Addictionland - Addiction Recovery Blog

Next time you're in an AA meeting, take a look around the room. Maybe there are 25 people and, with rare exception, most of them are sober, right? In fact, many are months removed from their last drink, and you've probably got a group that has decades of sobriety. Putting aside where each person may be in their own recovery, that room is irrefutable evidence that AA works, right?

OK, multiply the number of people by 20. You've got 500 alcoholics now. Can't fit them, right?  Imagine them on each others' laps, standing in the doorway, lining the hallways.  Maybe you can hear them murmuring outside in the parking lot, unable to get in the door. What you've now added is the number of people who came to AA and left after a year, according to AA's own study:

"After just one month in the Fellowship, 81% of the new members have dropped out.  After three months, 90% gave left, and 95% have discontinued attendance inside one year." (Kolenda, 2003, Golden Text Publishing)

Now look around the room at the mostly drunk, strung-out, quivering mass of humanity. Still think AA works?

Most members of the AA fellowship will tell you that AA works because it works for them.  I know this because it's precisely what I did for 10 years.  It was the newcomers' responsibility to get it, not mine to impart it.   If they stopped showing up, I got good at shrugging my shoulders and saying, "they aren't ready," or worse, "they don't want it."

"Whether such a person can quit upon a nonspiritual basis depends upon the extent to which he has already lost the power to choose whether he will drink or not."

Alcoholics Anonymous, page 34, More About Alcoholism

Of the many internal rearrangements I experienced as a result of the steps of Alcoholics Anonymous, the most profound was in how I understood the disease.  This shift was a direct result of being able to align the experience and pain of my repeated relapses with the explanation of the disease in the first 63 pages of the Alcoholics Anonymous text book (with the help of a terrific teacher).  Ideas and concepts I had held for decades about the nature of alcoholism were rendered embarassingly inaccurate.  Many of the AA sayings  I had chanted effortlessly for years (just don't pick up the first drink!) suddenly felt like codependent sloganeering.

Had you asked me several years ago what the difference was between a drinking problem and alcoholism, I would have likely responded "not much."  Try to explain it to me?  I'd have politely nodded but dismissed you as someone with way too much time on their hands.  I simply was not there-- I had double digit sobriety, a good life and the assurance that by keeping my memory green about where alcohol had taken me, I'd never drink again.  I've since learned that alcoholism is cunning and baffling; it can also masquerade as sobriety.  In retrospect, I was unaware that the very proclamations I valued as manifestations of my sobriety were really untreated alcoholism.  And it was biding its time, trying to find another way in.

But back to the point of the post-- what's the difference?  I see it this way:  the person with a drinking problem should stop, and usually can.  The person with alcoholism must stop and cannot.

"Yet we can't well content ourselves with the view that all these recovery failures were entirely the fault of the newcomers themselves. Perhaps a great many didn't receive the kind and amount of sponsorship they so sorely needed. We didn't communicate when we might have done so. So we AA's failed them. Perhaps more often than we think, we still make no contact at depth with those suffering the dilemma of no faith."

Bill Wilson, AA Grapevine, April 1961 "The Dilemma of No Faith"

Cross posted at Thump.

I stole this Nikos Kazantzakis quote from the Facebook page of a Thump fan, Robi Carlson, because I love language that challenges conceptions of spiritual power.

"The Great Spirit does not toil within the bounds of human time, place, or casualty. The Great Spirit is superior to these human questionings. It teems with many rich and wandering drives which to our shallow minds seem contradictory; but in the essence of divinity they fraternize and struggle together, faithful comrades-in-arms. The primordial Spirit branches out, overflows, struggles, fails, succeeds, trains itself. It is the Rose of the Winds."

In order to be willing to believe in a power greater than myself, I needed to set aside all of my ideas and concepts about "God."  I wiped the slate clean, even of the word "God." My conception of a higher power could not be tethered to human expression, not because I was special or intelligent, but because all language and expression carried some baggage, and I needed to be free of that.  It was the only thing that would work.  I needed to experience a power greater than myself, not define it.

Cross-posted at Thump.

On the first Monday of each month, my beginners meeting reads from Living Sober.  I'm not sure who wrote this tragic little book, but the fact that Living Sober is conference-approved AA literature is one of the great mysteries of the AA fellowship.  Put nicely, there's just very little in Living Sober that you can line up with the philosophy of Alcoholics Anonymous.  In fact, much of it runs completely counter to the Big Book.  I like to think of it as  an operators' manual for the willpower.

And last night, we found ourselves reading one of my favorites, the chapter "Using the 24 Hour Plan."  This little treatise suggests that anyone can stop drinking for 24 hours, and that sobriety is really just stringing those 24-hour successes together.   One could argue that since AA has largely become a pep rally for abstinence, "Using the 24 Hour Plan" could be our new "How It Works."

I've got nothing against keeping it simple in the early phases of sobriety.  Getting past the physical urge to drink or use drugs is arguably the hardest thing we do, and unless we're locked up somewhere, it does require willpower.  Getting clear of that craving-- that maddening itch that needs scratching-- can be helped by breaking it down into digestable time segments.  I get it.

The problem, as I see it, is that many never get past One Day At A Time.  They grind it out, the physical obsession quiets, and they feel better.  They equate that physical restoration with recovery.  The condescending term used in AA for this feeling is a "pink cloud."  "Be careful," nods the sage oldtimer, "you're on a pink cloud."  This diagnosis is rarely followed with precise direction as to what the newcomer might do to guard against the looming relapse, unless you consider "keep coming back" to be meaningful advice.

"90 meetings in 90 days" gets my vote as the saddest old saw in Alcoholics Anonymous.  Don't get me wrong-- I absolutely love AA meetings, and I did the 90 meetings in 90 days ritual a couple times. Problem was, that was the extent of my recovery, so I lived with this nagging superstitious fear that if I missed a day, I was destined to drink.  And my AA friends apparently had no desire to disabuse me of that notion.  

So where did this oft-repeated commandment come from?  You can't find it in the original AA program literature, but then again, much of what you'll hear in meetings today doesn't come from the AA program. No, like many of our modern pearls of wisdom in AA, the 90 in 90 idea comes from rehabs that felt obligated to give some direction to the freshly-detoxed alcoholics and addicts they were churning out like processed cheese.  So, in addition to a headful of slogans and a copy of Living Sober, the wide-eyed rehab graduates were instructed encouraged to get to 90 meetings in 90 days, lest they find themselves back in rehab (where, conveniently, most major credit cards are accepted).

The problem with 90 in 90 is that it implies attendance at meetings is all that's required to recover, and that could not be further from the vision of Alcoholics Anonymous.  When it is not paired with an almost immediate immersion in step work, 90 in 90 is tantamount to putting the new person on a shelf.  And it's nearly impossible to stay sober there.

To be clear, attending AA meeting is far better than not attending AA meetings, and if having a little rigid structure early in your recovery is helpful, then by all means, do 90 in 90. The real issue with the idea is one of emphasis. It's so over-used that it has become a form of temporary sponsorship, unfortunately because we're either reluctant to (or incapable of) telling the new person just how urgent their situation is and what's required to recover. Sadly, 90 in 90 provides cover for the person who lacks a message of depth and weight, who masquerades as an informed, experienced member of Alcoholics Anonymous.  

In other words, me, for over a decade.

Cross addiction or multiple addictions is a fact of life inherent within the recovering community. Many of us come to the rooms of a 12-step program or treatment facility intending to tackle our alcohol and drug problem, or perhaps our eating disorder. However, many of us realize we have other addictions to manage. Putting off the need to tackle the remaining addiction(s) has brought many of us back to our primary addiction.

We heal by remembering, literally bringing back
into the wholeness of our being
that which we have lost by hiding it
from ourselves.
Joan Borysenko

When my mother first started reading my initial manuscript for Gifts From The Child Within, she looked up at me and asked, "What do you mean in the Introduction by my being a co-dependent?" My mother, being an intelligent and well-read person, caught me by surprise with her genuine lack of knowledge about the meaning of codependence. I found myself somewhat embarrassed about the necessity to explain to my mother, what for most of my life, I saw her doing with hers.

I realized I had few words to describe to her just what being codependent meant. I tried using phases such as, "too dependent on her husband," "not caring enough about herself," and "restricting her own life because of her husband's demands." These broken sentences came easily but still did not touch on the real feelings I associated with the term codependent. Finally, I looked at her and said softly, "Mom, it just means that you cared so much for Daddy that somewhere along the way you lost yourself." She understood and accepting this definition, lowered her head to continue reading.

The surge of interest in the recovery field has led us to this nebulous issue of "codependence." Some leading experts claim we all have a codependent-self, a side of us which withdraws, avoids, and denies our true Self. Others maintain codependence is a disease or illness which requires psychological methodologies and sometimes medical intervention! To assume an illness one must demonstrate a physiological, psychological, or emotional dysfunction; therefore, to label one who nurtures and cares deeply for others codependent under this rationale would commit 99% of our female population to pathology! Only when one is nurturing others to the exclusion of themselves can the ill effects of codependency be labeled unhealthy.

One of the latest definitions of what constitutes a codependent personality comes from a group of professionals who spent several hours of deliberation to confirm:  "Co-dependency is a pattern of painful dependency on compulsive behaviors and on approval from others in an attempt to find safety, self-worth and identity. Recovery is possible." This is a good working definition; however, we must remember, codependency is an individual game played by two. We must not forget it takes two to form a codependent relationship.

Those of us who have been in and around the “recovery community” are all too aware of the prevalence of eating disorders within the recovering alcohol and drug community. The purpose of this article is to heighten awareness of both the nature and prevalence of eating disorders particular to the community of recovering alcoholics and drug addicts.

We often say the Lord's Prayer at the end of meetings.  What does it mean?

I did not appreciate the relationship between secretive/traumatizing events and my addictions until I got sober. In this vignette from my soon to be released memoir, you will read about a decision I made to keep a traumatizing event to myself.