoidants or Love Ambivalents attracted to each other?

    The last person a love addict should be attracted to is a love avoidant or love ambivalent. But all love addicts are attracted to love avoidants or love ambivalents. Why? In order to answer this we have to go back and look at the relationships these addicts experienced with their primary caregivers.

    Childhood experiences

    The love addict has had a relationship with their primary caregiver that proved to them they can be abandoned at any time. That is a familiar fear, holding-hands1prompting love addicts to try harder to get the attention and love of their partners. Love avoidants have experienced a highly dependent caregiver. One who smothers the avoidant, requiring the attention that was difficult for an immature child to bring forth. As a result, the avoidant sees relationships as work. Love ambivalents have experienced both a smothering caregiver and an abandoning caregiver. For example, a father who left the family, resulting in a mother who uses the child as a surrogate spouse to take care of her emotional needs.

    Even though each of these addicts dislike the role they were given in childhood, it is a familiar role, and they feel comfortable in it. A role that when engaged in adulthood, feels like the same type of love that they had as a child for their caregiver. Because they were so young when experiencing these feelings, the child knew they had to love their caregiver, with the child thinking these feelings of being smothered or abandoned equaled a type of love.

    So a love addict, avoidant or ambivalent is attracted to the unconscious display of these traits from a new adult coming into their lives. After a few weeks, or months, these behaviors start to spark the feelings inside that the love addict, avoidant or ambivalent recalls, albeit unconsciously, from their youth. Their old frustrations with their caregiver are placed onto the new adult relationship. These feelings are akin to love for the love addict, avoidant or ambivalent, but actually just recreate the relationship they had with their parent or caregivers.

    The love addict, avoidant or ambivalent wants to heal these old childhood wounds and fix what wasn’t right with their first “love” (their parent or caregivers). In doing everything in their power to do this, they believe there is a possibility of fulfilling the childhood fantasy of having the perfect mate (cue the Cinderella or the Shrek DVD). Avoidants are programed to rescue, so when they see a damsel in distress, they move very powerfully, even seductively, to take up that challenge. I say seductively, because the avoidant wants unconsciously to rescue, and to be in control of the relationship. If they control, they cannot be controlled, as they were in their formative years. However, there is always a rear-exit door left open. Ambivalents were chastised for showing too much emotion in their youth, so in adulthood, they commit to being detached in emotional settings.

    What can these addicts do to change?

    As an adult, the love addict, avoidant or ambivalent may be able to realize these are not healthy behaviors and re-think these acts. Perhaps the love addict, avoidant or ambivalent has learned from the consequences of past, broken relationships. As adults, these addicts may be able to realize these are not healthy feelings and identify their actions, like acknowledging when the love addict grasps for more attention, it is in order to not be abandoned. Recognizing that when the avoidant flees from intimate relationships, they are reverting to childlike behaviors. And being aware of when the ambivalent starts feeling undecided about a lover does nothing for the relationship.

    These individuals want desperately to have a healthy, long-term relationship, so perhaps trying some new behaviors can be possible. I suggest taking more time in courting. Spend more non-sexual time with the prospective partner. Learn how to speak more about their feelings of fear and work out some common responses to the feelings of flight, fight or freeze. Every new relationship brings a new set of “situations” to resolve. Being more open to dating people who do not send the charge of electricity or chemistry through the addict’s body is another suggestion. These addictive feelings, thoughts and/or behaviors are not present in a healthy, non-addict adult. These healthy adults are often passed over by the addict, because they see them as boring, or the addict acknowledges the “chemistry” was not strong enough to capture their interests. I suggest giving these healthy adults another chance, another date or another month, or two, to develop the relationship further. The addict may be surprised in the result. Above all else, avoid sexual contact as long as possible during this courtship phase. I suggest embracing a healthy dating plan (Google it!) that includes a minimum of three months of non-sexual dating.

    A very intimate discussion is a conversation on why saying the word love is difficult or challenging, or perhaps too easy (as in the case of the love addict). Another intimacy exercise is the game of ‘In to me, I see’, which one person closes their eyes and says ‘When I look into myself, I see…’ and then explains what they see. This isn’t an after dinner game for a party, but is an interchange between two lovers, using a simple statement that will spark a similar response with the other.

    How does a healthy person think about love?

    A healthy person doesn’t compulsively fantasize about a white knight rescuing them or a beautiful girl on their arm making them a better person. Each of us have the potential within to feel whole and fulfilled. We are the ones who develop our own competence, our own self-esteem. We use self-love, self-nurturing, self-protection, self-awareness and self-care to build these strengths.

    Each of us finds the meaning of life for ourselves. The only part a partner can help with is sharing their search for the discovery of the meaning of their lives. Ultimately, no one can make us do anything. If they do, we will reject them. Don’t even go down that path. Allow your partner to do what he or she needs to do for themselves, and stop yourself when you feel you are falling back into old, addictive behaviors.

    A healthy relationship is not based on need, fear, compulsion or obsession. It does not thrive on that electrical bolt of energy or chemical reaction. It is like a little seed, in the fresh, spring earth, that needs nurturing to grow. Not too much water, not too firm earth. Get the picture?

    Healthy people love themselves. Shed the fear of ego or dread of being viewed negatively. Speak to your therapist about these fears. Allow yourself to grow emotionally and spiritually. It may take a few relationships to allow this self-nurturing and growth to happen, it’s not an overnight thing. During your development as a healthy person, someone will walk into your life, and both of you will experience a blossoming of growth, just like that little seed.

  • Child Pornography — Part Two

    The Child Pornography Industry

    manhattan_bridgeThe pornography industry nets approximately $13 billion dollars of revenue in the United States, alone. Illegal child pornography revenue is around $3 billion annually and is one of the fastest growing businesses online (Top Ten Reviews, 2005)[1]. In 2014, the Internet Watch Foundation found 31,266 individual child abuse domains or URLs, a 137% increase from 2013. Today, there are estimated to be more than one million pornographic images of children on the Internet, with 200 new images posted daily. The U.S. Customs Service estimates that there are more than 100,000 websites offering child pornography — which is illegal worldwide. The fastest growing demand is for images depicting the worst imaginable type of abuse and images of the youngest children. Of P2P users arrested in 2009, 33 percent had photos of children age three or younger and 42 percent had images of children that showed sexual violence. More than half of all illegal sites reported by the Internet Watch Foundation are hosted in the United States. Illegal sites in Russia have more than doubled from 286 to 706 in 2002 (National Criminal Intelligence Service, 8/21/03). One can only imagine how much free child pornography transfers hands on an annual basis. Who is possessing all of this child pornography?

    What does an Internet viewer of underage pornography look like?

    Federal child pornography charges are leveled against judges, politicians, doctors, teachers and other well-regarded members of society more frequently than you would ever imagine. If you remember in 2015 alone, Glee co-star Mark Salling, TV producer on Law and Order Jace Alexander, and the Subway spokesman, Jared Fogle were all arrested for possession of child pornography. National Juvenile Online Victimization Study found that men who view child pornography include those who are:

    • Sexually interested in prepubescent children (pedophiles) or young adolescents (hebephiles), who use child pornography images for sexual fantasy and gratification
    • Sexually compulsive, meaning they are constantly searching for new and different sexual stimuli
    • Sexually curious, downloading a few images to satisfy that curiosity
    • Interested in profiting financially by selling images or setting up websites requiring payment for access

    These offenders weren’t concentrated in any specific geographic location, and their levels of income and education varied widely. Two-thirds were single, about one-quarter lived with children under the age of 18 and about one-quarter had problems with drugs and alcohol. In 2009, similar to 2006, about 20 percent of the offenders were between the ages of 18 to 25; while the majority of men who viewed child pornography were 26 or older. The National Crimes against Children Research Center reported the great majority of those arrested were non-Hispanic white men and less than 1 percent were women.

    Possession of child pornography is a felony under federal law and in every state. If you know of anyone producing or promoting child pornography, please report them through the National Center for Missing & Exploited Children’s CyberTipline: 1 (800) 843-5678. If you are concerned about what you or a loved one has been looking at while online, seek the help of a professional who specializes in this area.

    References used in this blog:


    [1] Ropelato, Jerry. Top Ten Reviews. Top Ten Reviews, Inc. 5 December, 2005. http://internet-filter-review….pornography-statistics.html

    My Kid’s Browser: http://www.mykidsbrowser.com/internet-pornography-statistics.php

    International Watch Foundation 2014 Annual Report: https://www.iwf.org.uk/accountability/annual-reports/2014-annual-report

     Center for Problem-Oriented Policing, POP Center, The Problem with Child Pornography on the Internet, Guide No.41 (2006), by Richard Wortley and Stephen Smallbone

    Enough is Enough web site: http://www.enough.org/inside.php?tag=stat archives#3

    National Juvenile Online Victimization Study

    J Clark Baird, web site of a Kentucky criminal defense attorney, http://kyfederalcriminallawyer.com/practice-areas/federal-child-pornography-charges/

    SASH- Society for the Advancement of Sexual Health- http://sash.net/

  • 7 questions wives of porn addicts ask

    manhattan_bridge_post_versionPornography addiction is a form of sex addiction. Wives of porn addicts are baffled by this addiction and feel like they are partially responsible for her husband’s behavior. The reasons for this are numerous and include the shame associated with this addiction for both the addict and the spouse, the sense of betrayal, and stereotypes linked to the addiction. Ella Hutchinson, a counselor from Katy, Texas who specializes in counseling wives of sex addicts. She sees women who haven’t told anyone about their husband’s addiction, sometimes for months, years and often they never disclose. The lack of support available to spouses, and often inaccurate information being put out about partners of sexual addicts, can cause a wife to suffer additional trauma. Ella has formulated 7 questions wives of porn addicts ask.

    #1: How can my husband love me and look at porn when he knows it hurts me?

     It is possible for your husband to love you, even though he is looking at pornography. In fact, the two are completely unrelated. Men are better than women at compartmentalization. A man’s brain can be compared to a waffle. There are many different compartments so that he can divide his life up into separate components that don’t touch each other. His marriage and family can be in one compartment, his job in another…you get the point. This is a benefit when a man is fighting in a war and able to focus on the task at hand without worrying about his family back home. But it also makes a man able to look at pornography without thinking about how it may hurt you or his marriage. Women’s brains are more like spaghetti where everything is connected. Women are more likely to be worrying about our kids when we are at work and thinking about work when we are at home.

    When a man becomes addicted to pornography, it can become a perceived need rather than a choice for him until he becomes willing to reach out for help. His use of porn causes a release of the same chemicals involved when a drug is ingested. At the height of his addiction, nothing, not even the risk of losing his job or his marriage, is enough to stop him. This explains how a politician or celebrity can make such risky, career-destroying moves without stopping to consider the consequences.

    Later Ella will discuss the kinds of consequences that can catapult an addict into reality.

    #2: Why does my husband prefer porn and masturbation to sex with me?

     Norman Doidge, psychiatrist and author of the acclaimed book, The Brain That Changes Itself, studied porn addicts. He stated,

    They reported increasing difficulty in being turned on by their actual sexual partners, spouses, or girlfriends, though they still considered them objectively attractive. When I asked if this phenomenon had any relationship to viewing pornography, they answered that it initially helped them get more excited during sex but over time had the opposite effect.

    Your husband had this addiction, or the proclivity toward it, before he ever met you, regardless of what he says. In spite of what you think or even what he might have said, nothing you could do could be enough to sexually satisfy your porn addicted spouse. Pornography presents an unrealistic reality that damages a person’s brain. They become engrossed in this fantasy world where they don’t have to worry about pleasing anyone but themselves and no emotional connection is required.

    While a porn addict desperately craves love and intimacy (something he is probably unaware of), he seeks it out in the exact place that will cause him to become less and less able to experience it. As a counselor, Ella hears sexual addicts talk about their past, it becomes apparent why they are so uncomfortable with the idea of intimacy. This topic is beyond our scope here, but it is important for a wife to be aware that there is a reason her husband became addicted to porn, and that reason is not her.

    #3: Why am I not enough if I am sexually available to him?

    Beyond the intimacy issue, pornography offers the thrill of what is forbidden. The more taboo, the more exciting. This is why a porn addict may progress to looking at more hardcore porn and even pornography involving aspects that a healthy person would consider offensive and grotesque.

    Gary Wilson, human sciences instructor, and Marnia Robinson, author of Cupid’s Poisoned Arrow: From Habit to Harmony in Sexual Relationships, state:

     The uniqueness of Internet porn can goad a user relentlessly, as it possesses all the elements that keep dopamine surging. The excitement of the hunt for the perfect image releases dopamine. Moreover, there’s always something new, always something kinkier. Dopamine is released when something is more arousing than anticipated, causing nerve cells to fire like crazy. In contrast, sex with your spouse is not always better than expected. Nor does it offer endless variety. This can cause problems because a primitive part of your brain assumes quantity of dopamine equals value of activity, even when it doesn’t. Indeed, porn’s dopamine fireworks can produce a drug-like high that is more compelling than sex with a familiar mate.

    #4: He says he looks at porn because I don’t have sex with him enough, am I not pretty enough, am I  too fat, etc. What can I do?

    Ella hears this a lot and it is called justification. Your husband doesn’t want to believe he is sick. If he is not ready to admit he is an addict and take responsibility for his own behavior, he will say anything to convince you, and even himself, that he does not have a problem. Blaming you is an easy way to save face.

    There is nothing you could do to be appealing enough to make your husband stop looking at porn. We see very beautiful women whose husbands no longer desire them, couples where the wife looks like she belongs on the cover of Cosmopolitan magazine or on a model runway, and the husband has admitted to her that he is physically repulsed by her. Ella speaks of another couple who has sex every day, yet she still catches him looking at porn and frequenting adult bookstores. There is simply no credibility to the argument that a wife causes or contributes to her husband’s use of pornography.

    #5: My husband says all men do it. Am I making too big a deal out of this?

    It is unfortunate, but true, that pornography use is overwhelmingly common. This does not make it okay or mean you should turn a blind eye. Ella often hears women say that their husband’s porn use makes them feel cheated on. This makes sense. When a man uses porn he is finding sexual satisfaction from someone other than his wife. So the betrayal a woman feels is natural. God created sex to be between a man and his wife. The Ten Commandments interpret looking at a woman with lust is the same as committing adultery with her in his heart. Looking at porn is purposely choosing to lust.

    #6: My husband refuses to get help or admit this is a problem. How can I make him stop? What are the risks if he doesn’t stop?

    In short, you cannot make him stop. It usually takes something significant to get a man to the point where he is ready to admit his porn addiction. This is what they call “hitting rock bottom”. Sometimes, for a man who has hidden his porn use for years, just getting caught is enough. But more often, it takes losing his job, his wife leaving him, or another monumental event to shake him to the core and wake him up to reality. It may be his porn use progressing to acting out with another person or other people and facing the multiple possible consequences of this, to cause him to recognize his need for help.

    You can insist your husband stop his porn use and you have every right to do so. The compulsive use of porn will, without exception, do damage to your marriage and your family. It affects a person’s sense of right and wrong. It can cause your husband to lose respect for you. You will likely feel him pulling further away from you and your family as he gets more entrenched in this sinful lifestyle. If he refuses help, it will only get worse. Your pleading that he stop will fall on deaf ears if he isn’t ready to hear it. This is a harsh reality, but one too many women just do not get. Some women beg and plead for decades until they grow cold and bitter. Then they tell me that they wish they had left years ago and feel they have wasted most of their life.

    When porn is an issue, it is likely that extramarital affairs are or will become an issue. This means you are at risk of more than the heartache of discovering your husband has been sexual with another person. You are also at risk of STDs or your husband fathering another woman’s child. Additionally, your children are almost guaranteed early exposure to porn, something that was likely a contributing factor in your husband’s addiction.

    #7: Is there hope? Can a man like this change?

    Recovery from sexual addiction is very much possible. Men who get out feel a sense of freedom, as if a huge boulder has been lifted off their chest. It is such a liberating feeling that many men forget that their wives are still grieving from his actions and likely will be for some time.

    For some men, simply the threat of their wife leaving is enough to cause them to get help. But for many others, they need something more. This can cause you, as the wife, to feel helpless. You are not helpless. You can’t control your husband’s recovery, but as the injured spouse, you can control your own. The fact that you need recovery does not mean you are sick or that something is wrong with you, but that you have likely been traumatized by your husband’s behavior. Your recovery includes building up a support system for yourself. Don’t keep silent. Reach out to a trusted friend, your pastor, or a therapist. Keeping this secret will cause feelings of shame, loneliness and isolation. Finding a support group for wives of sex/porn addicts can be very helpful. If there is not one in your area, there are phone support groups available, led by trained life coaches and therapists who have been in your shoes. Finally, learn to recognize your unmet needs and what it will take to meet them. A skilled therapist can help you with this. The absolute best book written for wives is Your Sexually Addicted Spouse by Barbara Steffens and Marsha Means. Ella strongly encourages you to find a therapist (individual and marriage) who is familiar with this book and subscribes to the treatment model described in it. If your therapist isn’t familiar, ask if they’d be willing to read it.

    Beyond self-care, Ella recommends that you take some time to come up with some clear, firm boundaries for your marriage. While this may not result in the desired outcome, it is worth it to put in the effort. At the very least, this is a first step toward helping you get to a place where you can make an informed decision about the direction for your relationship. This means bottom line behaviors that you will not tolerate and actions you need to see happening in order for you to feel safe in your marriage. Your list of unacceptable behaviors may include viewing pornography in the home, inappropriate conversations or relationships with other people, and other possible abusive behaviors toward you that are often present in a sexual addict. The actions you need to see your husband take might be installing a filter on computers and phones, open discussions about where all the money is going with you having access to all accounts, attending sexual purity or sexual addiction support groups, counseling, and talking to a pastor.

    Before you present this to your husband, make sure you are prepared to follow through with consequences if he refuses or does not stick to what he agreed to do. Consequences can be anything from insisting one of you move to a separate bedroom (an in-house separation) to one of you moving out of the home. Your husband will likely be resistant to you setting these boundaries and may accuse you of being demanding and giving him an ultimatum. Do not engage in any kind of manipulative or accusatory conversations with your husband. Learn to recognize this behavior and refuse to participate. It is important that you wait to address your new boundaries until you are able to do so in a calm manner. A therapist’s presence (and guidance beforehand) is a good idea. A good book on this topic is The Gaslight Effect by Dr. Robin Stern.

    If your husband does not follow the boundaries you set, you now have a choice to make. You can choose to accept that your husband is simply not ready to stop his porn use. This means letting go of the nagging, criticism, and efforts to control (which should have stopped already by this point since you have learned they don’t work). If you choose to to not follow through with the consequences, even though he has made it clear through his words or actions that he is not willing to stop, you are choosing to accept his behavior. This will probably require a good deal of emotional detachment on your part. It may be a marriage that looks more like you are roommates. Ella says she has not yet met a woman who has chosen this arrangement and found any kind of long-term life satisfaction in it, but it is an option.

    Your choices may need to include making the necessary preparations in case you need to leave. This may mean getting a job if you don’t work and starting to put money aside. Separation does not mean divorce, but it can be a prelude to it. Ideally, that should not be the goal for separation. The purpose is to show your husband that you are unwilling to share him with pornography. Once he sees you are serious and can no longer be placated with words and half-hearted attempts that don’t last, he is also more likely to take his addiction seriously. Also, getting physical space between you and him can make it easier for you to clear your mind, spend more time in prayer and God’s Word, and make objective decisions about your future. A good Christian counselor can guide you through a therapeutic separation where rules are put in place for you both to follow during this time.

    Many men have escaped the chains of sexual addiction. Here is an important truth to be aware of. Your husband has probably tried to stop more times than he can count. He is not deriving pleasure from his lifestyle. He keeps going back, trying to fill a void that porn will never fill. Willpower is not enough. Recovery from sexual addiction is multifaceted, but includes reaching out to other men who have been there, and often requires professional help as well.

    God must be the central focus in recovery. However, many men have learned the hard way, in the words of author, speaker, therapist and recovering addict, Dr. Mark Laaser, “You can’t pray it away.” If prayer was all we needed then we wouldn’t have to have jobs or pay bills. We could just pray about it and our bank account would never run out and the bills would get paid. If prayer was enough we could eat and drink whatever we want and every check-up would reveal a clean bill of health. But God wants us to do the work, and keep doing it.

    Once a man has decided to become serious about recovery from sexual addiction, there are more steps to take to help the marriage heal. After all, just because the behavior has stopped, it doesn’t mean the damage that has been done will go away. Marriage counseling with a skilled sex addiction therapist is important. Couple’s Intensives are a great way to get a jump start on recovery for the couple. Ella recommends the book Hope and Freedom by Milton Magness to learn more about recovery for you, your husband, and your marriage. You can also read more of Ella’s blogs, learn about her weekend retreats and other issues surrounding marriage and sexual addiction on Ella’s website, Comfort Christian Counseling.

    . . . .

    ella hutchinson photoElla Hutchinson, is a Licensed Professional Counselor with a Bachelor of Science degree in Psychology and a Master’s degree in Counseling from St. Edward’s University in Austin, TX. She is also a member of the American Association of Christian Counselors. In addition, Ella is certified in treating sex addiction and specializes in counseling partners of sexual addicts. She practices at

           Comfort Christian Counseling

    2900 Commercial Center Blvd #101, Katy, TX 77494

    You can contact Ella at:

    http://comfortchristiancounseling.com/

     

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  • Ten ways of Improving Your Chances of Keeping that New Year’s Resolution

    calvin-hobbes-new-year-resolution1Make a list and think it through

    It’s that time and everyone is thinking of New Year’s Resolutions. You’re itching to get rid of that bad habit right now, but consider this: think it through. I know you have heard that AA saying “Baby Steps” before…but sticking to a habit change is not trying to be perfect right out of the gate. So before you start trying to change a habit, consider thinking about it thoroughly for a month or two. First, list every reason you want to stop, figuring out what triggers or cues you react to, what routine you fall into as a result of that trigger and experiment with the types of rewards you are looking for from that habit. Write down and record every time you catch yourself doing the habit, and soon a pattern will appear. Maybe checking out a few twelve step programs or a therapy group can give you an idea of outside support options. You will be better prepared to conquer the habit after processing it during the next few weeks.

    2.  Identify your triggers

    By doing this review you will see you do the same behaviors, in the same place, at the same time. If at 3:00, you go on a smoke break in your car, the time and the car itself can become a trigger (or cues as Charles Duhigg author of The Power of Habit calls them). These actions can become a cue to start a habit —sometimes these cues are very subtle to notice. As AA says “Avoid People, Places and Things.” Identify and understand your triggers. These triggers fall into one of the following five categories:

    1. Location, a bar, your ex-girlfriend’s neighborhood, a bakery
    2. Time, 3:00, happy hour, visiting family
    3. Emotional State, Hungry, angry, lonely or tired
    4. Other People, the ex, your Mom, Dad or that annoying co-worker
    5. An immediately preceding action, or what happened just before you picked up that joint? An argument with your spouse? Anticipating that your boss will ream your butt at work this morning for being late? Packing the car to see the folks for the holidays?

    3.  Delayed Gratification and Contingency Management

    There are some other simple psychological tricks you can employ as well, such as delayed gratification and contingency management. The 20-Second Rule is an example of delayed gratification: Make bad habits take 20 seconds longer to start. For example, move junk food to the back of the pantry, or leave the credit cards at home so you don’t over spend on lunch. A program sister suggests a Rule of Five, delaying the behavior until you have 5 glasses of water, or walk for 5 minutes or call five 12 step program people. Consider rewarding yourself for not relapsing, it’s called contingency management. Suggest this to yourself: if I don’t act out for 60 days, I can lead the Sunday night 12 step meeting or if I don’t drink now, later tonight, my wife and I can be intimate, or if I don’t use this week my IOP counselor will give me a free lunch coupon for the Olive Garden.

    4. Reframe that habit thought

    Even if we hate the habit we’re doing, like smoking or over eating, we tend to continue doing it because it provides us with some sort of satisfaction or psychological reward. Catch yourself thinking any positive thoughts or feelings about your bad habits (like: if I have a drink, I will not feel so nervous around my in-laws) and reframe these thoughts to remind you of the negative aspects of your habits. Maybe think this thought instead, “One drink is too many and a thousand drinks is not enough.” That is reframing the habit thought.

    5.  Willpower is in limited supply

    Research has shown that we don’t have unlimited willpower (it didn’t take scholarly research to confirm this for you!) The truth is we’re constantly exercising willpower and self-control. The problem is that willpower is like a muscle, capable of fatigue and a muscle can’t be flexed forever. Researchers placed some study participants in situations in which they had to practice self-control—like not eating chocolate-chip cookies in front of them. While another group could eat as many cookies as they wanted. Then both groups were given a second test that required self-control.

    The results? The group that had to resist the cookies did not perform as well on the second task. The group that was allowed to eat as many cookies they wanted, excelled at this second self-control test. The conclusion was that those who had to exert more willpower in the first task exhausted their willpower strength, and were unable to exert the self-control needed for the second task.

    Just place yourself in a similar situation, think of you controlling yourself from strangling your self-absorbed-narcissistic colleague during a staff meeting, then around to 3:00, a typical smoke break time for you, you are triggered. You want to not smoke, but low and behold, a cigarette seems like just the reward you need.

    6.  Make a plan for relapses

    Chances are you’re going to have bad days. Setbacks are normal and we should expect them. Have a plan to get back on track. Recovery coaches call this a relapse prevention plan (click here to link to Mary Ellen Copeland’s WRAP Plan). Coaches have the client write a relapse prevention plan directly after a slip as a way to understand what happened and how to avoid it next time.

    7.  Harm Reduction Option

    Every recovery coach anticipates a relapse, they acknowledge it will happen and attach no shame or guilt to a slip. Often, choosing an action based on Harm Reduction, (which is most often recognized as distributing clean needles to intravenous drug users to reduce HIV infection) is a good alternative. Some Harm Reduction ideas are: smoke a cigarette instead of a blasting a whole stick, limit yourself to buying a lottery ticket instead of logging on to a gambling web site or eat a cup of fruit yogurt instead of a chocolate chip cookie.

    8.  Change takes a village

    With making a resolution to change, don’t attach it to the ever failing New Year’s Resolution. Attach it to a positive change within you. Let people know about it. Ask for help, even if it is a nagging wife or over- bearing parent. Better yet, join a 12 step group. Research shows change happens when you have support from others.

    9.  Make a Plan

    Once you have figured out your ‘habit loop’, your cues/triggers, the routine you use, and the reward you expect, you can begin to shift your behavior. All you need is a plan. Open your-self up for improved, healthier routines; such as meditation, an afternoon walk, a talk with a co-worker or new way to drive home. These will become very good sources of generating your rewards and within 30, 60 or 90 days it will become a habit. Just give it time and

    10. Don’t give up! Keep trying!! It’s progress not perfection!

     

    Happy New Year!

    Special thanks to Charles Duhigg author of The Power of Habit for supplying all of this excellent information on changing a habit and to Calvin and Hobbes for making fun of it!

     

  • Believe Change is Possible

    manhattan_bridge_post_versionAs a recovery coach, I work with people trying to change a habit. We work on finding different ways of responding to a trigger. For some seeking recovery, they want to find an easier, softer way. Others think willpower is all they need to get sober. But that doesn’t always work. As Charles Duhigg describes in his book, the Power of Habit, for a habit to be changed, people must believe change is possible..

    Where does this belief come from? Habit change can emerge from a tragedy or from some kind of adversity. Many addictions have been successfully abandoned when an individual hits bottom and finally seeks treatment. Many people give up smoking after a diagnosis of heart disease or when a family member is being treated for lung cancer.

    A Harvard study in 1994 examined people that had radically changed their lives. Some had experienced the death of a loved one, divorce or life-threatening illness. Others radically changed their life from observing a friend experience a disaster. Tragedy plays an important part of having an impact on one’s life. But equal to tragedy facilitating change, the same amount of people made change happen in their life because they were surrounded by supportive friends that encouraged change. The Harvard study sites a woman that changed the direction her life when she took one psychology course at a local college and found a group of like-minded individuals. Another man came out of his introverted shell when he joined an acting group. So for change to happen for many, it didn’t take a life shattering event, it simply took a community of believers.

    “Change occurs among people”

    Todd Heatherton, Dartmouth College Lincoln Filene Professor

    A community of non-smokers talk about how great it feels like to be a non-smoker. How nice it is not to have your hair smell like an ashtray. Your spouse commented on how fresh his clothes smell, now that you have stopped smoking. And co-workers admire you for having the strength to stop smoking. These like-minded people can also resolve some negative feelings, as well. Such as what to do after a meal, when the habit of lighting up a Marlboro is the most strong. Or how to refrain from smoking in your car. These friends are there for you to call, text or email whenever the urge to smoke becomes unbearable. Support from a community and their confidence in you, bolsters the strength you need to believe you will not pick up a cigarette.

    For habits to change permanently, people must believe change is possible. This same process makes any mutual support group very effective – the power of a group to teach individuals that they can believe it is possible to change. This belief happens when people come together to help one another to change. Whether the group is Nicotine Anonymous, a grief support group or massive amounts of volunteers descending on New Orleans, post Katrina, to re-build the city to it’s former glory.

    Change is easier when it occurs within a community.

     

     

  • Internet Addiction Disorder- What is it? What treatment is available?

    Internet Addiction Disorder- What is it?

    Internet addiction disorder or IAD is also referred to as Problematic Internet Use (PIU),[i] Compulsive Internet Use, (CIU),[ii] Internet overuse, problematic computer use, pathological computer use, or I-Disorder,[iii]. IAD is excessive computer use which interferes with daily life.[iv]

    manhattan_bridge_post_versionHabits such as reading email, playing computer games, or binge viewing every Twilight movie or entire seasons of Breaking Bad are troubling only to the extent that these activities interfere with normal life. Internet Addiction Disorder (IAD) is often separated by the activity involved in the compulsive actions, such as video or online gaming; online social networking;[i] blogging; online stock trading, online gambling, inappropriate Internet pornography use, reading email;[ii] or Internet shopping.[iii]

    A Cyber-Relationship Addiction has been described as the addiction to accessing and using social networking platforms such as Facebook, Linked In, or online dating services such as Match.com and creating fictitious relationships with others through the internet. Along with many other meet-up platforms, such as Tinder or Siren, (mobile phone apps using a GPS that create a way to meet new people), finding online friends has been made very easy, yet very dangerous because there is no way to check the backgrounds of these fictitious friends. These virtual online friends start to gain more importance to the addict, eventually becoming more important than family and real-life friends.

    Most, if not all “Internet addicts”, already fall under existing diagnostic labels.[iv] For many individuals, overuse or inappropriate use of the Internet is a manifestation of their depression, anxiety, impulse control disorders, or pathological gambling. According to the Center for Internet Addiction Recovery’s director Kimberly S. Young,[v] “Internet addicts suffer from emotional problems such as depression and anxiety-related disorders and often use the fantasy world of the Internet to psychologically escape unpleasant feelings or stressful situations.”[vi] More than half are also addicted to alcohol, drugs, tobacco, pornography or sex.[vii]

    What kind of treatment is available?

    Corrective strategies include using software that will control or block the unwanted content, such as porn or gaming sites from an individual’s computer, addiction counselling, and cognitive behavioral therapy.[viii] One might consider placing time limits on smart phone or computer use, such as no smart phone use during homework time or no computer use after 9pm. The major reasons that the Internet is so addicting is the lack of limits and the absence of accountability by parents, teachers, and health professionals.[ix] Professionals generally agree that, for Internet addiction, controlled use is a more practical goal than total abstinence.[x]

    Families in the People’s Republic of China and South Korea have turned to unlicensed training camps that offer to “wean” their children, often in their teens, from overuse of the Internet. An internet addiction treatment center was started in Delhi, the capital city of India by a nonprofit organization, the Uday Foundation. In 2009, ReSTART, a residential treatment center for “pathological computer use”, opened near Seattle, Washington. The Ranch, a treatment center in Nunnelly, TN, that focuses on behavioral addictions has an internet addiction program. Dr Kimberly Young directs a treatment program called the Internet Addiction Program as part of the Behavioral Health Services Dual Diagnosis Unit at Bradford Regional Medical Center in Bradford, PA. Dr. Maressa Orzack, has treated addictive behaviors at the Computer Addiction Services unit at the McLean Hospital, in Belmont and Newton Center, Massachusetts. The Illinois Institute for Addiction Recovery has an Internet Addictions treatment track with locations in Peoria, Normal, Harvey and Springfield Illinois. New Beginnings offers treatment for Internet Addiction with facilities in many states.

    For those that are not exactly sure they need treatment for an Internet addiction, there is Online Gamers Anonymous, (OLGA, and OLG-Anon). Founded in 2002, by Elizabeth (Liz) Woolley after her son, Shawn Woolley, committed suicide while logged into EverQuest.  OLGA is a twelve-step, self-help, support and recovery organization for gamers (OLGA) and their loved ones (OLG-Anon) who are suffering from the adverse effects of addictive computer gaming. It offers resources such as discussion forums, online chat meetings, Skype meetings and links to other resources.[xv]


    References used in this blog

    [i] Masters K. (2015). “Social Networking Addiction among Health Sciences Students in Oman“. Sultan Qaboos University Medical Journal 15 (3): 357–363. doi:10.18295/squmj.2015.15.03.009.

    [ii] Turel, O. & Serenko, A. (2010). “Is mobile email addiction overlooked?” (PDF). Communications of the ACM 53 (5): 41–43. doi:10.1145/1735223.1735237.

    [iii] eBay Addiction”. Center for Internet Addiction, web site: Net Addiction http://netaddiction.com/ebay-addiction/Retrieved 2015-11-16

    [iv] Hooked on the Web: Help Is on the Way. New York Times, Dec. 1, 2005.

    [v] Young, K. (2009). Issues for Internet Addiction as a New Diagnosis in the DSM-V. Washington, District of Columbia, US: American Psychological Association. Retrieved from PsycEXTRA database.

    [vi]Frequently Asked Questions”. Netaddiction.com. Retrieved 2014-01-30.

    [vii]Frequently Asked Questions”. Netaddiction.com. Retrieved 2014-01-30.

    [viii] “University of Notre Dame Counseling Center, “Self help – Lost in Cyberspace”. Retrieved 2009-11-11.

    [ix] “Internet addiction and lack of accountability”. internet-addiction-guide.com. 2010-12-07. Retrieved 2011-07-06.

    [x] Young, Kimberly S. (2007). “Treatment Outcomes with Internet Addicts” (PDF). CyberPsychology & Behavior 10 (5): 671–679. doi:10.1089/cpb.2007.9971. Retrieved 2014-03-13.

    [xi] Wikipedia, OLGA accessed on Nov 16, 2015- https://en.wikipedia.org/wiki/On-Line_Gamers_Anonymous

  • Service keeps you sober — Research is proving this age-old slogan

    manhattan_bridgeEver since I walked into the rooms, I heard the phrase “Service keeps you sober.” I already knew I was a helping type of person, in fact in my addiction it was called being a rescuer. So I stayed away from service for the first few years. When I was ready to do service, I remember desperately waiting the required three months of sobriety to chair my first meeting. Then praying to receive special dispensation to be a meeting list coordinator at the Intergroup/Regional level, because I only had six months, not the required one year of sobriety. I learned why service kept me sober. It occupies the time I would be spending acting out with doing good things. Well, that’s what I thought.

    Service might be the key to staying sober

    Maria Pagano, an addiction researcher at Case Western University, thinks service to others might be the key to staying sober. In recent years, a growing body of research has found that helping others brings measurable physical and psychological benefits to the helper. Building on this work, Pagano is exploring the surprising benefits of altruism for people battling addiction. Her studies have shown that addicts who help others, even in small ways—such as calling other AA members to remind them about meetings or setting up chairs before a meeting—can significantly improve their chances of staying sober and avoiding relapse.

    Surveys and studies say that abuse of alcohol and narcotics is rising among young people  and drug-related deaths have doubled among middle-class whites. Many addicts who exit treatment programs relapse within the first 90 days of being discharged, leaving treatment professionals yearning for more effective treatment strategies. If getting addicts to do service is key to their recovery, as Pagano believes, it could revolutionize the addictions treatment field.

    Pagano was familiar with the research on helping when she joined Brown University’s Center for Alcohol and Addiction Studies Center in 2002. As she learned more about the different treatments for addiction, she was surprised that there seemed to be no one looking at the role of doing service.

    “It was all about what services to give these suffering patients,” she says, “and nothing about getting them active or about how their own experiences about getting sober and being sober can be useful to others.”

    Addicts help their recovery by helping other people

    She decided to explore the impact that helping others could have on people in recovery. Looking at data from one of the largest studies of addiction to date, with 1,726 participants, conducted by the University of Connecticut, Pagano was able to measure it by looking at how many study participants became AA sponsors or completed the 12th step of AA, which involves helping others in recovery.

    When she compared helpers to non-helpers in AA, she found that 40 percent of the addicts that did service or the “helpers” avoided taking a drink in the 12 months following their stay at treatment facility, while only 22 percent of “non-helpers” stayed sober. These results have rarely been seen in addiction treatment studies before.

    In fact, age, gender, income, work status, addiction severity level, or level of antisocial personality disorder of the participants in the study didn’t matter. None of these characteristics predicted helping behavior. “Someone from Yale to jail had an equal chance of being a helper,” Pagano says.

    Only one factor seemed related to helping; those who were more depressed starting out in their recovery were more likely to help. This seemed counter-intuitive, given that depressed people often suffer from lethargy and a sense of helplessness. But according to Pagano, this is exactly the kind of thinking about depression that gets recovery therapists in trouble.

    “In the treatment field, we have this notion that says, ‘Oh, don’t ask too much of the client, especially if they’re depressed. They just need to rest,’” she says. But when she studied the effect of helping on clinical depression, she found that, after six months of doing service, people who had been depressed had their depression levels drop significantly—below the level of what’s clinically considered “depressed.”

    Pagano and her colleagues devised a more precise measure of helping behavior called the SOS (Service to Others in Sobriety) scale for use in future studies. This scale lists 12 helping behaviors that are built into AA and Narcotics Anonymous (NA) meetings—like picking up the phone and calling a fellow AA or NA member, contacting someone to encourage meeting attendance, setting up chairs before the meetings, or becoming a sponsor.

    Maria Pagano’s research suggests addicts help their recovery by helping other people. “This is a no-brainer,” she says. “It’s as essential as medication-assisted therapy.”

    You can’t be ruminating or feeling bitter if you’re feeling moved by helping someone else.

    With a grant from the John Templeton Foundation and funding from the National Institute on Alcohol Abuse and Alcoholism, Pagano used the SOS scale to look at 200 adolescents undergoing treatment for alcoholism or drug addiction in Northern Ohio. Her results showed that kids with higher helping scores on the SOS had significantly lower cravings for alcohol and narcotics, reduced feelings of entitlement, and higher “global functioning”—a measure used by clinicians to reflect participation in groups, getting along with others, and academic performance, among other behaviors.

    In fact, Pagano found that even risk factors like having alcoholic or drug-addicted parents, learning problems, physical disabilities, or additional psychiatric diagnoses didn’t change the effect of helping others; helping still had a positive impact.

    Pagano’s analysis makes a significant contribution to the research that shows adolescents benefit from helping others. Pagano’s research is unique and cutting edge, because no one has really studied helping in the context of recovering from addictions.

    AA folks recognized the benefits of service in AA, but there was no research to back it up. Maria Pagano is bringing good science to this age old-slogan “Service keeps you sober”.


    Resources used in this blog

    Learn more about Maria Pagano’s work on her website, Helping Others Live Sober.

    Pagano, M. E., Kelly, J. F., Scur, M. D., Ionescu, R. A., Stout, R. L., Post, S. G. (2013). Assessing Youth Participation in AA-Related Helping: Validity of the Service to Others in Sobriety (SOS) Questionnaire in an Adolescent Sample. American Journal on Addictions 22(1), 60-66.

    Pagano, M.E., Post, S.G., & Johnson, S.M. (2011). Alcoholics Anonymous-Related Helping and the Helper Therapy Principle. Alcoholism Treatment Quarterly 29(1), 23-34.

    Pagano, M.E., Krentzman, A.R., Onder, C.C., Baryak, J.L., Murphy, J.L., Zywiak, W.H., & Stout, R.L. (2010). Service to Others in Sobriety (SOS). Alcoholism Treatment Quarterly 28(2), 111-127. PMC3050518.

    Pagano, M.E., Zemore, S.E., Onder, C.C., & Stout, R.L. (2009). Predictors of initial AA-related helping: Findings from Project MATCH. Journal of Studies on Alcohol and Drugs 70(1), 117-125. PMC2629624.

  • On the Nature of Addiction and the Loss of Hope

    On the Nature of Addiction and the Loss of Hope

    Guest post by David Chapman

    The normal state of a productive and happy human existence includes a sense of hope. Dave Chapman block golf shirtThe  nature of addiction exhausts all sense of hope.

    The sense of hope is based on the understanding that the process of productive effort usually results in some observable, measurable improvement in the quality of one’s life and the lives of those important to the individual. The nature of having an addiction means the loss of this hope.

    “I will restore my own sense of hope. I know if I exert control over my environment and my actions I will regain control of my life and I will have reason to be hopeful once more.”

    If I chop some large amount of dry wood and keep it dry, my family and I will be warmed throughout the winter, our ability to survive the winter and the possibility of our thriving in the spring will be augmented. The hope of minimizing suffering, increasing comfort and sustaining enhancements in the quality of our lives is significantly based on the belief that the productive effort is worthwhile and that similar efforts in the future will also be worthwhile.

     

    The act of putting rational expectation – hope – into productive effort is based initially on trial and error. As demonstrated by observation and experience, it is then continued in the manner found to be most efficient.

    I contend that addiction is more than chemical dependence. It is significantly, I believe, fueled by a sense of hopelessness resulting from the brutalization of our rational, reasonable expectations.

    Children who are raised in emotionally irrational or physically violent households have their natural sense of hope altered and sometimes, sadly, destroyed altogether. Hope is similarly damaged in an adult body politic where effort goes unrewarded beyond a level of primitive sustenance and/or when participation in the political process is deemed to be futile and ineffective.

    When we attempt to adjust our behavior to what we think are the demands or desires of those exerting control of our physical and intellectual environment, but those irrational behaviors continue, the ensuing sense of hopelessness – hopelessness based on rational observation – will continue and can threaten to become permanent.

    The addicted personality may be able to overcome a physical addiction. However, until a sense of rational hopefulness is restored and we can believe that our thoughts and actions will have a beneficial impact on our lives, the spiritual addiction will probably not be overcome.


     

    Dave Chapman is our guest blogger this week. Dave was born in Newark, New Jersey and grew up in the suburban town of Glen Ridge, New Jersey. He has been a shoe shine boy, a moving man, a golf caddy, a limousine driver, a truck driver, worked retail at The Home Depot, a life insurance agent, a stock broker and financial advisor. He studied the humanities and comparative literature at Ohio Wesleyan University. In addition to his motivational speaking and John Maxwell coaching affiliation, Dave is a freelance writer and teaches several classes in the Humanities as an Adjunct Professor at the Osher Lifelong Learning Institute at Rutgers University. He can be contacted by email at: davechapman@wellsaiddave.com