| |
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 |
| |
Steering Versus DriftingWilliam Dubin, Ph.D.In George Bernard Shaw's Man and Superman, the Devil asks Don Juan why he bothers learning about himself and what he really wants, and Don Juan responds:
"Why, to be able to choose the line of greatest advantage instead of yielding in the direction of the least resistance. And there you have our difference: to be in hell is to drift, to be in heaven is to steer."
If you do not steer, your actions will be dependent upon the cause-and-effect principles that effect the Psyche1 rather than upon your interests and principles. For example, the Problem of Immediate Gratification [the PIG] results from the fact that a small but immediate payoff has a much greater influence on behavior than a larger but delayed payoff. This causes a problem: People knowingly trade what is dear to them [health, wealth, relationships] for the trivial but immediate payoff of using an addictive incentive2.
Better would be to steer so you could choose the most advantageous path. However, as you may have noticed, getting the creature you inhabit to perform as intended can be challenging-especially during crises of stress and/or temptation.
This article is about learning to steer. It is designed to help high functioning individuals develop their strength of will3 so that they are able to steer effectively, even through crises of stress and temptation that would cause less prepared individuals to relapse. The ability to steer emerges gradually during a passage that no one can take for you nor spare you. During this passage, you will develop an appreciation of several weird and nasty traps.
Animals do not consciously steer; they react to local conditions. What steers the mouse is not its best interests, but the cheese that baits the trap. Humans who appreciate how a mousetrap works are not taken in by it. However, if Mickey likes cheese but is trying to lose weight by restricting cheese intake he will probably be taken in by a different kind of trap. Perversely, the intention, "not to eat cheese" has the effect of increasing many dieters' desire for cheese4.
Over the years, I have accompanied thousands of individuals on this journey and have seen many variations of this perverse trap. Each of my collaborators is different and has created a unique puzzle for us to solve. By the time they sought my services most have relapsed many times, despite the best efforts of self-help groups, treatment programs, and their own sincere vows to change their ways. As a consequence of their repeated failure to prevent relapse, they tend to begin our collaboration with the tacit belief that they are bad, sick or defective. This demoralizing view is widely accepted by friends, family, and the treatment community.
This is unfortunate, because attributing the cause of failure to a defect or disease of the person, rather than to a characteristic of the task, makes it less likely the person will do what is necessary to achieve good outcome. People develop an Incentive Use Disorder not because they are deviant but because they are all too human.
The individuals with whom I work tend to be good problem solvers who generally accomplish what they set out to accomplish5. My decision to dedicate my career to this specialty was not random. As a human myself, I have my own history with the PIG, and I can testify: It looks different than it feels!
Each of us has a unique genetic predisposition, past learning history, and current social reality. The cause-and-effect principles that pertain to this bio-psycho-social creature [in your case, you] causes it to react in predictable ways to certain triggering events. Whatever caused previous relapses is likely to cause future relapses unless you develop the ability to steer your way through high-risk situations.
If you choose to steer, please be aware that:
- Motivation is fluid and changes with local conditions. A lapse occurs when local conditions influence you to use the incentive despite your intention not to. The exercise of will occurs when you act as intended despite the pull of local stressors and temptations.
- Relapse is demoralizing and motivates a search for an external rescue. As we will see, escaping dependence on an external source of control is complicated by assuming the passive patient role and accepting a treatment provider as the effective agent of change. Your outcome will depend upon how you perform during the crises that you will have to face alone. You, not an external agent, must be the one responsible for steering the bio-psycho-social creature you inhabit.
Notes
1 - The Psyche = the soul or the self. (Psychology is the Psyche's way of learning about the Psyche.) 2 - An incentive = a substance [food, alcohol, cocaine, etc.] or activity [gambling, pornography use, shopping, etc.] that delivers a payoff. Incentives that can deliver immediate pleasure or relief are special in that they can corrupt an individual. Throughout this kit, the generic term, "incentive" will be used. Please replace it as you read with the specific incentive that influences you. 3 - Will = The force exerted to over-ride the influence of local conditions and act as you intend, or to act in accord with your interests and principles. 4 - Counter-regulatory motivation is described in detail in Chapter 2.2 5 - My clients are not a cross section of the population, but are selected by their ability to afford my fees. The information and tools presented in this kit have been developed with and designed for individuals with at least college level reading and thinking skills, and is probably not useful for other populations. |