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Basic InformationMore InformationIs Alcohol A Problem?"I have benefited from AA and the 12 Steps... Very much so!"A Better MeetingAA Is To Shame As A Hot Knife Is To ButterAging and Alcohol UseAlcoholic's Anonymous, Outcomes and New Research on AlcoholismAlcoholics Anonymous (AA) is a Cult ?An Alternative to PowerlessnessAttachment to OutcomesAwakeningConcerning Problems Within AADefining and Understanding the Concept of Denial, Addictions and OtherwiseGauging the Effectiveness of One Component of Alcoholics AnonymousHow Drugs Affect The BrainHuffing: Parents and Kids BewareIts Never Too LateLike Phoenix Risen from the Ashes of Addiction, A New Addiction Recovery ProgramNIDA InfoFacts: Drug Abuse and AIDSNIDA InfoFacts: Drug Addiction Treatment MethodsNIDA InfoFacts: Drugged DrivingNIDA InfoFacts: Pregnancy and Drug Use TrendsNIDA InfoFacts: Understanding Drug Abuse and AddictionOn the Question of Medical MarijuanaPain Pills, A Real PainPerverse MotivationRandom Thoughts About Addiction, Delusions and HallucinationsRecoverySelf-EfficacyStaying Sober: Dealing With TemptationsSteering Versus DriftingThe Author of Your FateThe Enlightened PathThe Impeccable PathThe Mentality of ChildhoodThe OPEN PathThe Paradoxical Sinclair Method For Treating Alcohol DependenceTwo MindsWise Counsel Interview Transcript: An Interview with Annie Fahy, MSW on Motivational InterviewingWise Counsel Interview Transcript: An Interview with John C. Fleming, MD on Preventing AddictionWise Counsel Interview Transcript: An Interview with Laurence Westreich, MD on Helping Families Help Addicted MembersWise Counsel Interview Transcript: An Interview with Marc Kern, Ph.D. on Rational Alternatives to Alcoholics AnonymousWise Counsel Interview Transcript: An interview with Morteza Khaleghi, Ph.D. on the Importance of Treating Emotional Trauma in Addiction Wise Counsel Interview Transcript: An Interview with Patt Denning, Ph.D. on Harm Reduction Psychotherapy for Substance Abuse and AddictionWise Counsel Interview Transcript: An Interview with Stefanie Goldstein, Ph.D. on Mindfulness and Addiction TestsLatest NewsIs Alcohol A Problem?Computer-Based Screening May Reduce Teen Substance AbuseTeen Impulsiveness Has Different Sources in ADHD, Substance UseAccelerated Aging Evident in Cocaine-Dependent IndividualsMany Who First Misuse Prescription Pills Get Them From Friends, Family: ReportCocaine Habit Might Speed Brain AgingUse of Ecstasy, Speed by Teens Tied to Later DepressionHalf of Young Cigarette Smokers Also Smoke Pot: Survey12-Step Meetings May Help Teens Beat Alcohol, Drug AbuseAlcohol Use With Opioids Common Even Without Abuse PastSubstance Abusers, Even Recovering Ones, May Face StigmaDrug, Alcohol Abuse Common Among U.S. Teens, Study FindsAlcohol Effects on Brain Activity Vary With Blackout HistoryPrenatal Meth Exposure Linked to Behavioral ProblemsExcessive Drinking Costs U.S. Colleges Millions AnnuallyKids Using Synthetic Pot a Growing Public Health ConcernSpring Break Boozing May Put Young Brains at RiskMany Alcoholics Suffered Childhood Trauma: StudyGenes Play a Role in Drug Abuse Risk Among Adopted Kids: StudyNarcotic Painkillers Another Threat to Traumatized War Vets: StudyDrinking Scenes in Movies May Spur Teens to Do the SameStrict Underage Drinking Laws May Deter Delinquency in TeensEcstasy Use During Pregnancy May Harm Fetus: StudySupport for Tougher Liquor Laws Rises When Booze, Crime LinkedBooze in Movies May Fuel Teenage Drinking1 in 10 U.S. Kids Lives With Parent Who Has Abused Alcohol: ReportStop-Smoking Drug May Also Curb Problem DrinkingIllicit Drugs Bought Off Internet May Be Poisons, Experts WarnHard Drug Use in Middle Age Could Prove Fatal, Study FindsDrinking Late in First Trimester May Be Most HazardousAlcohol Targets Brain 'Reward Centers' in Heavy DrinkersOne in Six Americans Binge Drink: CDCMeth Users Much More Likely to Try SuicideFor Some Couples, Binge Drinking Is RoutineStates Crack Down on Drunk Drivers This Holiday SeasonDrug Overdoses Kill More Americans Than Car Accidents: CDCAlcohol Use Down, Pot Use Up Among U.S. TeensDrunk Driving-Related Deaths Surge During the Holidays'Ecstasy' May Cause Long-Term Changes in Brain ChemistryToo Much Alcohol Linked to Unsafe Sex, Study ConfirmsIf Parents Drink and Drive, Their Kids May Too: StudySmart Kids More Likely to Try Illicit Drugs as Young AdultsHelping Others Helps Teens Beat Substance AbuseDrugs Slipped Into Drinks Sending Many to ER: ReportHeavy Meth Use Linked to Schizophrenia'Fake Marijuana' May Trigger Heart Trouble in TeensMore Than a Third of Teens Turning to Alcohol, Drugs: StudyMore People Landing in the ER After Abusing Muscle Relaxant: ReportDeaths From Abuse of Painkillers Triple in a Decade: CDCNational Drug Take-Back Day Scheduled for Saturday Questions and AnswersLinksBook ReviewsSelf-Help Groups |
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The OPEN PathWilliam Dubin, Ph.D.Relapse is common because we are all vulnerable to the Soul Illusion: During high-risk situations we will not be as motivated to avoid lapsing as we are now. This is not a problem for followers of the Impeccable Path, because they do not have to make plans. They have no choices other than rigid adherence to their commitment. The OPEN Path is more complicated.
To follow the OPEN Path you would develop an Implementation Intention such as, "When I encounter high-risk situation X, I will execute tactic Y." You have to exercise your will to carry out your plan, and then, like a scientist, you would observe what happens. If you get the expected outcome, you are on the right track. Congratulations! However, if things did not work out as you expected, nature is telling you that cause-and-effect play out differently than you thought, and you must modify your plan to account for this new knowledge. Then, you would execute the new plan and be open to the feedback nature gives you, and so forth. Over time you will develop a more sophisticated understanding of cause-and-effect in your universe and a progressively more realistic and effective set of coping tactics.
The OPEN Path refers to: Outcome, Plan, Execute, Nurture:
1. Choose an Outcome you want. 2. Develop a Plan to achieve it. 3. Execute the plan. 4. Nurture your understanding through observation and modify the plan accordingly. Go back to step #3.
Example of H's plan: "At the wedding reception, whenever I think of drinking alcohol, I will take a sip of club soda and focus on my family." Later, he will review his observations, asking himself: "What can I learn from this experience?" "What helped and what did not?" The Truth Will Set You Free!
The objective of the OPEN Path is to improve your understanding of cause-and-effect through observation. If your predictions were good enough for you to create a plan that worked well, congratulate yourself, and note what you did that was effective. Success has a lot of information value: There are many ways to fail, but few ways to succeed.
However, if things did not go as predicted, nature has taught you something you did not know before. The task now is to appreciate that you received something of value, rather than a rebuke, and use this new information to improve your understanding so you can modify your plan accordingly. You might make some adjustments or abandon the tactic completely in favor of a different approach. As you continue to accept natural feedback and use it to improve your coping abilities, you will become progressively more effective.
Self-Forgiveness
The follower of the OPEN Path seeks truth as revealed by observation. Personal experiments are conducted primarily to ask a question of nature and receive an answer. These experiments are risky. Unexpected results are common; if we knew what would work we would not have to do the experiment.
Performing these experiments requires courage. Unfortunately, many people with addictive disorders are relentless promoters of self-hate. The inevitable setbacks and hard times are taken as proof of their intrinsic worthlessness or of the hopelessness of their situation. The solution to this problem is presented in the next blog entry.
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