The Culture of Addiction: Part 1

This is the first of two blog posts on the culture of addiction that I first uploaded to the website back in 2013. They are strongly based on the seminal writings of William (Bill) White, in particular from his stimulating book Pathways from the Culture of Addiction to the Culture of Recovery. In this book, Bill provides key insights into how we can help people move cultures—essential in their journey along the path to recovery.

‘Culture’ generally refers to patterns of human activity and the symbolic structures that give such activities significance and importance. Wikipedia

Drug users often seek out and build relationships with other people whose drug use is similar to their own. They become part of small groups within which they can nurture the rituals of drug use. These groups interact with other drug-using groups, ultimately forming a broader network of users who share common goals and attributes. These social networks constitute a fully organised culture, one that has an existence and power that transcends individual membership.

In his book, Bill White emphasises the importance of understanding the culture of addiction. He emphasises that many addicts find it easier to break their physiological relationship with the drug than to break their relationship with the culture in which they use the drug. Clearly, one needs to understand how to move someone from the culture of addiction to the culture of recovery.

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Factors that Facilitate Recovery (Short Version, 2013)

The importance of these factors has been demonstrated by listening to the narratives of recovering people about their journeys into and out of addiction (1,116 words). *

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Recovery, Reintegration, and Anti-Discrimination: Julian Buchanan

Key research highlighting the social exclusion that dependent drug users experience, and the difficulties they face in trying to reintegrate. Julian Buchanan describes a model for integrating problematic drug users back into mainstream society. (2,756 words)

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Untangling the Elements Involved in Addiction Treatment

Our research focused on interviews of people in a prison treatment programme revealed insights into the elements that operate in the treatment process, and how they interact to facilitate recovery from addiction. (3,892 words) *

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Michael’s Recovery Story: ‘The Power of Empathy and Compassion’

Michael followed both his parents into a life of dependent drinking, but he will be 45 years sober on 10 April 2023. He describes his recovery journey, his work as a drug and alcohol counsellor, and his part-time role in ‘retirement’. (7,316 words)

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‘Tackling Problem Drug Use: A New Conceptual Framework’ by Julian Buchanan, Part 1

My apologies for not posting for a while on the website, but I have been busy writing a new book… and also feeling a little burnt out. Anyway, I want to mention a 2004 paper by Julian Buchanan that I came across last week, which describes his important research with problematic drugs users and a ‘new conceptual framework for practice that incorporates and promotes an understanding of the social nature and context of long term drug dependence.’

Julian’s paper is based on his twenty years of research and practice with dependent drug users in Liverpool, England. It draws upon three separate qualitative research studies that involved semi-structured interviews with 200 problem drug users. The studies sought to ascertain the views, suggestions and experiences of drug users in respect of what was helping or hindering them from giving up a drug-dominated lifestyle.

The paper highlights ‘the debilitating nature of marginalisation and social exclusion that many long term problem drug users have experienced. It concludes by suggesting a new social model to understand and conceptualise the process of recovery from drug dependence, one that incorporates social reintegration, anti-discrimination and traditional social work values.’

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An Illustration of the Manner in Which Factors Facilitating Recovery Interact

This blog post is taken from part of a chapter in my recent eBook Our Recovery Stories: Journeys from Drug and Alcohol Addiction.

Research I conducted with Lucie James back in 2008 provided important insights into factors that facilitate behavioural change and a person’s path to recovery from addiction. This study involved a qualitative analysis of the views and experiences of clients on the RAPt treatment programme [1] in one male and one female prison. 

Transcripts of the semi-structured interviews with 15 males and 15 females were analysed with Grounded Theory in order to reveal identified concepts and themes. Four inter-related themes were derived from the analysis that were labelled: ‘Belonging’, ‘Socialisation’, ‘Learning’, and ‘Support’. Each of these themes impacted on a fifth theme, ‘Personal Change’, which had two key components, motivation to change and self-esteem.

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Factors Facilitating Recovery: Overcoming Stigma

This is eighth post in this particular Series, which comes from my book Our Recovery Stories: Journeys from Drug and Alcohol AddictionIt ties in nicely with a previous blog, Nothing to mourn; just a drug addict, by Dr David McCartney.

Stigma can be defined as social disapproval of personal characteristics, actions or beliefs that go against the cultural norm. It can occur at a variety of levels in society, i.e. individuals, groups, organisations and systems. A person can be labelled by their problem (e.g. addiction to drugs and/or alcohol) and they are no longer seen as an individual, but as part of a stereotyped group, e.g. a junkie, alkie, etc. Negative attitudes and beliefs toward this group create prejudice which leads to negative actions and discrimination. 

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Factors Facilitating Recovery: A Sense of Belonging

I’ve emphasised the importance of hope, empowerment and self-responsibility in facilitating recovery. The fourth important factor is gaining a sense of belonging. Here is what I wrote in my new eBook Our Recovery Stories: Journeys from Drug and Alcohol Addiction.

“Recovery cannot be achieved in isolation. In fact, many people with serious substance problems have become isolated and alienated and this has a further debilitating effect on their already vulnerable psychological state. People who have had such problems need to belong and feel part of something. They need to feel the acceptance, care and love of other people, and to be considered a person of value and worth.

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‘Life is hope’ by Afiomai

81691_orig_970_0-1I found this very moving blog from Afiomai on the new ABC Open website here in Australia. Afiomai is a transgender person living in Sydney and is currently considered long-term unemployed. Afiomai took part in ABC Open’s Speak Your Mind project

‘Sometimes I think about suicide.

I think about the “painless” ways I could do it. How I would obtain the required drugs or chemicals to bring me “sleep”. But, as an Average Jo, drugs and the drug world are beyond me.

I then think about maybe “guns” or “gas” as viable options?

But, as I live in Sydney’s Surry Hills and not Skid Row USA, I wouldn’t know the first thing about obtaining a gun, or even how to use it. And besides, it would be too messy.

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My Favourite Blogs: Untangling the elements involved in treatment

Unknown-4Here’s a summary of a piece of research that Lucie James and I conducted some years ago. I am very proud of this piece of work and it certainly opened my eyes to the importance of gaining a sense of belonging in the recovery journey.
   
‘To understand how treatment helps people overcome substance use problems, it is essential to understand the elements that operate in the treatment process, and how they might interact to facilitate behavioural change and a person’s path to recovery from addiction.

Lucie James and I set out to gain initial insights into these issues by using a qualitative analysis of the views and experiences of clients on the RAPt treatment programme in one male and one female prison in the UK.

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‘Could you ever ‘thank’ your addiction?’ by Matt Kay

59ff221d-8797-41dc-a4cc-0aaac463be8e-620x372Been a while since we had a Matt Kay blog from my old website Wired In To Recovery. So here goes:

‘Is this concept as far fetched as some of you may be thinking? How on earth can I ‘thank’ my addiction and how does it deserve a ‘thank you’.  Bear with me here for a minute and let that thought mull around in your head while I tell you why I am asking it.

I asked this question a while back to some fellow recoverees with what could only be described as ‘mixed reactions’ and no-one seemed to grasp what I was aiming at. As we all know, anyone who has lived through active addiction will know that there isn’t anything positive that it brings.

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Recovery Stories Highlight: Untangling the elements involved in treatment

Unknown-4Here’s a summary of a piece of research that Lucie James and I conducted some years ago. I am very proud of this piece of work and it certainly opened my eyes to the importance of gaining a sense of belonging in the recovery journey.   

‘To understand how treatment helps people overcome substance use problems, it is essential to understand the elements that operate in the treatment process, and how they might interact to facilitate behavioural change and a person’s path to recovery from addiction.

Lucie James and I set out to gain initial insights into these issues by using a qualitative analysis of the views and experiences of clients on the RAPt treatment programme in one male and one female prison in the UK.

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What works in treatment?: Michael’s Story

rsz_img_1525Treatment for addiction involves a number of different processes. What are the most important? Who better to tell us than the people who have used treatment to help them recover from addiction. 

During the next week, we’ll look at the views of some of those people who have so kindly given us insights into their lives through their Recovery Story.  We’ll start with my close friend Michael from Perth. Let’s look at some of his experiences from the moment he decided to stop drinking over 35 years ago and his views on treatment. 

‘I made the decision to stop drinking on April 10th, 1978, three years after my parents had died. My last drinking session took place at the Shenton Park Hotel. I finished my last drink and slammed the glass down, saying to myself that this was it! “No more drinking!” I have not had a drop of alcohol since then.

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The culture of addiction: Part 1

384985_10150365241281765_1866835833_nThis is the first of two blogs on the culture of addiction. I will later look at the culture of recovery, and after that consider how we can help people move from the culture of addiction to the culture of recovery.

These articles are based on the seminal writings of William L White, in particular from his book Pathways from the Culture of Addiction to the Culture of Recovery. In this book, Bill provides key insights into how we can help people move cultures – essential in their journey along the path to recovery.

‘Culture’ generally refers to patterns of human activity and the symbolic structures that give such activities significance and importance. Wikipedia

Read More ➔

Untangling the elements involved in treatment

P4061087Here’s a summary of a piece of research that Lucie James and I conducted some years ago. I am very proud of this piece of work and it certainly opened my eyes to the importance of gaining a sense of belonging in the recovery journey.   

‘To understand how treatment helps people overcome substance use problems, it is essential to understand the elements that operate in the treatment process, and how they might interact to facilitate behavioural change and a person’s path to recovery from addiction.

Lucie James and I set out to gain initial insights into these issues by using a qualitative analysis of the views and experiences of clients on the RAPt treatment programme in one male and one female prison in the UK.

Read More ➔