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© 1998
Claudia Black
Claudia Black, M.S.W., Ph.D.,
the author of two articles on substance abuse
included in our Winter Web Issue, has generously
granted us permission to share these materials
with our readers. The information you'll read
has been used by CCS counselors who consider them
effective tools for discussion in the substance
abuse treatment environment. For more information
on Claudia Black, or to review or purchase her
clinical materials, you may visit her website
at www.claudiablack.com. |
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When I'm asked
to address the subject of relapse, I like to take
a moment to talk about one of the most tragic
maritime disasters in history, the Titanic. Just
before midnight on April 14, 1912 the Titanic
struck an iceberg about 95 miles south of the
Grand Banks of Newfoundland. With more than 2,
200 people aboard, 1,513 would die. This was the
ship hailed to be unsinkable. And even as the
ship was going down, people assumed this was no
serious problem.
In the telling of this story
to a group of people in early recovery, if they
were to put themselves on that ship knowing what
the outcome would be, most would say that they
would be in the group that was saved.
It has been commonly stated that
as many as 70% of all chemically dependent people
who attempt to stop drinking or using will experience
relapse, and often times more than once. And for
most, as you would survive the Titanic, you know
you are in the 30% who won't be relapsing.
With a little bit of time clean
and sober, and armed with a little bit of knowledge,
it is easy to move into the illusion of immunity.
The illusion is the facade that we create in our
mind that we are immune to relapse. Relapse occurs
when an addicted person becomes clean and sober,
has a period of continuous sobriety, and then
resumes their use of alcohol, drugs, or other
addictive behaviors.
I have worked in the field of
chemical dependency for over twenty years. In
that time I have had the honor of witnessing hundreds,
if not thousands of men and women of every age
recover from chemical dependency. At the same
time, I have seen many put together several weeks
to a few months, to those who have put together
a few to several years of sobriety to then relapse.
Some people die in their relapse;
others will remain in chronic relapses, and yet
even more ultimately find continuous sobriety
and a quality to that sobriety. Anyone in recovery
is prone to relapse. To assume and simply hope
it will not occur is denial. You must take a proactive
stance and be willing to go to any lengths to
stay in sobriety.
Most addiction professionals
agree that to achieve ongoing recovery, the desire
to quit drinking and using has to be there; and
on a daily basis that desire and the commitment
to recovery needs to be reaffirmed. Certain basics
need to be addressed when someone has a history
of relapse, such as was there a commitment to
an ongoing program of recovery, was there a willingness
to follow direction, etc.
To give yourself a better chance
to stay clean and sober, I will delineate a path
that makes it more possible to route you safely
through the four icebergs in recovery. |
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Overconfidence;
the belief in your own abilities to handle situations
without a respect for the insidiousness of addiction.
Signs of overconfidence are:
- Calling your own shots
- Inability to hear what others are saying
- Contempt prior to investigation
- Wanting immediate results and having unrealistic
expectations
Recovery is the ability to genuinely
recognize that in fact others do have something
to offer. We do not have all of the answers, and
it is in letting go of control that we will find
some answers.
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Control; the
manipulation of people, places, and things. In
early recovery, people pride themselves on surrendering
to the addiction, but after a little bit of recovery
people often take control in every other area
of their life.
Controlling behavior is about
many things. Controlling behavior is often a response
to shame. It compensates for the inner belief
that I am not adequate, I am insufficient, I am
damaged. It compensates for my helplessness. It
gives me a sense of power to compensate for the
sense of powerlessness. It may be a false sense
of power, but it's better than no power.
There are many styles of control.
Four of the most common are:
- Sweet controller - sweet, polite, and pleasant,
and I always get what I want.
- Distant controller - emotionally cold, rigidly
efficient and master at details.
- Passive controller - I don't care. It doesn't
matter to me, but I will get you in the end.
- Angry controller - I want what I want when
I want it. And I will darn well get it.
Irrespective of the style under
which we may be controlling, controlling people
operate from a position of fear, shame, and distrust.
Controllers end up very angry or depressed because
their needs cannot be met. An excellent question
to ask is, what are the areas in your life that
you think you could in fact be experiencing difficulty
with because you are trying to control that which
you do not have the power to control? How would
those close to you answer that question?
I am going to take you through
an exercise. Sit back, uncross your arms, legs,
and take a deep breath in and out. Close your
eyes and give thought to how you would finish
this sentence. Giving up control in my life would
mean...
Many people would finish that
statement, saying...
My wife would leave
I won't get my way
I would feel weak
I would be invisible, not noticed
Something bad would happen
People will take advantage of me
Knowing the fear is the first
step in letting go of control. Those fears may
have been a reality in your formative years or
when you were using, but they are not necessarily
a reality today. It is vital to know the fear
and put it in a realistic perspective. How real
is that fear today?
In letting go of control, you
have the opportunity to experience the promise
of recovery. In letting go of control, you have
the potential to find intimacy. In letting go
of control, you will have the ability to hear
others - to listen. In letting go of control,
you will discover spontaneity and genuine laughter.
In letting go of control, you will find an inner
peace.
Controlling behavior not only
puts distance between others and ourselves; it
separates us from ourselves. It is a spiritual
divider.
Recovery is a spiritual process.
In adhering to a twelve-step model of recovery,
the third step of AA says, "We made a decision
to turn our will and our lives over to the care
of God as we understood him."
To truly grasp that, one has
to also grasp that faith and control cannot peacefully
coexist.
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In early
recovery, it is the fear of feeling that will
send many people back to the drugs, alcohol, or
other addictive behaviors. For many in recovery,
to be abstinent results in experiencing something
they have strived much of their lives to stay
away from - their feelings. We have so much we
are feeling in our early recovery.
- Guilt - about lying, cheating, dishonesty,
and how we have treated others.
- Fear - about facing the world sober, financial
and job fears, repercussions of behaviors
when we were addicted. Fear of not being able
to recoup things we once had.
- Anger - with self for having screwed up
so much of our life, for not being able to
control our drug, alcohol, or other addictions;
with what has happened to us, anger with former
lovers and partners.
- Sadness - for what we have lost in our disease,
for being where we are in our life.
For many, the attraction to alcohol,
drugs, and other addictive behaviors was that
it was an anesthetic, a medicator. It isn't the
feelings themselves that gets people in trouble
so much in early recovery. Feelings are valid.
The defenses created against the feelings are
where the problems start.
What feelings are the easiest
for you to show people? What feelings are the
most difficult for you to show people? Take one
of those feelings that are difficult to show others
and identify what you do to mask that feeling.
When you are angry, do you mask your feelings
with humor or sadness? When you are frightened
do you mask it by getting angry? Lastly, using
the feeling you just identified, what is your
fear of what would happen if you showed that feeling?
Many people are most afraid of
sadness and anger. What is your fear about what
might happen if you got in touch with your sadness?
What is your fear about what might happen if you
got in touch with your anger? So often people's
fears are based in history and that is a history
that does not need to repeat itself. No one has
to take advantage of you. No one will think you
are stupid. You never have to hurt another in
anger.
Recovery is learning to tolerate
emotional pain without needing to medicate, to
know when and how to express feelings in a way
you feel heard.
For recovery, people need to
be willing to walk through their pain, not around
it. It is important to remember that when you
come face to face with painful feelings, it is
not the time to run away or hide, but to move
through the feelings, to gather your strength
and seek a constructive solution.
A wise priest once said, "As
manure is God's way of fertilizing flowers, pain
fertilizes the human soul." |
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Secrets: most
significantly shame-based secrets. In early recovery
as you are working the Twelve Steps, people have
the opportunity to share secrets that keep them
in pain. With ongoing sobriety people become more
and more honest with themselves and become aware
of even more secrets.
Secrets are often about sexual
behavior while under the influence, about physical
or sexual abuse - for many the memories only come
after one has been off the drugs or alcohol for
a period of time. It could be secrets of abusing
someone else physically or sexually, relationships,
extramarital affairs, or past or present sexual
orientation. It could be the ongoing use of other
drugs that you have not acknowledged. It could
be about criminal activity.
Whatever the secrets, recovery
means a program of rigorous honesty. The weight
of secrets is such that for many, they ultimately
return to using their drug of choice. It is vital
that you understand you are not your secret, what
you may have done may have caused you and others
pain, but you can take responsibility for that.
What may have been done to you causes great pain
but is not a statement about your worth, you are
important, you are of value, and you did not deserve
to be treated in a hurtful manner.
Secrets need to be told to be
free of the guilt and pain, yet secrets are not
to be shared with everyone. Some secrets are best
shared in a closed group, or just with a sponsor,
or a therapist.
In addressing overconfidence,
control issues, fear of feelings and secrets,
one needs to humble oneself to recognize that
you do not have all of the answers. You need to
have a healthy respect for the disease, let go
of control, and have faith. You need to feel your
feelings and find healthy ways to dissipate or
express feelings and share the more painful secrets
with safe people.
We do not blindly step onto any
Titanic. Anytime we set out on a voyage we prepare
ourselves; we consider the direction we are going,
we anticipate the pitfalls and the best route
to take and we have safety contingencies.
In all humbleness to the wickedness
of addiction, any illusion about infallibility
is replaced with a respect for the insidiousness
of the disease and an ongoing commitment to a
daily recovery program.
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| A number of our substance abuse
counselors here at Counseling and Consulting Services
have found materials written by Dr. Claudia Black
to be useful in our substance abuse treatment groups.
Her books, audio and video materials are all available
at her website www.claudiablack.com.
We appreciate Dr. Black's permission to print this
article and hope it is helpful to our readers or
their friends and families who have concerns around
issues of addiction and relapse prevention. |
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