What’s In A Name?
~ Brian Sherman, PhD, Center for Motivation and Change
“By continuing to use the term “addict” and “alcoholic,” treatment providers are doing a disservice to their patients and potentially negating progress towards destigmatization and successful long-term treatment.”
What’s in a name? Sure, by any other name a rose may smell so sweet, but by any other name would an “addict” feel so stigmatized? Were Shakespeare alive today I would ask that he reconsider his stance. With the gradual pace of change in addiction treatment highlighted by the continued advancement and implementation of evidence-based treatments, why is the field so far behind in not using more clinically appropriate and de-stigmatizing — albeit a bit cumbersome – language such as: “person with a substance use disorder” or “person suffering from addiction”? It has been years now that the field of clinical psychology did away with stigmatizing terms such as “schizophrenic”, “manic-depressive”, or “autistic.” Why then does the field of addiction remain so far behind?
As an addiction psychologist I do not discourage my patients for whom the term “addict” works. If it motivates them to change, fantastic. For many people, the term “addict” is a helpful way of identifying symptoms and issues, and finding a way to connect and bond with others in a healthy way that promotes change. However, when that term creates a prolonged sense of failure or guilt which ultimately may lead to relapse (negative emotions are one of the strongest predictors of relapse) or prevent someone from seeking help in the first place (because they don’t want to accept the label, and the stigma that is associated with it), I question its utility. Continue reading
by Anne Fields
Knowing When You’re Ready to Overcome Addiction
Knowing when you’re ready to breakthrough your addictive behaviors and overcome your addiction can be difficult. Many individuals experience an epiphany: a moment of clarity that their addictive behaviors are problematic and need to change. However for many people that moment of clarity never comes, but that doesn’t mean that you aren’t ready to overcome your addiction and start a new life with a new healthier, and more fulfilling, path. Here are just some signs that you’re ready to stop your addictive behaviors, change your life and finally experience true freedom: Continue reading
This week’s blog post is a ‘plug’ to listen to the excellent podcast with Dr. Carlo DiClemente about the stages of change, which can be found at: http://smartrecovery.libsyn.com/webinar-dr-carlo-diclemente-on-maintaining-change-in-addiction-recovery
Dr. DiClemente is co-creator of the the Stages of Change, or the transtheoretical model of behavior change (TTM), which is foundational to SMART’s approach to supporting people as they change with regard to addictive behavior. Dr. DiClemente is most widely known for his co-authorship of the self-help book, Changing for Good.
I’ve never crashed a car or received a DUI, never drunk while pregnant, never been fired from a job, never punched someone in a bar, and never set the house on fire. My marriage is long and happy, my daughter excels at school and is socially happy, and I have a successful career in an competitive field. Yet I was also a lush for twenty years, and wine increasingly eroded my productivity as well as my enjoyment of daily life. Most bothersome, wine—drinking it, planning around it, figuring out how to get enough of it, recovering from it—was a squatter on my psychic landscape. Its role in my life had grown too large, but (like many people who drink too much to cope with stress), I found it difficult to moderate. “In for a glass, in for a bottle” was my usual approach. I didn’t identify with the word alcoholic, at least not as a label of who I am, but I knew I needed to quit drinking in order to preserve the other things I am. Still, I found it difficult to maintain the motivation to quit for more than a month-long “liver holiday” now and again.
One of the appealing things about SMART Recovery is that it doesn’t insist you have to hit “rock bottom” to know that your life could be better. Continue reading
Anatomy of an Urge
by Farmgirl68 (Connie)
While taking the facilitator training, I watched a video with Joe Gerstein where he showed the ABC relationship with a lapse and how it often involves a belief (B) or a consequence (C) turning into another activating event (A) thus creating a cascade of ABCs. This intrigued me, and putting it together with the way I had noticed my own urge experiences, I realized most of the time there is a basic pattern an urge takes on for me. Being a very visual thinker, I began to formulate on my computer screen a picture of how my urges occur. Continue reading
September “Recovery Month” Celebrations
There are millions of Americans whose lives have been transformed through recovery. Each September, tens of thousands of prevention, treatment and recovery programs and facilities around the country celebrate National Recovery Month. They speak about the gains made by those in recovery and share their success stories with their neighbors, friends and colleagues. In doing so, everyone contributes to increased awareness and a greater understanding of addiction and recovery.
National Recovery Month, sponsored by Substance Abuse and Mental Health Administration (SAMHSA), is a national observance held every September to celebrate recovery and reinforce the positive messages Continue reading