William White describes how somewhere in the process of the professionalisation of addiction treatment in the US, treatment got disconnected from the larger more enduring process of long-term recovery.
He points out that we are recycling large numbers of people through repeated episodes of treatment. Their problems are so severe and recovery capital so low, there is little hope that brief episodes of treatment will be successful. We end up blaming them for failing to overcome their problems.
A resonating message I have picked from many people affected by serious substance use problems over the years is their desperate need for hope (that they can recover) and understanding (of how to recover).
There is a dearth of readily accessible information on how to achieve recovery, information that is also relevant to the day-to-day struggles and obstacles that people face in trying to overcome addiction and related problems. Many people do not know anyone who has recovered from addiction. Many find the treatment system to be disempowering and lacking in hope.
Why not check out my article on drug, set and setting? In this article, I describe how the effects of a drug depend on the interaction between the drug, the person (set) and the social context (setting) in which the drug is taken.
Similarly, these three factors influence both addiction and recovery from addiction. As I describe, this interaction has important implications for developing systems of care to help people recover from dug and alcohol addiction.
Please let me know what you think about It’s not just about the drug.
Here is a letter that Beth Burgess, recovery coach from Smyls, wrote in her early recovery:
“Dear Alcohol,
Well it’s been a while now, and although you are a bad influence, I do miss you sometimes. I miss our secret relationship, the way that no-one else was part of it and could never get in on it. I miss the way you comfort me when I’m down. It sometimes creeps up on me unexpectedly how much I miss you. And other times I am glad you are gone.
Of course you have changed – and I know that. You’re not fun any more. But I seem to forget that when we’re not together. I don’t know why my memory is so short and why I always remember the good times with such intensity. It hasn’t been that way for a while.
Some Stories are just straight out funny! Whilst working my way through Bill White’s writings on his website, I came across this little gem he wrote in 2004 as part of his History Corner series. The article made me laugh, so I thought I would lighten your day.
‘The most famous and controversial treatment for addiction in the 19th century was Dr. Leslie Keeley’s Bichloride of Gold Cure. Dr. Keeley franchised his cure procedures through more than 120 Keeley Institutes scattered across North American and Europe. These Institutes became the preferred drying out institutions for the rich and famous in the 1890s.
But the problem then (as today) was this: Even where there are financial resources to pay for such treatment, how can the afflicted person be convinced to enter such a treatment institution?
One of the things I will be doing with this new website is to ‘bring back’ some of the classic blogs from Wired In To Recovery – this has been much requested!
People who know me will tell you that I always keep banging on about hope. Yes, hope is essential for recovery! Here’s a real powerful blog about hope which o2b3 submitted to Wired In To Recovery back in 2010.
‘I always thought that the word hope didnʼt apply to me! From where I come from I was never shown or given any hope. I was always put down and told, “Thereʼs no hope for you. You are no good. Youʼre bad, you are a liar. You are worthless and rotten to the core.”
As some of you know, I developed the online recovery community Wired In To Recovery (WITR). I always loved it when a community member wrote their first blog on WITR, particularly when they described their lives and feelings. Sometimes, people ‘surfaced’ with just a few sentences like, “I’m Bob, I have just accessed treatment after ten years heroin addiction. I’ll be back soon and blog again.”
And sure enough, most would be back and their blogs would increase in length and number. Some people were looking for help online and they would receive comments from other community members. And they would respond to these comments.
One person who surfaced on WITR was Maddie, someone from somewhere in Australia. I started to comment on Maddie’s blogs and I then started to provide some help by e-mail. It wasn’t long before we were emailing each other regularly.
I recently read an extraordinary article by Dale Walsh written back in 1996 which really summed up what recovery and recovery principles mean to a person who has been suffering from mental health problems. I thought I would highlight some of the main points here. [The article seems to have disappeared since the original website has been modified. I’ll put up link if it resurfaces.]
The Problem
“For many years I believed in a traditional medical model. I had a disease. I was sick. I was told I was mentally ill, that I should learn to cope with my anxiety, my depression, my pain, and my panic. I never told anyone about the voices, but they were there, too. I was told I should change my expectations of myself and realize I would always have to live a very restricted life.
I’d like to welcome you to Recovery Stories, a new website that is focused on helping individuals and families recover from serious problems caused by drug and alcohol use.
We’ll not just be trying to help people directly affected by drug and alcohol addiction, but also help people whose lives have been indirectly affected by the substance use problems of a loved one. Family members and friends also need to find recovery.
One important feature of this website is that it will carry the ‘voice’ of recovering people. Solutions to serious substance use problems are manifested in the lives of millions of people who are in long-term recovery. These lived solutions can provide important insights into principles and practices that underlie recovery from addiction.
Stories of people recovering from a serious substance use problem are an important tool for understanding the processes involved in recovery, showing people with a problem that recovery is possible via a multitude of different pathways, and helping communities create empathic environments in which recovery can flourish.
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