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  • Peele, S. (1980), The addiction experience. Center City, MN: Hazelden. Modified from two-part article that appeared in Addictions (Ontario Addiction Research Foundation), Summer, 1977, pp. 21-41; Fall, 1977, 36-57.

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APA Reference
Staff, H. (2009, January 5). Palm eBooks, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/addictions/articles/palm-ebooks

Last Updated: June 27, 2016

Rosemary

Rosemary is an herbal remedy used to improve memory, relieve muscle pain and spasm, and stimulate hair growth. Learn about the usage, dosage, side-effects of Rosemary.

Rosemary is an herbal remedy used to improve memory, relieve muscle pain and spasm, relieve menstrual cramps, and stimulate hair growth. Learn about the usage, dosage, side-effects of Rosemary.

Botanical Name:Rosmarinus officinalis 

Overview

Rosemary (Rosmarinus officinalis) is widely used as a culinary herb, especially in Mediterranean dishes, and is also used as a fragrant additive in soaps and other cosmetics. Traditionally, rosemary has been used by herbalists to improve memory, relieve muscle pain and spasm, stimulate hair growth, and support the circulatory and nervous systems. It is also believed to affect the menstrual cycle, act as an abortifacient (inducing miscarriage), relieve menstrual cramps, increase urine flow, and reduce kidney pain (for example, from kidney stones). Recently, rosemary has been the object of laboratory and animal studies investigating its potential in the prevention of cancer and its antibacterial properties.

Plant Description

Native to the Mediterranean area, rosemary is now cultivated widely in other parts of the world, although it thrives in a warm and relatively dry climate. The plant takes its name from rosmarinus, a Latin term meaning "sea dew." It is an erect evergreen shrub that can grow to a height of six and a half feet. The woody rootstock bears rigid branches with fissured bark. The long, linear, needle-like leaves are dark green above and white beneath. Both the fresh and dried leaves are pungent. The small flowers are pale blue. The leaves and parts of the flowers contain volatile oil.


 


Parts Used

The leaves and twigs of the rosemary plant are used for culinary and medicinal purposes.

Medicinal Uses and Indications of Rosemary

Food Preservation

Most evidence for rosemary's medicinal uses comes from clinical experience rather than from scientific studies. However, recent laboratory studies have shown that rosemary slows the growth of a number of bacteria such as E. coli and S. aureus that are involved in food spoilage, and may actually perform better than some commercially used food preservatives.

Alopecia

As stated above, one traditional use of rosemary has been to try to stimulate hair growth. In one study of 86 people with alopecia areata (a disease of unknown cause characterized by significant hair loss, generally in patches), those who massaged their scalps with rosemary and other essential oils (including lavender, thyme, and cedarwood) every day for 7 months experienced significant hair re-growth compared to those who massaged their scalps without the essential oils. It is not entirely clear from this study whether rosemary (or a combination of rosemary and the other essential oils) was responsible for the beneficial effects.

Cancer

Both laboratory and animal studies suggest that rosemary's antioxidant properties may have activity against colon, breast, stomach, lung, and skin cancer cells. Much more research in this area, including trials involving people, must be conducted before conclusions can be drawn about the value of rosemary for cancer.

Available Forms

  • Dried whole herb
  • Dried, powdered extract (in capsules)
  • Preparations derived from fresh or dried leaves, such as tinctures, infusions, liquid extract, and rosemary wine
  • Volatile oil (to be used externally, not to be ingested)

How to Take It

Pediatric

There are no known scientific reports on the medicinal use of rosemary in children. Therefore, it is not currently recommended for this age group.

Adult

Listed below are the recommended adult doses for rosemary. (Total daily intake should not exceed 4 to 6 grams of the dried herb.):

  • Tea: 3 cups daily. Prepare using the infusion method of pouring boiling water over the herb and then steeping for 3 to 5 minutes. Use 6 g powdered herb to 2 cups water. Divide into three small cups and drink over the course of the day.
  • Tincture (1:5): 2 to 4 mL three times per day
  • Fluid extract (1:1 in 45% alcohol): 1 to 2 mL three times per day
  • Rosemary wine: add 20 g herb to 1 liter of wine and allow to stand for five days, shaking occasionally

Externally, rosemary may be used as follows:

  • Essential oil (6 to 10%): 2 drops semisolid or liquid in 1 tablespoon base oil
  • Decoction (for bath): Place 50 g herb in 1 liter water, boil, then let stand for 30 minutes. Add to bath water.

 


Precautions

The use of herbs is a time-honored approach to strengthening the body and treating disease. Herbs, however, contain active substances that can trigger side effects and interact with other herbs, supplements, or medications. For these reasons, herbs should be taken with care, under the supervision of a practitioner knowledgeable in the field of botanical medicine.

Rosemary is generally considered safe when taken in recommended doses. However, there have been occasional reports of allergic reactions. Large quantities of rosemary leaves, because of their volatile oil content, can cause serious side effects, including vomiting, spasms, coma and, in some cases, pulmonary edema (fluid in the lungs).

Those who are pregnant or breastfeeding should not use rosemary in quantities larger than those normally used in cooking. An overdose of rosemary may induce a miscarriage or cause damage to the fetus.

Rosemary oil, taken orally, can trigger convulsions and should not be used internally. Topical preparations containing rosemary oil are potentially harmful to hypersensitive people who may be allergic to camphor.

Possible Interactions

Doxorubicin

In a laboratory study, rosemary extract increased the effectiveness of doxorubicin in treating human breast cancer cells. Human studies will be necessary to determine whether this is true in people. Meanwhile, those taking doxorubicin should consult with a healthcare practitioner before taking rosemary.

Supporting Research

al-Sereiti MR, Abu-Amer KM, Sen P. Pharmacology of rosemary (Rosmarinus officinalis Linn.) and its therapeutic potentials. Indian J Exp Biol. 1999;37(2):124-130.

Aruoma OI, Spencer JP, Rossi R, et al. An evaluation of the antioxidant and antiviral action of extracts of rosemary and Provencal herbs. Food Chem Toxicol. 1996;34(5):449-456.

Blumenthal M, Goldberg A, Brinckmann J. Herbal Medicine: Expanded Commission E Monographs. Newton, MA: Integrative Medicine Communications; 2000:326-329.

Brinker F. Herb Contraindications and Drug Interactions. Sandy, Ore: Eclectic Medical Publications;1998:117.

Chan MM, Ho CT, Huang HI. Effects of three dietary phytochemicals from tea, rosemary and turmeric on inflammation-induced nitrite production. Cancer Lett. 1995;96(1):23-29.

Chao SC, Young DG, Oberg J. Effect of a diffused essential oil blend on bacterial bioaerosols. Journal of Essential Oil Research. 1998;10:517-523.

Debersac P, Heydel JM, Amiot MJ, et al. Induction of cytochrome P450 and/or detoxication enzymes by various extracts of rosemary: description of specific patterns. Food Chem Toxicol. 2001;39(9):907-918.

Elgayyar M, Draughon FA, Golden DA, Mount JR. Antimicrobial activity of essential oils from plants against selected pathogenic and saprophytic microorganisms. J Food Prot. 2001;64(7):1019-24.

Foster S, Tyler V. The Honest Herbal: A Sensible Guide to the Use of Herbs and Related Remedies. 4th ed. New York: The Haworth Herbal Press; 1999:321-322.

Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 2nd ed. Montvale, NJ: Medical Economics Company; 2000:645-646.

Hay IC, Jamieson M, Ormerod AD. Randomized trial of aromatherapy. Successful treatment for alopecia areata. Arch Dermatol. 1998;134(11):1349-1352.

Ho CT, Wang M, Wei GJ, Huang TC, Huang MT. Chemistry and antioxidative factors in rosemary and sage. Biofactors, 2000;13(1-4):161-166.

Huang MT, Ho CT, Wang ZY, et al. Inhibition of skin tumorigenesis by rosemary and its constituents carnosol and ursolic acid. Cancer Res. 1994;54(ISS 3):701-708.

Lemonica IP, Damasceno DC, di-Stasi LC. Study of the embryotoxic effects of an extract of rosemary (Rosmarinus officinalis L.) Braz Med Biol Res. 1996;19(2):223-227.

Martinez-Tome M, Jimenez AM, Ruggieri S, Frega N, Strabbioli R, Murcia MA. Antioxidant properties of Mediterranean spices compared with common food additives. J Food Prot. 2001;64(9):1412-1419.

Newall C, Anderson L, Phillipson J. Herbal Medicines: A Guide for Health-care Professionals. London, England: Pharmaceutical Press; 1996: 229-230.

Offord EA, Macé K, Ruffieux C, Malne A, Pfeifer AM. Rosemary components inhibit benzo[a]pyrene-induced genotoxicity in human bronchial cells. Carcinogenesis. 1995;16(ISS 9):2057-2062.

Plouzek CA, Ciolino HP, Clarke R, Yeh GC. Inhibition of P-glycoprotein activity and reversal of multidrug resistance in vitro by rosemary extract. Eur J Cancer. 1999;35(10):1541-1545.

Schulz V, Hansel R, Tyler V. Rational Phytotherapy: A Physicians' Guide to Herbal Medicine. 3rd ed. Berlin, Germany: Springer; 1998:105.

Singletary KW, Rokusek JT. Tissue-specific enhancement of xenobiotic detoxification enzymes inmice by dietary rosemary extract. Plant Foods Hum Nutr. 1997;50(1):47-53.

Slamenova D, Kuboskova K, Horvathova E, Robichova S. Rosemary-stimulated reduction of DNA strand breaks and FPG-sensitive sites in mammalian cells treated with H2O2 or visible light-excited Methylene Blue. Cancer Lett. 2002;177(2):145-153.

Wargovich MJ, Woods C, Hollis DM, Zander ME. Herbals, cancer prevention and health. J Nutr. 2001;131(11 Suppl):3034S-3036S.

APA Reference
Staff, H. (2009, January 5). Rosemary, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/alternative-mental-health/herbal-treatments/rosemary

Last Updated: May 8, 2019

FAQ: Criminal Justice System's Role in Treating Drug Addiction

7. What role can the criminal justice system play in the treatment of drug addiction?

Increasingly, research is demonstrating that treatment for drug-addicted offenders during and after incarceration can have a significant beneficial effect upon future drug use, criminal behavior, and social functioning. The case for integrating drug addiction treatment approaches with the criminal justice system is compelling. Combining prison- and community-based treatment for drug-addicted offenders reduces the risk of both recidivism to drug-related criminal behavior and relapse to drug use. For example, a recent study found that prisoners who participated in a therapeutic treatment program in the Delaware State Prison and continued to receive treatment in a work-release program after prison were 70 percent less likely than nonparticipants to return to drug use and incur rearrest (See Treatment Section).

Individuals Who Enter Treatment Under Legal Pressure Have Outcomes As Favorable As Those Who Enter Treatment Voluntarily.

Combining prison- and community-based treatment for drug-addicted offenders reduces the risk of drug-related criminal behavior and relapse to drug use. The majority of offenders involved with the criminal justice system are not in prison but are under community supervision. For those with known drug problems, drug addiction treatment may be recommended or mandated as a condition of probation. Research has demonstrated that individuals who enter treatment under legal pressure have outcomes as favorable as those who enter treatment voluntarily.

The criminal justice system refers drug offenders into treatment through a variety of mechanisms, such as diverting nonviolent offenders to treatment, stipulating treatment as a condition of probation or pretrial release, and convening specialized courts that handle cases for offenses involving drugs. Drug courts, another model, are dedicated to drug offender cases. They mandate and arrange for drug treatment as an alternative to incarceration, actively monitor progress in treatment, and arrange for other services to drug-involved offenders.

The most effective models integrate criminal justice and drug treatment systems and services. Treatment and criminal justice personnel work together on plans and implementation of screening, placement, testing, monitoring, and supervision, as well as on the systematic use of sanctions and rewards for drug abusers in the criminal justice system. Treatment for incarcerated drug abusers must include continuing care, monitoring, and supervision after release and during parole.

Source: National Institute of Drug Abuse, "Principles of Drug Addiction Treatment: A Research Based Guide."

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APA Reference
Staff, H. (2009, January 5). FAQ: Criminal Justice System's Role in Treating Drug Addiction, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/addictions/articles/criminal-justice-systems-role-in-treating-drug-addiction

Last Updated: April 26, 2019

Behavior Therapy - The Hardest Way: Controlled Drinking and Natural Remission from Alcoholism

In November, 1983, under assault for CD therapy, an international group of behavior therapists conducted a panel at the annual meeting of the Association for the Advancement of Behavior Therapy in Washington DC. Stanton finagled an invitation (joining Alan Marlatt, Bill Miller, Fanny Duckert, Nick Heather, Martha Sanchez-Craig, Mark and Linda Sobell) and delivered an audacious talk equating behavior therapy and God — both tell you the hardest way to do anything. In place of standard behavior therapy protocols, Stanton described natural processes by which people achieve remission. If only the Sobells had been listening, they could have cut short the ten years it took them to discover recovery without treatment. At the same time, Stanton's talk anticipated harm reduction, motivational interviewing, and just about every other current cutting edge idea in substance abuse treatment.

In G.A. Marlatt et al., Abstinence and controlled drinking: Alternative treatment goals for alcoholism and problem drinking? Bulletin of the Society of Psychologists in Addictive Behaviors, 4, 141-147, 1985 (references added to original)

Morristown, NJ

Stanton described natural processes by which people achieve remission.I have a new way to try to minimize some of the conflicts between different groups that are fighting in the alcoholism field. What I'm going to do today is I'm going to try to insult them both if at all possible, and so that way maybe create more of a middle ground. Alan [Marlatt] talked a lot about those people who are not seeking alcoholism treatment, the 80 percent, the silent majority. And I want to try and just reach out there and see what we know about those people because unfortunately all of the discussion that we've had today has been basically limited to people who come to us and seek help, and some people don't like to do that. And the way that we traditionally react to that fact is to say, "Darn those people. Don't they understand how much we can help them if they would just turn themselves over to us?" The evidence for that is not completely clear, and also I think, looking at that group out there gives us some other ways of getting a handle on some of the questions that have been introduced in this panel.

Let me illustrate my central theme by referring to a self-help book that I recently reviewed for a British publication, entitled Selfwatching which is by two eminent behavior therapists, Ray Hodgson and Peter Miller (1982). Selfwatching is a manual of behavioral techniques for combating addictive and compulsive behaviors. The term 'selfwatching' describes a behavioral approach where the individual notes when they engage in the problem behavior and they record how they feel at that time and they report what the situation is like. And that is part of an overall behavioral approach where people eliminate behavior through desensitization, and they develop alternative ways to combat stress, and they substitute newly learned healthy patterns of behavior, and they learn to anticipate and forestall relapse.

Among their many discussions of smoking cessation in that manual Hodgson and Miller mention one case of an individual who quit smoking by himself and that case was originally reported by Alan (Marlatt,1981) here. It's about a man who sort of had a vision of God in the middle of the night, and he was able to quit smoking because of that. Now, that's one view of how people quit smoking. Lots of people quit smoking on their own. Now, how do they do it? How many of them do we think had religious conversions, and how many of them, in the absence of going to behavior therapists cleverly on their own devise these kinds of self-help manuals and record all the times that they smoke and desensitize themselves? I don't believe, I really don't believe that that many of them did that. In talking to several of them I don't think that's the common way they do it. And actually I think there's something very similar about asking a behavior therapist how to do something and asking God, because both of them always tell you the hardest way to do it. That's why it's interesting to note that in the 1982 Surgeon General's report on the health consequences of smoking they report that outcomes are sometimes better with less rather than with more therapeutic contact. That's a pregnant quote, rather coy I think.

Recently, Stanley Schachter (1982) has done what I consider to be a landmark study on remission in smoking and obesity. And Schachter came to this research assuming that certain people never overcome overweight. That was the basic model he was working from. He found that in two community populations totaled, over 60 percent of those who said that they had either tried to quit smoking or to lose weight or to get down out of the obesity range had succeeded. In the case of smoking they'd done so on the average for over 7 years. Schachter found, although it's only a small part of his population, that those who did not seek therapeutic assistance did better than those who did. Can you beat that? Now, how much of this applies to alcohol, and what do we know about this with regard to alcohol?

One of the things that this has relevance to is the question of whether alcoholics as a specific identifiable group can return to controlled drinking. George Vaillant in a recent edition of the Harvard Medical School Newsletter, mentioned that he's never found a client that could do that. However, such outcomes regularly appear in natural history studies. They cannot be contravened; there's something that seems to be happening out there. Vaillant (1983) studied two groups of people, two large groups, three actually: a hundred alcoholism patients that he treated at his clinic. He notes, by the way, that they did not show a significantly greater improvement than did comparable groups of alcoholics who did not receive treatment. That's one of the first things that we get from his book. Secondly, he studied two groups: a college group, and an inner-city group of alcohol abusers. There were 110 alcohol abusers in the inner-city group, 71 of whom were alcohol dependent. At the last assessment 20 percent of this group were drinking moderately while 34 percent were abstaining. Now, most of these people had no formal therapeutic experience. Obviously the 20 percent doing controlled drinking were not heavily involved in Alcoholics Anonymous. Vaillant also reports that of the abstainers, 37 percent succeeded in abstaining wholly or in part through A.A. Thus even among the abstainers a good majority seemingly had no contact with, had no assistance from A.A.

Who are these people? What are they up to? Obviously, as we've seen, part of what's going on is that these people may not be comfortable with abstinence and that is why they're refusing to turn themselves in for therapy, because they can anticipate what they're going to hear there. However that's not the only thing that's going on. A lot of the controlled drinking outcomes that we encounter, such as the ones reported in the Rand report (Armor et al., 1978) and the ones originally reported by David Davies in 1962 that created such a furor, were people who had been exposed, who had been engaged in abstinence oriented treatment, and who became controlled drinkers anyhow. Those people go into therapy and they kind of nod their head and agree about the value of abstinence therapy and then they go out and they live their lives, and they project their own desires and their own values. Now among this 63 percent even of the abstainers who do not seek A.A., what's on their minds? What's going on with them?


One of the things that seems to be taking place again, in addition to the possibility that they might want to drink, is the fact that they do not like to call themselves alcoholics. Now we have a reaction to that, and to me it's sometimes rather similar between disease-oriented therapists and non-disease oriented therapists. Our reaction is to say, "Don't you realize you have a problem, you see, and this is the nature of your problem, and you're denying your problem and this is what you should do about it." That's a somewhat different model from how we approach many other kinds of therapeutic issues, and I was very glad to hear Fanny Duckert address that. I mean, what happened to Rogerian psychology, where we say to people, "What's your understanding of your situation? What's your understanding of what's going wrong in your life? And what's your understanding of some of the ways that you can progress in dealing with that?"

We're going against that even in psychology by saying, "Our main aim is to categorize people and decide what is going to work best for them." What's happening by the fact that we're not including these people who don't go into therapy, is that we're losing sight of the fact that many people are perfectly willing on their own, even when they go into therapy, as in the Rand reports (Armor et al., 1978; Polich et al., 1981), to define their own goals and pursue them on their own whether they don't enter therapy at all or whether they bend the recommendations that people are giving them to assert the kinds of aims that they want. And so the thing I want to question most strenuously is something that Vaillant, I think rather oddly derives from his own analysis which is that the major benefit of therapy under the medical model is that it gives people a chance to identify themselves as having a problem and then turn themselves over to treatment.

Let me say a little bit more about the Vaillant study because it's very interesting, because the Vaillant study is being presented as a very strong defense for the medical model. Now as I mentioned, among the inner-city group Vaillant reports that 20 percent are drinking moderately and 34 percent are abstaining. Vaillant is very critical of the Rand report definitions, and the second Rand report (Polich et al., 1981) defined controlled drinking as being no problem drinking episodes — dependence or problems from drinking — in the previous 6 months. Vaillant defines it as no incidents of these kinds in the previous year. However, those that he defines as abstainers are allowed to have had up to a week of alcoholic binge in his definition. But more important than those differences is the fact that Vaillant defines abstinence as drinking less than once a month. So we could apparently eliminate a whole host of the arguments that exist out in our field and I think go along with a lot of the things people have said here by just saying, "Well wait. If that's abstinence, well, I thought you meant abstinence. You mean 'abstinence.' Oh — That's where the person's trying not to drink but they sometimes don't quite make it." (Don't we all.) That's a whole different way of thinking about abstinence.

I think there have been some very interesting points that have come our of what has been said here thus far. Particularly, I think one of the most fascinating is Martha's study. If you'll recall, what Martha Sanchez-Craig (Sanchez-Craig et al., 1984) found is that: you take two groups of people and you tell one of them they should abstain and you tell the other group about controlled drinking and give them techniques for how to do that. Well, the results are, at 6 months, 12 months, 18 months, and 24 months, that although there is a significant reduction in drinking among both groups, there is not a significant difference in abstinence between the groups. Here we see people in action working through in their minds what's going to work for them, what's going to be the best benefit to them. What this really suggests to us, and again I think it came out in several of the other studies, that the key ingredient is the individual's motivation. The key ingredient to making anything work is the person identifying with the goals of therapy and really wanting to do something about them.

There's one other aspect besides an individual's motivation that I think we cannot avoid comprehending when we're trying to deal with people with all kinds of addictive problems. That's something that Vaillant talked about quite a bit in his book, and so did Gerard and Saenger (1966): recovery from alcoholism resulted in most cases from a "change in the alcoholic's attitude toward the use of alcohol based on a person's own experiences which in the vast majority of cases took place outside of any clinical interactions." And we don't know enough about what people are feeling and experiencing out there.

I just want to mention one study which I think perhaps is focused on that perhaps better than any other, and that's Barry Tuchfeld's study of natural remission in alcoholism. Tuchfeld, in 1981, published a study where he found 51 people who had had severe drinking problems involving blackouts and loss of control, and at the present time 40 were currently abstinent and 11 were drinking moderately. And these subjects often described a moment of truth when they all of a sudden saw their life in a very clear way which caused them to change their behavior. And actually this has a very distinct parallel to things we hear about in A.A. One pregnant woman remembers drinking a beer one morning to pacify her hangover and she said, "I felt the baby quiver and I poured the rest of the beer out, and I said, 'God, forgive me. I'll never drink another drop.' And from that day to this I haven't."

Parenthood and motherhood is very significant in a lot of cases of natural remission, I found, in addictions of all sorts. However, that implies a very specific event, a very monumental kind of situation. When you're pregnant — hey, that's heavy. There are situations reported throughout Tuchfeld that are very significant to the individual and yet which have no objective correlate. Which just reminds us how important subjective assessment of self and situation is. Nick Heather was referring to a study which he did where your belief about whether you're an alcoholic or how physically dependent you are is far more important in predicting whether you will relapse after drinking than any attempt to objectively assess your level of dependence (Heather et al., 1983). So one man said, "I drank a fifth and a half and I told them that night that when I drank this I'm not going to drink anymore, and I haven't had a drop since." It's that simple. If we could only find out how he did it, huh?

Another thought, "My God, what am I doing here? I should be home with my children." And we could tell them how to do it — these guys heard this a million times before, haven't they? And so much of our therapy is designed for denying this fact of self-cure — we're denying, not the clients. They say this and they make it stick at some moment in their lives. And one of the most, I think, important things that comes out of the Tuchfeld data is the fact that many of the people who are doing this revel in their self-efficacy. We've got one guy down there who said, "People told me I could never quit drinking on my own." He lifts his hands up and says, "I'm the champ. I'm the greatest. I did it on my own."


Now, Tuchfeld advertises for his subjects. He says, "Come to me and tell me how you quit drinking." So there's a tendency that they're a little bit more dramatic about it than other people out there in the field. The Cahalan and Room (1974) kind of model says people just get out of problem drinking. But even Vaillant's study which looks at people in terms of their natural history finds that people very often report these kinds of epiphanies, these moments of truth. And I think, unfortunately, Vaillant tends to de-emphasize them. It is important to realize that these people may have had moments of truth in the past and gone right on drinking again. However, I think they are telling us something very important about themselves and their values when they describe a moment when they made a very strong resolution to stop drinking.

I've been talking about these people, and I just want to tell you about one of them. Let me introduce you to a guy. This guy's strange, I mean he might not fit into any category we've described today. He comes from a very early study by Genevieve Knupfer (1972) who studied ex-problem drinkers in an epidemiological group. And one of these guys talked about his heavy drinking period. He reported, "I was in the Merchant Marine. Every night or day on shore we'd drink a week or ten days straight. We drank till we fell on our face. We never ate and never slept; I was down to 92 pounds." Bad prognosis for controlled drinking. I think he might be alcohol dependent. He also stated that he was lonely and had no friends — another real negative predictor.

One day he decided to quit this whole life, so he became a cook, and these are Genevieve Knupfer's words: "He became a cook in a cafeteria, a job he continues to hold. He bought a home; he enjoys having it. He enjoys his neighbors and a few friends, but does not seem to be really intimate with anyone. He drinks once or twice a week, never less than four drinks, usually six. He says he never drinks on work nights, but by this he means that he doesn't take more than one drink, and then only to oblige a friend. For example, 'There was a death in the person's family; I had to calm him down a bit; he was all upset. He's an Irishman and I guess they supposedly drink to the spirits. [A little social analysis here.] I just had one drink. He was disappointed because he wanted to go all out.' On New Year's Eve our subject had eight or nine drinks just to go along with the crowd, but he was sorry the next day because he wasn't up to working in his garden."

Now what's funny about this person is that in the post-Rand environment it's very possible that this man might not show up as a controlled drinker, but obviously he's changed, he's changed a lot, he's changed in a way that's really been good for him. He can take just one drink, and if he goes over his limit of six, even to just have eight drinks on New Years he regrets it, and it hurts him. How do we handle such a man as a clinical patient? Would we still identify him as a problem drinker, and attempt to get him to modify his behavior now?

Actually, I think, this man's experience which is unclassifiable by a lot of the categories we've talked about, is a good illustration of something that's true about all kinds of problem drinkers. They're drinking to mediate their experience of life, and their patterns of drinking shift with short and long term needs. They are actually, these human beings, are actually self-regulating organisms however inexact and dysfunctional they at some times may seem. And they're going to remain self-regulating organisms even after they get done talking with us, if they should be so fortunate as to run into us. A particular therapeutic strategy is exactly as effective as this client makes it, and as well as it fits into his internal needs, and his view of himself and his view of his situation. And we may hope to inspire the client, and we, at the same time, can hope to respond to his or her needs, but I think it may be a little grandiose for us to claim any larger role for ourselves in what happens to this person. And I just want to quote one of Barry Tuchfeld's clients. The way he described it was, about people who quit drinking or moderate their drinking, "You have got to have some inner strength, some of your own strength and resources that you can call up in yourself." And, you see, our job is to respect that strength and to respect the individual, enough to support the idea that he has that strength.

References

Armor, D. I., Polich, J. M., & Stambul, H. B. (1978). Alcoholism and treatment. New York: Wiley.

Cahalan D., & Room, R. (1974). Problem drinking among American men. New Brunswick, NJ: Rutgers Center of Alcohol Studies.

Gerard, D. L., & Saenger, G. (1966). Out-patient treatment of alcoholism: A study of outcome and its determinants. Toronto: University of Toronto Press.

Heather, N., Rollnick, S., & Winton, M. (1983). A comparison of objective and subjective measures of alcohol dependence as predictors of relapse following treatment. British Journal of Clinical Psychology, 22, 11-17.

Hodgson, R., & Miller, P. (1982). Selfwatching. London: Century.

Knupfer, G. (1972). Ex-problem drinkers. In M. A. Roff, L. N. Robins, & M. Pollack (Eds.), Life history research in psychopathology (Vol. 2, pp. 256-280). Minneapolis: University of Minnesota Press.

Marlatt, G.A. (1981). Perception of "control" and its relation to behavior change. Behavioral Psychotherapy, 9, 190-193.

Polich, J. M., Armor, D. J., & Braiker, H. B. (1981). The course of alcoholism: Four years after treatment. New York: Wiley.

Sanchez-Craig, M., Annis, H. M., Bornet, A. R., & MacDonald, K. R. (1984). Random assignment to abstinence and controlled drinking: Evaluation of a cognitive-behavioral program for problem drinkers. Journal of Consulting and Clinical Psychology, 52, 390-403.

Schachter, S. (1982). Recidivism and self-cure of smoking and obesity. American Psychologist, 37, 436-444.

Tuchfeld, B. S. (1981). Spontaneous remission in alcoholics: Empirical observations and theoretical implications. Journal of Studies on Alcohol, 42, 626-641.

Vaillant, G. E. (1983). The natural history of alcoholism: Causes, patterns, and paths to recovery. Cambridge, MA: Harvard University Press.

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APA Reference
Staff, H. (2009, January 5). Behavior Therapy - The Hardest Way: Controlled Drinking and Natural Remission from Alcoholism, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/addictions/articles/behavior-therapythe-hardest-way-controlled-drinking-and-natural-remission-from-alcoholism

Last Updated: June 27, 2016

Chapter 5: Unhappily Unmanageable

addiction-articles-55-healthyplaceI noticed that I had a lot in common with people in AA (Alcoholics Anonymous) who were online. Some of what they said was my own history also. On the internet, the people I found kept telling me to get myself to real AA meetings and share my thoughts.

I tried to stay sober on the computer by talking to sober people. I could get a couple of weeks here and there (which was longer than I ever had sober before) but still, nothing permanent. I met this lady from Connecticut in Alcoholics Anonymous who had 22 years soberiety after 20-some years of drinking. I explained to her about how I was so anxious around other people and afraid to go to meetings. At this point, I basically had minor agrophobia also. She invited me up to her house so we could go to meetings together and so I could learn about AA.

I moved in with her and her husband for almost a month. I learned a lot about AA. I felt so much better physically and emotionally. I returned home feeling really good. Surely, I had the drink and drug problem licked. I felt uncomfortable going to AA meetings around my area, so I just went on with my new life. I actually had a month clean and sober. I made the decision to return to college. I was doing good.

I knew that I was doing good physically and emotionally, but I did not know that alcohol still had a spiritual and mental grip on my life. Remember, I discontinued going to AA meetings entirely when I returned home to Pennsylvania.

The deadly disease lied to me again and I believed it. I thought it would be okay to get drunk for one night. Surely, I would get away with it. Not so. I ended up on a three-month bender. Things were worse than ever. When I drank, the only thing I would think about is how I wished I was sober. I cried often. I tried to cut down to one pint of vodka per day. I found that I could do this everyday, but when that pint of liquor ran out, the depression and anxiety hit me hard. I was miserable when my daily ration was all gone.

I had just started going back to college to finish my degree and the first thing I would do in the morning was buy a pint before school. I remember being highly intoxicated in class sometimes. Surely, others could smell the liquor.

It wasn't long before the pint just wasn't enough, so I would buy beer in the evening hours. Things got even worse now. I wasn't leaving the house in the daytime much at all. I was so isolated. I layed in bed drunk for almost all of my free time. I had no sense of spirituality. My emotions were simply not there if I was dry. I was very mentally drained from the drunkenness and detoxifications. Physically, I was a zero.

At age 24, I felt like I was 94. For a long time now, it felt like alcohol had stopped working as a cure of my original reasons for drinking that I mentioned in chapter one. I only drank now to feel recovered from the awful things that booze itself had caused. It seemed there was no way in the world that I could quit. How dark it was before the dawn.

next: Chapter 6: Powerless--The Last Drink
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APA Reference
Staff, H. (2009, January 5). Chapter 5: Unhappily Unmanageable, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/addictions/articles/chapter-5-unhappily-unmanageable

Last Updated: June 25, 2016

Into Action

Having made our personal inventory, what shall we do about it? We have been trying to get a new attitude, a new relationship with our Creator, and to discover the obstacles in our path. We have admitted certain defects; we have ascertained in a rough way what the trouble is; we have put our finger on the weak items in our personal inventory. Now these are about to be cast out. This requires action on our part, which, when completed, will mean that we have admitted to God, to ourselves, and to another human being, the exact nature of our defects. This brings us to the Fifth Step in the program of recovery mentioned in the preceding chapter.

Taking the steps to recover from Alcohol, For sufferers, survivors of alcoholism, drug abuse, substance abuse, gambling, other addictions. Expert information, addictions support groups, chat, journals, and support lists.This is perhaps difficult especially discussing our defects with another person. We think we have done well enough in admitting these things to ourselves. There is doubt about that. In actual practice, we usually find a solitary self-appraisal insufficient. Many of us thought it necessary to go much further. We will be more reconciled to discussing ourselves with another person when we see good reasons why we should do so. The best reason first: If we skip this vital step, we may not overcome drinking. Time after time newcomers have tried to keep to themselves certain facts about their lives. Trying to avoid this humbling experience, they have turned to easier methods. Almost invariable they got drunk. Having persevered with the rest of the program, they wondered why they fell. we think the reason is that they never completed their housecleaning. They took inventory all right, but hung on to some of the worst items in stock. They only thought they had lost their egoism and fear; they only thought they had humbled themselves. But they had not learned enough of humility, fearlessness and honesty, in the sense we find it necessary, until they told someone else all their life story.

More than most people, the alcoholic leads a double life. He is very much the actor. To the outer world he presents his stage character. This is the one he likes his fellows to see. He wants to enjoy a certain reputation, but knows in his heart he doesn't deserve it.

The inconsistency is made worse by the things he does on his sprees. Coming to his senses, he is revolted at certain episodes he vaguely remembers. These memories are a nightmare. He trembles to think someone might have observed him. As fast as he can, he pushes these memories far inside himself. He hopes they will never see the light of day. He is under constant fear and tension that makes for more drinking.

Psychologists are inclined to agree with us. We have spent thousands of dollars for examinations. We know but few instances where we have given these doctors a fair break. We have seldom told them the whole truth nor have we followed their advice. Unwilling to be honest with these sympathetic men, we were honest with no one else. Small wonder many in the medical profession have a low opinion of alcoholics and their chance for recovery!

We must be entirely honest with somebody if we expect to live long or happily in this world. Rightly and naturally, we think well before we choose the person or persons with whom to take this intimate and confidential step. Those of us belonging to a religious denomination which requires confession must, of course, will want to go to the properly appointed authority whose duty it is to receive it. Though we have no religious connection, we may still do well to talk to someone ordained by an established religion. We often find such a person quick to see and understand our problem. Of course, we sometimes encounter people who do not understand alcoholics.

If we cannot or would rather not do this, we search our acquaintance for a closemouthed, understanding friend. Perhaps our doctor or psychologist will be the person. It may be one of our own family, but we cannot disclose anything to our wives or our parents which will hurt them and make them unhappy. We have no right to save our own skin at another person's expense. Such parts of our story we tell to someone who will understand, yet be unaffected. The rule is we must be hard on ourselves but always considerate of others.

Notwithstanding the great necessity for discussing ourselves with someone, it may be one is so situated that there is no suitable person available. If that is so, this step may be postponed, only, however, if we hold ourselves in complete readiness to go through with it at the first opportunity. We say this because we are very anxious that we talk to the right person. It is important that he be able to keep a confidence; that he fully understand and approve what we are driving at; that he will not try to change our plan. But we must not use this as a mere excuse to postpone.

When we decide who is to hear our story, we waste no time. We have a written inventory and we are prepared for a long talk. We explain to our partner what we are about to do and why we have to do it. He should realize that we are engaged upon a life and death errand. Most people approached in this way will be glad to help; they will be honored by our confidence.

We pocket our pride and go to it, illuminating every twist of character, every dark cranny of the past. Once we have taken this step, withholding nothing, we are delighted. We can look the world in the eye. We can be alone at perfect peace and ease. Our fears fall from us. We begin to feel the nearness of our Creator. We may have had certain spiritual beliefs, but now we begin to have a spiritual experience. The feeling that the drink problem has disappeared will often come on strongly. We feel we are on the Broad Highway, walking hand in hand with the Spirit of the Universe.

Returning home we find a place where we can be quiet for an hour, carefully reviewing what we have done. We thank God from the bottom of our heart that we know Him better. Taking this book down for our shelf we turn to the page which contains the twelve steps. Carefully reading the first five proposals we ask if we have omitted anything, for we are building an arch through which we shall walk a free man at last. Is our work solid so far? Are the stones properly in place? Have we skimped on the cement put into the foundation? Have we tried to make mortar without sand?


If we can answer to our satisfaction, we then look at Step Six. We have emphasized willingness as being indispensable. Are we now ready to let God remove from us all the things which we have admitted are objectionable? Can He now take them all every one? If we still cling to something we will not let go, we ask God to help us be willing.

When ready, we say something like this: "My Creator, I am now willing that you should have all of me, good and bad. I pray that you now remove from me every single defect of character which stands in the way of my usefulness to you and my fellows. Grant me strength, as I go out from here, to do your bidding. Amen." We have now completed Step Seven.

Now we need more action, without which we find that "faith without works is dead." Lets look at Steps Eight and Nine. We have a list of all persons we have harmed and to whom we are willing to make amends. We made it when we took inventory. We subjected ourselves to drastic self appraisal. Now we go out to our fellows and repair the damage done in the past. We attempt to sweep away the debris which has accumulated out of our effort to live on self-will and run the show ourselves. If we haven't the will to do this, we ask until it comes. Remember it was agreed at the beginning we would go to any lengths for victory over alcohol.

Probably there are still some misgivings. As we look over the list of business acquaintances and friends we have hurt, we may feel diffident about going to some of them on a spiritual basis. Let us be reassured. To some people we need not, and probably should not emphasize the spiritual feature on our first approach. We might prejudice them. At this moment we are trying to put our lives in order. But this is not an end in itself. Our real purpose is to fit ourselves to be of maximum service to God and the people about us. It is seldom wise to approach an individual, who still smarts from our injustice to him, and announce that we have gone religious. In the prize ring, this would be called leading with the chin. Why lay ourselves open to being branded fanatics or religious bores? We may kill a future opportunity to carry a beneficial message. But our man is sure to be impressed with a sincere desire to set right the wrong. He is going to be more interested in a demonstration of good will than in our talk of spiritual discoveries.

We don't use this as an excuse for shying away from the subject of God. When it will serve any good purpose, we are willing to announce our convictions with tact and common sense. The question of how to approach the man we hated will arise. It may be he has done us more harm than we have done him and, though we may have acquired a better attitude toward him, we are still not too keen about admitting our faults. Nevertheless, with a person we dislike, we take the bit in our teeth. It is harder to go to an enemy than to a friend, but we find it much more beneficial to us. We go to him in a helpful and forgiving spirit, confessing our former ill feeling and expressing our regret.

Under no condition do we criticize such a person or argue. Simply we tell him that we will never get over drinking until we have done our utmost to straighten out the past. We are there to sweep our side of the street, realizing that nothing worth while can be accomplished until we do so, never trying to tell him what he should do. His faults are not discussed. We stick to our own., If our manner is calm, frank, and open, we will be gratified with the result.

In nine cases out of ten the unexpected happens. Sometimes the man we are calling upon admits his own fault, so feuds of years' standing melt away in an hour. Rarely do we fail to make satisfactory progress. Our former enemies sometimes praise what we are doing and wish us well. Occasionally, t will offer assistance. It should not matter, however, if someone does throw us out of his office. We have made our demonstration, done out part. It's water over the dam.

Most alcoholics owe money. We do not dodge our creditors. Telling them what we are trying to do, we make no bones about our drinking; they usually know it anyway, whether we think so or not. Nor are we afraid of disclosing our alcoholism on the theory it may cause financial harm. approached this way, the most ruthless creditor will sometimes surprise us. Arranging the best deal we can we let these people know we are sorry. Our drinking has made us slow to pay. We must lose our fear of creditors no matter how far we have to go, for we are liable to drink if we are afraid to face them.

Perhaps we have committed a criminal offense which might land us in jail if it were known to the authorities. We may be short in our accounts and unable to make good. We have already admitted this in confidence to another person, but we are sure would be imprisoned or lose our job if it were known. Maybe it is only a petty offense such as padding the expense account. Most of us have done that sort of thing. Maybe we are divorced, and have remarried but haven't kept up the alimony to number one. She is indignant about it, and has a warrant out for our arrest. That's a common form of trouble too.

Although these reparations take innumerable forms, there are some general principles which we find guiding. Reminding ourselves that we have decided to go to any lengths to find a spiritual experience, we ask that we be given strength and direction to do the right thing, no matter what the personal consequences may be. We may lose our position or reputation or face jail, but we are willing. We have to be. We must not shrink at anything.


Usually, however, other people are involved. Therefore, we are not to be the hasty and foolish martyr who would needlessly sacrifice others to save himself from the alcoholic pit. A man we know had remarried. Because of resentment and drinking, he had not paid alimony to his first wife. She was furious. She went to court and got an order for his arrest. He had commenced our way of life, had secured a position, and was getting his head above water. It would have been impressive heroics if he had walked up to the Judge and said, "Here I am."

We thought he ought to be willing to do that if necessary, but if he were in jail he could provide nothing for either family. We suggested he write his first wife admitting his faults and asking forgiveness. He did, and also sent a small amount of money. He told her what he would try and do in the future. He said he was perfectly willing to go to jail if she insisted. Of course she did not, and the whole situation has long since been adjusted.

Before taking drastic action which might implicated other people we secure their consent. If we have obtained permission, have consulted with others, asked God to help and the drastic step is indicated we must not shrink.

This brings to mind a story about one of our friends. While drinking, he accepted a sum of money from a bitterly hated business rival, giving him no receipt for it. He subsequently denied having received the money and used the incident as a basis for discrediting the man. He thus used his own wrongdoing as a means of destroying the reputation of another. In fact, his rival was ruined.

He felt that he had done a wrong he could not possibly make right. If he opened that old affair, he was afraid it would destroy the reputation of his partner, disgrace his family and take away his means of livelihood. What right had he to involve those dependent upon him? How could he possibly make a public statement exonerating his rival?

After consulting with his wife and partner he came to the conclusion that it was better to take those risks than to stand before his Creator guilty of such ruinous slander. He saw that he had to place the outcome in God's hands or he would soon start drinking again, and all would be lost anyhow. He attended church for the first time in many years. After the sermon, he quietly got up and made an explanation. His action met widespread approval, and today he is one of the most trusted citizens of his town. This all happened years ago.

The chances are that we have domestic troubles. Perhaps we are mixed up with women in a fashion we wouldn't care to have advertised. we doubt if, in this respect, alcoholics are fundamentally much worse than other people. But drinking does complicate sex relations in the home. After a few years with an alcoholic, a wife gets worn out, resentful, and uncommunicative. How could she be anything else. The husband begins to feel lonely, sorry for himself. He commences to look around in the night clubs, or their equivalent, for something besides liquor. Perhaps he is having a secret and exciting affair with "the girl who understands." In fairness we must say that she may understand, but what are we going to do about a think like that? A man so involved often feels very remorseful at times, especially if he is married to a loyal and courageous girl who has literally gone through hell for him.

Whatever the situation, we usually have to do something about it., If we are sure our wife does not know, should we tell her? Not always, we think. If she knows in a general way that we have been wild, should we tell her in detail? Undoubtedly we should admit our fault. She may insist on knowing all the particulars. She will want to know who the woman is and where she is. We feel we ought to say to her that we have no right to involve another person. We are sorry for what we have done and, God willing, it shall not be repeated. More than that we cannot do; we have no right to go further. Though there may be justifiable exceptions, and though we wish to lay down no rule of any sort, we have often found this the best course to take.

Our design for living is not a one-way street. It is as good for the wife as for the husband. If we can forget so can she. It is better, however, that one does not needlessly name a person upon whom she can vent jealousy.

Perhaps there are some cases where the utmost frankness is demanded. No outsider can appraise such an intimate situation. It may be that both will decide that the way of good sense and loving kindness is to let bygones be bygones. Each may pray about it, having the other one's happiness uppermost in mind. Keep it always in sight that we are dealing with that most terrible human emotion jealousy. Good generalship may decide that the problem be attacked on the flank rather than risk a face-to-face combat.

If we have no complication, there is plenty we should do at home. Sometimes we hear an alcoholic say that the only thing he needs to do is to keep sober. Certainly he must keep sober, for there will be no home if he doesn't. But he is yet a long way from making good to the wife or parents whom for years he has so shockingly treated. Passing all understanding is the patience mothers and wives have had wit alcoholics. Had this not been so, many of us would have no homes today, would perhaps be dead.

The alcoholic is like a tornado roaring his way through the lives of others. Hearts are broken. Sweet relationships are dead. Affections have been uprooted. Selfish and inconsiderate habits have kept the home in turmoil. We feel a man is unthinking when he says that sobriety is enough. He is like the farmer who came up out of his cyclone cellar to find his home ruined. To his wife, he remarked, "don't see anything the matter here, Ma. Ain't it grand the wind stopped blowin'?"


Yes, there is a long period of reconstruction ahead. We must take the lead. A remorseful mumbling that we are sorry won't fill the fill at all. We ought to sit down with the family and frankly analyze the past as we now see it, being very careful not to criticize them. Their defects may be glaring, but the chances are that our own actions are partly responsible. So we clean house with the family, asking each morning in meditation that our Creator show us the way of patience, tolerance, kindness, and love.

The spiritual life is not a theory. We have to live it. Unless one's family expresses a desire to live upon spiritual principles we think we ought not to urge them . We should not talk incessantly to them about spiritual matters. They will change in time. Our behavior will convince them more than our words. We must remember that ten or twenty years of drunkenness would make a skeptic out of anyone.

There may be some wrongs we can never fully right. We don't worry about them if we can honestly say to ourselves that we would right them if we could. Some people cannot be seen we send them an honest letter. And there may be a valid reason for postponement in some cases. But we don't delay if it can be avoided. We should be sensible, tactful, considerate, and humble without being servile or scraping. As God's people we stand on our feet; we don't crawl before anyone.

If we are painstaking about this phase of our development, we will be amazed before we are half way through. We are going to know a new freedom and a new happiness. We will not regret the past nor wish to shut the door on it. We will not regret the past nor wish to shut the door on it. We will comprehend the word serenity and we will know peace. No matter how far down the scale we have gone, we will see how our experience can benefit others. That feeling of uselessness and self-pity will disappear. We will lose interest in selfish things and gain interest in our fellows. Self-seeking will slip away. Our whole attitude and outlook upon life will change. Fear of people and of economic insecurity will leave us. We will intuitively know how to handle situations which used to baffle us. We will suddenly realize that God is doing for us what we could not do for ourselves.

Are these extravagant promises? We think not. They are being fulfilled among us sometimes quickly, sometimes slowly. They will always materialize if we work for them.

This thought brings us to Step Ten, which suggests we continue to take personal inventory and continue to set right any new mistakes as we go along. We vigorously commenced this way of living as we cleaned up the past. We have entered the world of the Spirit. Our next function is to grow in understanding and effectiveness. This is not an overnight matter. It should continue for our lifetime. Continue to watch for selfishness, dishonesty, resentment, and fear. When these crop up, we ask God at once to remove them. We discuss them with someone immediately and make amends quickly if we have harmed anyone. Then we resolutely turn our thoughts to someone we can help. Love and tolerance of others is our code.

And we have ceased fighting anything or anyone even alcohol. For by this time sanity will have returned. We will seldom be interested in liquor. If tempted we will recoil from it as from a hot flame. We react sanely and normally, and we will find that this has happened automatically. We will see that our new attitude toward liquor has been given us without any thought or effort on our part. It just comes! That is the miracle of it. We are not fighting it, neither are we avoiding temptation. We feel as though we had been placed in a position of neutrality safe and protected. We have not even sworn off. Instead, the problem has been removed. It does not exist for us. We are neither cocky nor are we afraid. That is our experience. That is how we react so long as we keep in fit spiritual condition.

It is easy to let up on the spiritual program of action and rest on our laurels. We are headed for trouble if we do, for alcohol is a subtle foe. We are not cured of alcoholism. What we really have is a daily reprieve contingent on the maintenance of our spiritual condition. Every day is a day when we must carry the vision of God's will into all of our activities. "How can I best serve Thee Thy will (not mine) be done." These are the thoughts which must go with us constantly. We can exercise our will power along this line all we wish. It is the proper use of the will.

Much has already been said about receiving strength, inspiration, and direction from Him who has all knowledge and power. If we have carefully followed directions, we have begun to sense the flow of His Spirit into us. To some extent we have become God conscious. We have begun to develop this vital sixth sense. But we must go further and that means more action.

Step Eleven suggests prayer and meditation. We shouldn't be shy on this matter of prayer. Better men than we are using it constantly. It works, if we have the proper attitude and work at it. It would be easy to be vague about this matter. Yet, we believe we can make some definite and valuable suggestions.

When we retire at night we constructively review our day. Were we resentful, selfish, dishonest or afraid? Do we owe an apology? Have we kept something to ourselves which should be discussed with another person at once? Were we kind and loving toward all? What could we have done better? Were we thinking of ourselves most of the time? Or were we thinking of what we could do for others, of what we could pack into the stream of life? But we must be careful not to drift into worry, remorse or morbid reflection, for that would diminish our usefulness to others. After making our review we ask God's forgiveness and inquire what corrective measures should be taken.


On awakening let us think about the twenty-four hours ahead. We consider our plans for the day. Before we begin, we ask God to direct our thinking, especially asking that it be divorced from self-pity, dishonest or self-seeking motives. Under these conditions we can employ our mental faculties with assurance, for after all God gave us brains to use. Our thought life will be placed on a much higher plane when our thinking is cleared of wrong motives.

In thinking about our day we may face indecision. We may not be able to determine which course to take. Here we ask God for inspiration, an intuitive thought or decision. We relax and take it easy. We are often surprised how the right answers come after we have tried this for a while. What used to be the hunch or the occasional inspiration gradually becomes a working part of the mind. Being still inexperienced and having just made conscious contact with God, it is not probable that we are going to be inspired at all times. We might pay for this presumption in all sorts of absurd actions and ideas. Nevertheless, we find that our thinking will, as time passes, be more and more on the plane of inspiration. We come to rely upon it.

We usually conclude the period of meditation with a prayer that we be shown all through the day what our next step is to be, that we be given whatever we need to take care of such problems. We ask especially for freedom from self-will, and are careful to make no request for ourselves only. We may ask for ourselves, however, if others will be helped. We are careful never to pray for our own selfish ends. Many of us have wasted a lot of time doing that and it doesn't work. You can easily see why.

If circumstances warrant, we ask our wives or friends to join us in morning meditation. If we belong to a religious denomination which requires a definite morning devotion, we attend to that also. If not members of religious bodies, we sometimes select and memorize a few set prayers which emphasize the principles we have been discussing. There are many helpful books also. Suggestions about these may be obtained from one's priest, minister, or rabbi. Be quick to see where religious people are right. Make use of what they offer.

As we go through the day we pause, when agitated or doubtful, and ask for the right thought or action. We constantly remind ourselves we are no longer running the show, humbly saying to ourselves many times each day "Thy will be done." We are then in much less danger of excitement, fear, anger, worry, self-pity, or foolish decisions. We become much more efficient. We do not tire so easily, for we are not burning up energy foolishly as we did when we were trying to arrange life to suit ourselves.

It works it really does.

We alcoholics are undisciplined. So we let God discipline us in the simple way we have just outlined.

But that is not all. There is action and more action. "Faith without works is dead." The next chapter is entirely devoted to Step Twelve.

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APA Reference
Staff, H. (2009, January 5). Into Action, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/addictions/articles/into-action

Last Updated: April 26, 2019

FAQ: Defining Drug Addiction Treatment

1. What is drug addiction treatment?

There are many addictive drugs, and treatments for specific drugs can differ. Treatment also varies depending on the characteristics of the patient.

Problems associated with an individual's drug addiction can vary significantly. People who are addicted to drugs come from all walks of life. Many suffer from mental health, occupational, health, or social problems that make their addictive disorders much more difficult to treat. Even if there are few associated problems, the severity of addiction itself ranges widely among people.

A variety of scientifically based approaches to drug addiction treatment exists. Drug addiction treatment can include behavioral therapy (such as drug addicton counseling, cognitive therapy, or psychotherapy), medications, or their combination. Behavioral therapies offer people strategies for coping with their drug cravings, teach them ways to avoid drugs and prevent relapse, and help them deal with relapse if it occurs. When a person's drug-related behavior places him or her at higher risk for AIDS or other infectious diseases, behavioral therapies can help to reduce the risk of disease transmission. Case management and referral to other medical, psychological, and social services are crucial components of treatment for many patients. (See Treatment Section for more detail on types of treatment and treatment components.) The best programs provide a combination of therapies and other services to meet the needs of the individual patient, which are shaped by such issues as age, race, culture, sexual orientation, gender, pregnancy, parenting, housing, and employment, as well as physical and sexual abuse.

Drug addiction treatment can include behavioral therapy, medications, or their combination.

Addiction treatment medications, such as methadone, LAAM, and naltrexone, are available for individuals addicted to opiates. Nicotine preparations (patches, gum, nasal spray) and bupropion are available for individuals addicted to nicotine.

Components of Comprehensive Drug Abuse Treatment

Components of Comprehensive Drug Abuse Treatment
[Click to Enlarge]

The best drug treatment programs provide a combination of therapies and other services to meet the needs of the individual patient.

Medications, such as antidepressants, mood stabilizers, or neuroleptics, may be critical for treatment success when patients have co-occurring mental disorders, such as depression, anxiety disorder, bipolar disorder, or psychosis.

Drug treatment can occur in a variety of settings, in many different forms, and for different lengths of time. Because drug addiction is typically a chronic disorder characterized by occasional relapses, a short-term, one-time treatment often is not sufficient. For many, treatment is a long-term process that involves multiple interventions and attempts at abstinence.

Source: National Institute of Drug Abuse, "Principles of Drug Addiction Treatment: A Research Based Guide."

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APA Reference
Staff, H. (2009, January 5). FAQ: Defining Drug Addiction Treatment, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/addictions/articles/defining-drug-addiction-treatment

Last Updated: April 26, 2019

OCD Self-Help Resources for Home

Dr. Reid Wilson is an expert in treatment of OCD and anxiety disorders. Find out about his self-help OCD program.I hope you have found the information in this web site to be a helpful reinforcement. Consider picking up a copy of the book Stop Obsessing!, since it provides 240 pages of guidance and support. As I have suggested earlier, you should first practice the skills presented here, which are from part II of the book, called the Initial Self-Help Program. This is the only program you need if you suffer from worries and obsessions. If you also suffer from compulsions, work with these skills, from chapter 6 of the book. Practice them persistently on a daily basis for several weeks. If you find you are improving, then you can stick with this approach. However, if after a few weeks you find that you are not continuing to improve or that the suggestions of this program are not helping you control your symptoms, then you should move on to Part III of Stop Obsessing!, which is called the Intensive Three-Week Program.

We have also developed The Stop Obsessing! Audio-tape Series to help reinforce these learnings.

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APA Reference
Staff, H. (2009, January 5). OCD Self-Help Resources for Home, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/anxiety-panic/articles/ocd-self-help-resources-for-home

Last Updated: June 30, 2016

Cybersex Addicts and Other Visitors to Cybersex Sites

Story about sex on the net and who visits cybersex sites and becomes involved in online sexual pursuits. Plus cybersex addicts.

Contrary to their image as steamy dens of iniquity, cybersex sites appear to offer the vast majority of men and women an outlet in which they can safely fantasize, flirt and (virtually) get intimate. So suggests a survey of over 9,000 MSNBC.com readers that is being published next month in a journal of the American Psychological Association.

While the word cybersex often dredges up images of hard porn, most people utilize cybersex sites in a way that is recreational — not detrimental, says study author Alvin Cooper of the San Jose Marital Services and Sexuality Centre in San Jose, Calif.

Yet there is a small group of users — about 8 percent — who report spending 11 hours or more a week in online sexual pursuits, a sign of "destructive behavior," says Cooper, who is also an MSNBC "Sexploration" columnist.

But for the vast majority of users, particularly men, online love "is a form of entertainment — akin to reading Playboy or viewing Baywatch," says Cooper, who has been referred to as the Masters and Johnson of cybersex.

One unexpected finding was the large number of younger females who are turning to cybersex sites, he says. In contrast to their male counterparts, most of these women are skipping the titillating pictures of erotica sites in favor of interactive chat rooms.

The reason, he says, "is the 'triple A' of the Internet: access, affordability and anonymity. [Together, they are] allowing young adult women to be more comfortable experimenting with their sexuality online than almost anywhere else. They can engage in new relationships without fear."

There's no doubt that cybersex is big business. More than 9.6 million people — or 15 percent of all Web users — logged on to the 10 most popular cybersex sites in April, 1998, the month the survey was posted, according to a major web tracking firm.

CLICK AND TELL

The click-and-tell poll invited MSNBC users who had at least one cybersex encounter to answer 59 questions about what kind of sex sites they visited, how long they spent in such pursuits and what they got out of it.

The results are being published in the April issue of Professional Psychology: Research and Practice, an APA journal. (MSNBC.com always notes that by their very nature, surveys posted on its Web site are nonscientific.)

Over 13,500 people completed the survey, which was posted on the site over a 7-week period during March and April of 1998. After discarding surveys which were incomplete or filled out by people under 18, a final sample of 9,177 respondents was evaluated.

AMONG THE FINDINGS:

  • Six times as many men engage in online sexual pursuits as women (86 percent vs. 14 percent).
  • While women aged 18 to 34 made up only one-third of MSNBC visitors during April, nearly twice that many said they visited sex sites or chat rooms.
  • Women favor sexual chat rooms (49 percent vs. 23 percent), while men prefer visual erotica online (50 percent vs. 23 percent).
  • At least 13 percent of respondents access sexual sites at work.
  • Most respondents, 61 percent, reported occasionally fibbing about their age when visiting sex sites. And over one-third "lied" about their race.
  • Gender-bending was less pervasive, with only one in 20 saying they "switched sex" when visiting adult sites.
  • Three out of four respondents said they kept secret from others how much time they spend online for sexual pursuits, although 87 percent reported that they did not feel guilty or ashamed about the time they spent on line.
  • The majority (92 percent) said they spent under 11 hours a week visiting sex sites.

The large amount of time devoted to online sexual pursuits by the other 8 percent of respondents is what most troubles Cooper and other experts.

SEXUAL COMPULSIVITY

"Spending more than 10 hours a week visiting adult sites is a sign of compulsivity — in this case, an uncontrollable desire to go to sex sites," Cooper says. In comparison, about 5 percent of the general population suffers from sexual compulsivity.

"This paper presents data which may be of use in the treatment of persons who have 'overdosed' on the contents of adult Internet sites and whose lives have been adversely affected," says clinical psychologist J. G. Benedict, an associate editor of the APA journal who maintains a private practice in Denver.

While abstention or "an austere diet" of cybersex might be the best course of action for addicts, that might be as impossible as suggesting to a "peeping tom" that he just stop such behaviors, the experts agree. Rather, the cybersex addict needs to seek treatment from a qualified professional.

Source: MSNBC



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APA Reference
Staff, H. (2009, January 5). Cybersex Addicts and Other Visitors to Cybersex Sites, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/addictions/center-for-internet-addiction-recovery/cybersex-addicts-visitors-to-cybersex-sites

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APA Reference
Staff, H. (2009, January 5). Attention Deficit Disorder (ADD/ADHD) Educational Material, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/adhd/articles/attention-deficit-disorder-add-adhd-educational-material

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