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Daniel Linder will define the relationship model of addiction and offer expert advice regarding:
Relationship Training: Preparing for the rigors of a relationship.
Understanding basic principles, pitfalls, inherent challenges and developing the necessary relationship-building skills.
For those in all stages of recovery.
For singles.
For those in early stages of relationship, planning a future together.
For those in all stages of relationships.
For those in relationships who are struggling in their current relationships.
For helping professionals and professionals seeking relationship training. psycho-education for clinical and academic purposes: discussions, workshops, classes, CEU's that provide fresh, new perspectives about addiction, recovery and relationships.
For treatment facilities needing to incorporate Relational Recovery Training modules into their treatment and aftercare regimens.
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Diagnosing Addiction by Daniel Linder MA, MFT as featured in September, 2007 issue of Recovery Today.
When it comes to
treatment, “rule of thumb” is: The sooner addiction is detected the more
favorable the prognosis. The goal is always to intervene as early as possible.
The reasoning is simple – addiction worsens over time, related problems mount
and it becomes more entrenched and impervious to treatment.
However, more
times than not, by the time the addict enters treatment, the addiction has
progressed to middle or advanced stages, when there is already an abundance of
objective evidence pointing to an addiction; i.e. significant and irrefutable
functional impairment. In these later stages, the addict is likely to be
motivated, or at least receptive to seeking help because there is more pressure
to do so, something calamitous has brought him or her face to face with the
addiction. It’s usually an occupational, relationship, legal, financial or
health crisis that precipitates treatment.
Given that the
onset of the dependency is never immediately known to the addict, or to anyone
else for that matter, there is no way to predict who will fall prey until long
after a full-blown dependency has developed. If only there was a way to detect
the existence of a dependency, before it becomes full-blown!
Even though there
may be no irrefutable evidence, i.e. symptoms pointing to an addiction, there
are signs of its existence nevertheless. These signs, subjective in nature, are
manifestations of denial. To detect such manifestations, the clinician must
utilize his or her intuitive radar to scan for subjective manifestations such
as subtle distortions, absolutes, grandiosity, minimizations, even outright
lies during an assessment.
Assessing for
denial requires skill and ability that comes from understanding the theoretical
basis for using denial as diagnostic criteria as the intricacies of
denial.
Based on Linder’s Relationship
Model of Addiction, the ‘pathological dependence’ is a pathological
relationship, one that can be likened to a secret love affair, one
predicated on deception and secrecy. As the addict becomes increasingly
involved in this relationship, s/he becomes increasingly isolated and
disconnected from him/herself and the rest of the world. The dynamics always
operating are dependency and denial.
Denial works to protect and preserve the
dependency by eliminating all internal and external conflicts of interest. Any thought, concern, apprehension, fear, or
recognition of consequences, in short, anything that poses a threat or
deterrent to the dependency is wiped from consciousness. It includes any means
of deception, whether deliberate, or unconscious, as in self-deception. Denial
operates unconsciously; that is, the addict has no awareness that s/he is in
denial or that denial has insulated some chunks of experience from
consciousness. Denial is what makes it
possible to function without adequate emotional nourishment. The addict could
be starving to death and yet be unaware of anything out of the ordinary.
The addict doesn’t notice any changes – no
diminishment in functioning, no risk of serious consequences and exhibits
little or no concern regarding excessive and escalating behavior; that is, none
s/he would attribute to his/her use. The pain of (emotional) withdrawal is
either attributed to other causes or denied altogether. The addict’s judgment or ability to assess what is
happening accurately and realistically is severely curtailed.
The theoretical basis for using denial as diagnostic
criteria is that dependency and denial go hand in hand; one doesn’t exist
without the other. Denial is a “smoking gun.” Where there is denial, there is dependency. There would be no
defense if there were nothing to defend. Consider dependency and denial equal
and synergistic. The dependency is as strong as denial is effective. Denial
becomes increasingly sophisticated to keep up with the demands of the
developing dependency.
In order to make
the earliest possible diagnosis and therapeutic intervention, the clinician can
take a ‘subjective’ approach when conducting the initial assessment. S/he can
no longer afford to limit the scope of inquiry by relying solely on objective
signs, (as most clinicians are trained to do) i.e. substance or activity,
frequency of use, how long using, prior attempts to stop, prior treatments, functional
impairments, family history, co-morbid conditions. The clinician can also be
looking for manifestations of denial to latch on to, either to inquire or
discuss further.
This requires some
special skills training on the therapist’s part -- attunement to non-verbal
communication and being able to quickly interpret their meaning and not take
verbal communication at face value. The longer the counselor engages the
patient about his or her relationship to the source of relief and to clarify
further regarding statements s/he made, the counselor will be better able to
determine or interpret whether denial, delusion, deception or concealment of
his or her secret love affair are manifest. The clinician’s intuition or gut
sense will often signal some kind of discrepancy.
Diagnosing
addiction by interpreting manifestations of denial is an art form. Detecting
gaps in your patient’s reporting and focusing on inconsistencies in his/her
communication and perception are clinical challenges of the highest order.
Consider the addict capable of covering his tracks, misrepresenting reality, of
lying and deceiving, and doing so righteously, to the point of believing
his/her own lies. We’re talking about antenna that picks up on the most subtle
and nuanced non-verbal communication. While the addict might tend to discount
their importance, the clinician must be careful not to do the same.
We know that
medically oriented professionals tend to dismiss such subjective “symptomology”
as being open to interpretation and futile
debate, which may be valid from a purely science-based perspective. But what
has become a prevailing tunnel vision approach has left treatment professionals
vulnerable to
getting derailed by denial. We can see that an approach that relies only on physical evidence to make a diagnosis has inherent
limitations. When physical evidence is lacking, the tendency is to conclude
that there is insufficient information to make a diagnosis, and therefore,
there is nothing to treat.
In order to
understand inherent challenges and necessary skills involved in relying on
denial, the following distinctions must be made: between an objective and
subjective diagnosis and between an objective and subjective
dependency. A diagnosis based on
subjective information, i.e. manifestations of denial is a subjective diagnosis; and one based on
objective evidence is an objective
diagnosis. When there are no visible signs, yet there are (subjective)
indications of an addiction, we’ll call this a subjective dependency. Clear cut
and irrefutable indications, therefore, translates to an objective dependency. Early stage
dependency in which denial is detected will likely be a subjective dependency; and mid-later stage dependency when there are
objective indications we’ll naturally call an objective dependency.
Identifying manifestations of denial and
turning them into inquiry or discussion points can lead to the Mother Lode of
therapeutic opportunities. Dialog about what an addiction is before it
becomes problematic or observable, about the dynamics of dependency and denial
can help towards building rapport. It can help gain credibility and respect,
and can easily become the heart and soul of the therapy. You can also have the
opportunity to address denial pro-actively and cut through layers of
stigma-based shame related to being addicted. Continuing dialog could also
serve to disarm the addict subliminally and circumvent denial.
Daniel Linder is a
licensed Marriage and Family Therapist, Addiction Specialist and Relationship
Trainer in the San Francisco Bay Area; Author: Demystifying Addiction (The
Relationship Model of Addiction), Relational Recovery, just released; Intimacy, The Essence of True Love,
Online Addiction CEUs and numerous related articles.
Addition
recovery relationship blog: http://www.sober.com/blogs/relationship_recovery/ E-mail: Daniel@RelationshipVision.com
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"No Intimate Relationships During the First Year of Sobriety!" by Daniel Linder MA, MFT, as featured in March 2007 issue of Recovery Today.
Recovering
addicts hear this all the time in 12-step programs. However, this sound bit of
wisdom is rarely heeded. Many have a hard time accepting that a hiatus from intimate
relationships is necessary. In their minds, dating and new relationships seem
benign. “As long as I’m not using and
we’re not using and are in a program,
I’m safe.” Not so fast. Getting into an
intimate relationship prematurely is, as my mother would say, “Ill-conceived,
ill-advised and ill-consummated.”
Odds
are more than fifty percent of marriages will end in divorce for the general
population. Want to venture a guess as to the odds for those in early recovery
who test this cardinal rule?
Despite
one’s best laid plans or intentions to not re-enact the same dysfunction and
failures of previous relationships, the odds are overwhelmingly against the
relationship -- doomed to be dysfunctional or have a shortened life expectancy.
Of
course, there are always exceptions to the rule, but assuming that we would not
want our emotional and mental well-being to hinge on a miracle, is it worth the
risk? But this is not what the recovering addict is thinking about. When it
comes to delaying gratification, when it comes to ‘choosing’ between ‘one step
at a time’ versus ‘all at once,’ thinking in terms of gradual and taking time
to develop and being objective and realistic are not how addicts are wired.
There is no point of reference. Most recovering addicts don’t realize that
admitting to being out of control and surrendering to their powerlessness, as
having done so in Steps I and II, also apply to their emotions when dating and
in early stage relationships.
The
problem is not the relationship or the intimacy. It’s the sex. Sex tends to
increase one’s level of emotional involvement and intensity of feelings,
especially for women. Men tend to cope by splitting off from their feelings;
that is, are more likely to engage in sexual relationships while remaining emotionally
divorced or superficial. Sex is a trigger for emotional over-involvement or
under-involvement relative to the stage of relationship. Either way, each one’s
inability to manage his/her own emotional needs and provide self-nourishment
will eventually jeopardize the developing relationship.
What
often happens is that sex, exciting enough as it is, often leads to an infusion
of romantic feelings, which can further heighten the excitement, which then
awakens the “sleeping giant” -- the backlog of unmet emotional needs from
previous relationships. The “giant” awakens (emotionally) ravenous and is not
aware of the extent his/her hunger drives the relationship. Our unmet emotional
needs reside in our unconscious and are sealed off from our awareness.
It’s
during the first year of recovery that the addict is to learn how to break the
cycle of addiction. A year of sobriety and ‘relationship abstinence’ are meant
to allow a sufficient amount of time to deal with one’s own emotions without
having to resort to his/her addiction, to build self-awareness and to become
responsible for one’s own emotional care. Rather than relying on an external
source for relief or emotional gain, which is what s/he is accustomed to do,
s/he begins to look internally, to rely on oneself as a source of emotional
nourishment.
“The
most important relationship is with oneself” poses a complete paradigm shift to
the recovering addict. If the necessary amount of time to grow the relationship
with oneself hasn’t lapsed, chances are the recovering addict will do what
they’ve been accustomed to do all of their lives; that is to look outside of
oneself for relief or to make up for what is missing emotionally.
When
unmet emotional needs begin to get played out in the relationship, the relationship
can become an addictive or dysfunctional one, which further perpetuates the
cycle of addiction. There may be excitement and hope at the beginning, but it’s
only be a matter of time before increasing strife, stress and dysfunction lead
to the relationship’s demise. An additional factor of concern is that
dysfunctional and failed relationships dramatically increase the risk of
relapse.
At
the 5 month point of a sustained period of ‘relationship abstinence,’ Linda, a
recovering alcoholic, proceeded to date a man, Jack, whom she met at a 12-Step
meeting. Jack had been sober 10 years.
After
approximately 5 dates during 3 weeks of dating him, the “writing was on the
wall.” Linda had sex with him on the third date, which felt like quite an
accomplishment that she was able to wait “so long.” When I asked her to assess
the level of her emotional involvement, she thought about it awhile before
saying in a tone of wonderment, “Not too much I hope. Noticed myself checking
my phone messages more frequently than usual. That’s all.” She was referring
his anticipated return from being out of town for several days. She didn’t want
to fret about whether he would call her upon his return, but she did. She
didn’t want to end up calling him before he called her, but she just couldn’t
wait.
There
were other indications of emotional over-involvement. When Linda talked about
how she reacted when a couple of overtures she had made to him, i.e. expressing
a desire to celebrate his birthday together and a dinner invitation, he
suggested they “play it by ear,” she noticed herself getting angry and
responding sarcastically to him.
It
was apparent that Linda was looking for assurances that he is still interested.
When his assurances weren’t forthcoming, she reacted as if he wasn’t being
truthful, that he really wasn’t interested in her or the relationship, which
wasn’t the case. He might have been taken aback by the edge in her voice. Linda
couldn’t see that she was reacting from wounds of past relationships, from a place
of insecurity, and the extent her mental and emotional well being hinged on how
he responded to her.
The
challenge for Linda remains the same as for any other recovering addict; taking
the time -- how ever long the process of self-reclamation takes, before
entering into a sexually, intimate relationship.
“No intimate relationships during the
first year of sobriety” is merely a reminder that it takes a year or so of
rigorous participation in a program that is sobriety and self-based before one is emotionally ready to get sexually
involved. If entering into such a relationship prematurely, the recovering
person, and anyone else for that matter, runs the risk of unresolved dependency
issues tainting the newly developing relationship. Thank
you for your email..... Several inquiries have been made to me
regarding the above article: Below is an example of one such email and
my response. Daniel Dear Mr. Linder,
I was given your article to read regarding, "No intimate relationships during the
first year of sobriety." My partner of 3 1/2 years was given this by
his therapist and asked that I read it. During the past 7 months my
partner has been told not to make any changes in our relationship. Now
he is given this article. My question is this... After sharing this
with four different psychologists, (2 that specialize in substance
abuse, and 2 that do not, 2 men, 2 women,) all were a little confused.
Ours is not a new relationship. And following this would require a
major change in our relationship, which his therapist has consistently
said not to.
Would
it be possible for you to just provide me with some insight (my partner
and I have a strong, loving, relationship) as to what a couple is to do
in this situation?
Thank you for your time and help with this. I eagerly await your answer.
Daniel's Response....
First
off, the recent spat of similar inquiries made me realize that I didn't
specify the audience I was addressing by, "No Intimate Relationships
During the First Year of Recovery." My alert was directed towards those
in early recovery who are single, not currently in a relationship, and
whose primary focus and goal is to develop coping skills to live a
sober life, learn to handle emotions, and most importantly strengthen
the relationship with oneself without the distraction of a sexually
intimate relationship. I realize that given you are already in a
sexually active 3 1/2 year relationship, one you consider to be strong
and loving, you're wondering how such a dictum might apply to your
situation. Certainly I don't mean for you and your partner to suddenly
become celibate. The point is to clarify the challenges during first
year of recovery so that you both can align your priorities and purpose
accordingly. The key is for the recovering person to do the necessary
self-work, which will pay huge dividends by improving the chances that
one creates solid, emotionally and sexually intimate, nourishing and
lasting relationships. As you may already know, relationship
dysfunction and problems are the most common cause of relapse. Also
understand that a basic implication of any addiction is that addiction
is a primary relationship (with a source of relief, be it with
substances, gambling, porn, or sex), and that this relationship is
overpowering and supersedes
all other relationships. Until recovery, all other relationships may
compete with the addiction, only to lose every time. In other words,
you can look forward to developing a new and qualitatively different
relationship with your partner, which will continue to improve over
time. However, rule of thumb is that it takes a year or so of steady
adherence to a program that enables the recovering addict to transition
from dependence on a source of relief to reliance on oneself, and one
in which the recovering person develops much needed relationship
building skills. The quality of any relationship depends largely on the
quality of the relationship the two people have with themselves. Feel
free to continue this dialog with questions or comments. Daniel Linder MFT is a licensed
psychotherapist in the San Francisco Bay Area, Relationship Trainer, Addiction
Specialist; Author: Demystifying
Addiction, Relationship Recovery
and numerous related articles; and to be released April 1, 07, Intimacy, The Essence of True Love.
CEU’s: Relational Recovery Training (8 CEU’s), The Relational Model
of Addiction (6 CEU’s), Stigma, The Game of Appearances (3 CEU’s), Diagnosing
Addiction and Mastering Intervention (2 CEU’s each).
Website: http://www.RelationshipVision.com Email: Daniel@RelationshipVision.com Addiction, Recovery and Relationships Blog: http://www.sober.com/blogs/relationship_recovery/
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From an anonymous author: Isn't your Relationship Model of Addiction just a summary for codependency? A relationship model of
addiction seems to put under the microscope the various relationships of
subject and source ... subject and subject, for example, addict and gambling,
addict to addict. Isn't all human behavior based on a relationship model? I
suppose it is interesting that this can be seen as new news, but I thought that
this was how things were all along.
For instance, I used to be a musician. I would talk with people, when asked,
about the multiple relationships that were taking place during a song. There
was a relationship between me and in the instrument, me and the group I worked
with, and a relationship happening between our instruments communicating (in
key, on time, etc), and then of course, a relationship with the song, which had
a need to be fulfilled; it had to unravel in melody, harmony and time.
If I read this all correctly, I am seeing the relationship model as terribly
similar ... we are just looking at every aspect of who we were when active.
You can tell me if I read this all wrong ... but these were the first things
that came to mind when checking out this post. Response from Daniel... Thank you for your thoughtful question. Sure everything and everyone exists
in relationship to everything and everyone else. However, by interpreting The
Relationship Model of Addiction in these most general terms, you’re stripping
away its intended meaning and purpose and are losing sight of its context. The
Relationship Model is intended to pick up where the Disease concept leaves off
and in so doing, expand our understanding of addiction, recovery and treatment.
The emphasis on ‘relationship’ is merely to humanize the phenomenon of
addiction and no longer be limited by a strictly medical orientation and
terminology. I want to highlight key points. The specific relationship referred
to in The Relationship Model of Addiction is the relationship with a source of
relief, i.e. a mind/mood altering substance, gambling, porn or sex, which can
be likened to a secret love affair -- a relationship that becomes overpowering
and all-consuming, characterized by a high level of excitement, heavy emotional
involvement, secrecy, deception and denial. As I expound on in the article in
Recovery Today, “pathological dependence” implies a relationship predetermined
due to genetic or bio-chemical factors, but it is a relationship in which there
are significant mental, emotional and psychological dynamics operating,
dynamics previously ignored or rendered irrelevant by the medical
establishment. It’s a relationship that often begins at the point of discovery
and continues to develop from that point on, and does so while remaining
insulated from the addict’s awareness. As you read further, The Relationship Model
also accounts for etiology or cause in ways never touched upon or clarified by
the Disease Concept. The ‘relief’ that the ‘relationship with a source of
relief’ provides is from pain or frustration related to unmet emotional needs.
This pain from unmet emotional needs is the driving force underlying the
addiction. When it comes to etiology, we may presume that there is a residue of
pain resulting from of a history of dysfunctional, non-emotionally nourishing
family of origin relationships as well as current ones.
As we shift our attention to recovery and treatment, The Relationship Model
of Addiction again has far-reaching implications because we’re honing in on the
transition from unhealthy, non-emotionally nourishing relationships to healthy
ones, a transition that must take place in order to ensure and sustain a
quality recovery, as well, in order for treatment to be effective. If you can
accept the theoretical framework that accounts for the etiology of addiction,
i.e. addiction is based on the need to relieve pent-up pain from unmet
emotional needs sourced from non-emotionally nourishing relationships; it’s not
that great of a leap to then recognize that the ability to create emotionally
nourishing relationships is a primary objective in recovery and treatment. My
Relational Recovery, Empowering the Transformation of Relationships book details
basic principles, pitfalls, challenges, making gaining the understanding and
skills necessary for creating intimate relationships possible.
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from an anonymous author:
I appreciate your efforts in writing about this subject, I find it
fascinating.
You mentioned, "The ‘relief’ that the ‘relationship with a source of
relief’ provides is from pain or frustration related to unmet emotional
needs." This is interesting to wrap my mind around because I know of a few
people, including myself, who struggled in their relationships with a notion of
a Higher Power or a G-d. They are recovering devout people :) I say that
partially joking, but many of us had a very dysfunctional relationship with
G-d, and ultimately acted out in other addictions to numb that discomfort.
I think the ultimate relationship many people need to learn how to have is
the one with themselves -- and in learning to do that by way of program,
treatment and counseling, all arrows point up to some invisible all mighty;
some might find that an obstacle or Catch-22.
With a real nourishing relationship with another person or one's self, we
seem to be driven toward a level of intimacy we did not know before. One wise
person I know said 'intimacy' meant: look "into me and see." &
intimacy requires a great deal of trust; and trust is not easily awarded or
deserved for a lot of people. So, I find that people feel less-than, and often
undeserving of intimacy where a partner can actually look into them and see them
for who they are in the here and now ... so they remain closed down in this
area. For some people I know, this is where porn seems to come in; they see
porn providing a whole lot less rejection when dealing with a picture or a
movie. (But it recycles the pain because the pain is never dealt with or
experienced).
I think you understand this all a great deal better than me (thankfully),
and I agree that there are tremendous pent-up pains residing in a lot of us due
to unmet emotional needs -- and that for many of us, we numbed (or sought
relief) from unemotional non-nourishing sources -- and then we happened to get
addicted to that stuff.
So, if a person has arrested their addiction today and has gravitated toward
an intimate relationship with G-d and/or another human being, why will mere
acknowledgment of a Relationship Model of Recovery help bring about trust,
self-esteem (we deserve), or even respect in a relationship? Wouldn't this
Model of Recovery make relationships with anyone NOT in recovery at this level
intensely impossible?
Sometimes I feel self-awareness isolates me from civilians. I work not to
judge people, but I see red flags quicker than ever before, and now with the
gift of making choices, I would rather be alone than deal with someone who is
hardly self-actualized. Do you find that this is a barrier or an obstacle among
other people? I really appreciate this exchange -- thanks for sharing all this stuff. Response from Daniel...
"Like a bridge over troubled waters…" Paul Simon
You raise several important issues.
I believe that there is a stage of recovery when recovering people must come
to terms with some limitations and implications embedded in the 12-Step program
and philosophy that pose challenges to their continued growth. At some point,
the ‘externalization’ of the higher power comes back to haunt them – the
consensus that the higher power is the ultimate source or authority, and exists
outside of oneself.
It seems, today more than ever, within the Anonymous constituency, an
ever-increasing number people are expressing disenchantment or wonderment about
their relationship with their higher power. The higher power, what is it? Many
are feeling like they’re up against a wall, and are realizing, as you yourself
had stated above, that their relationship with a higher power or the higher
power has become dysfunctional, that they’re (still) emotionally starved, that
take them back to the days of their addiction, and puts them at risk of
relapse. Many are wondering why they’re left feeling bad about themselves for
becoming addicted of being addicted, that there is something deeply wrong
inside their core. Their higher power equates to losing touch with themselves,
as if their selves have brought them nothing but destruction. They have learned
to not take credit for anything and bestow the responsibility for everything
good that happens to God. As a result, many are losing faith. This stage can be
many years into recovery and any number of relapses later.
Something must have gotten lost along the way. In the earliest stages of
recovery, some call abstinence or sustained abstinence, we realize that it was
our will or lack of will that wrecked havoc on our lives…and that we are
powerless, our lives unmanageable, and only a “power greater than ourselves can
restore us to sanity.” In the beginning of recovery, total surrender is
both necessary and comforting, as it lightens the burden of shame and
demoralization from having lost control and the many humiliating consequences.
It’s blind faith that gets us out of the gate. Initially we stop blaming
ourselves.
At what point can we begin to take some credit for what we had accomplished?
At what point do we begin to focus on ourselves as a source and authority? When
do our relationships take center stage? When will the relationship we have with
ourselves be restored? When you say, “I think the ultimate relationship many
people need to learn how to have is the one with themselves -- learning to do
that by way of program, treatment and counseling, I thought it was me talking.
It has been a basic premise or theme running through my work as I emphasize the
primary relationship, i.e. the one we have with ourselves, as well, developing
relationship-building skills. Yes, when all arrows point up to some invisible
all mighty; many will find the prevailing interpretations and applications of
the higher powers to be a Catch-22.
When one establishes or restores the relationship with oneself, intimacy
becomes possible. The profound treatment implications of The Relationship Model
of Addiction come from the premise upon which it is based; that intimacy is a
basic human need, and when intimacy or understanding are achieved, emotional
needs are actually getting met as opposed leaving one starved and desperate for
relief, that they are life and self-sustaining. There is something missing if
recovery and one’s program serves to perpetuate the sense of isolation and
disconnection. Intimate relationships and understanding and the process of
co-creation are key missing ingredients. You seem to understand that before you
have a relationship characterized by respect, trust, acceptance and deep
knowing or understanding with someone else, we must first develop such a relationship
with oneself. Before you can love someone else, you must love yourself.
You seem to see that the addictive potential of pornography comes from the
temporary and artificial relief derived from the relationship that develops
with an imaginary other. It’s only in fantasy to be in a relationship in which
you will never be rejected or abandoned and the (imaginary) other is everything
you wish him or her to be, until, of course, reality comes crashing down.
Relating, let alone being truly intimate with another human being quickly
becomes an unbearable, if not, impossible proposition. While the relationship
with pornographic images may provide excitement and escape, in the end, the
addict is left emptier and hungrier than ever.
Just thinking about The Relationship Model of Addiction doesn’t necessarily
“bring about trust, self-esteem and respect.” It doesn’t matter whether you
think about the model or not, the idea is focus on yourself and the
relationships you are creating. The idea is also to heighten your awareness of
your hunger for connection, your longing for love, your hunger for intimacy. If
that translates to you suddenly being able to create depth and rapport in your
relationships, then see for yourselves, the difference between groveling for crumbs
to survive and the replenishment that intimacy brings. I refer to the “sacred
space of co-creation” as when two separate, self-realized people come together,
united in purpose, exploring and exposing themselves, enraptured in deep
understanding. Intimacy as a life force is, in itself, life-sustaining,
inspiring, the closest thing to a natural rush as you could get. But the
relationship goes beyond the rush, beyond sexual excitement and attraction,
beyond unmet emotional needs; the relationship is a swirling energy, a whole
other entity, like fire igniting when a match strikes a flint. It’s food our
beings need to thrive. Living with a sense of purpose is what The Relationship
Model of Addiction is about, and your purpose becoming a more powerful force than
your need for relief. Later stages of recovery are when you’re most likely to
embark on that long journey home. The next relationship is the one that develops
when you and ‘the higher’ come together.
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As featured in the June, 2007 issue of
Recovery Today
In
inherent limitation of the medical model is ignoring the fact that
‘pathological dependence’ implies that a relationship, one that is emotional
and psychological in nature, has formed with the substance or activity (i.e.
gambling, porn, etc.) The ‘pathological dependency’ is a pathological
relationship, one in which there is continuous and increasing emotional
involvement. The relationship with a source of relief that
serves primarily to provide relief from emotional pain or frustration by
bringing on a rush or high, pleasure, excitement or as an escape, i.e. use of
mind/mood altering substances, gambling, pornography, sex.
Etiology
& Pre-disposing Conditions
The etiology of addiction may be accounted for as
being the result of non-emotionally nourishing relationships. The Relationship
Model of Addiction is based on the premise that a relationship with a source of
relief is driven by the need to relieve pain from unmet emotional needs. Emotionally based pain comes from unmet
emotional needs, and leaves one in a dysphoric state thirsting for euphoria, or
the most easily accessible, effective means of relief possible.
What happens when we’re deprived of emotional
nourishment? When we are unloved, don’t receive the affection, attention, acknowledgment and appreciation we require? When we don’t feel heard and
understood? When we don’t feel like we belong, or are special in anyway? When
we don’t feel connected to someone? There is a build-up of hunger, shame and
emptiness and the need to relieve this pain takes over. At some point,
desperation sets in. One way or another, we’ll find relief. We’ll either find
external sources of relief in the form of substances, activities or other
relationships, and rely on tried and proven defense mechanisms at our disposal
in the form of denial, delusion and deception.
The Relationship Model of Addiction establishes a
new standard for understanding and treating addiction. It expands the disease
concept by re-defining addiction as a relationship. The model accounts for the
cause of addiction as related to the preponderance of non-emotionally
nourishing relationships, unmet emotional needs, the resultant pain and need to
relieve that pain. It identifies pre-disposing conditions as a backlog of pain,
general state of dysphoria that goes beyond past and current relationships and
includes the much larger social context. We know that despite the fact that
this pain is subjective in nature, it is no less real or consequential that
physical pain. Therefore we may assume that the greater the emotional
deprivation, the greater the pain, the greater the need to relieve that pain
and the more susceptible one is to becoming addicted.
The Relationship Model brings forth
phenomenological or experiential, humanistic and existential perspectives;
sheds light on the psychological dynamics of addiction; and holds profound
treatment implications. We know that recovering addicts must eventually make
the transition from “pathologically” dependent relationships based on the need
for relief to sober healthy, intimate, emotionally nourishing relationships.
Regardless of one’s experience in past and current relationships, learning some
basic principles, pitfalls, challenges and skills, can be an empowering turning
point and unleash one’s creative potential. ----------------------------------------------------------------------------------------------------------------- Daniel - A lot of what you're saying rings true to me. I know that when I
was getting sober the big AHA! moment came when I realized that continued
success wasn't about maintaining a negative relationship with alcohol, but
starting to develop and deepen a positive relationship with life. And
that's played out in my coaching career as well - when I can get clients to
focus on being in a relationship with themselves and with life they tend to
sustain growth and progress. Thank you for your insight.
StephenC
Daniel Linder is a licensed Marriage and Family Therapist, Addiction
Specialist and Relationship Trainer in the San Francisco Bay Area. Author: Demystifying Addiction (The Relationship Model of Addiction) Relational Recovery, just released: Intimacy,
The Essence of True Love, and numerous related articles.
Addiction,
Recovery, Relationship Blog: http://www.sober.com/blogs/relationship_recovery/
To order
Books: http://www.relationshipvision.com/books.html
E-mail: Daniel@RelationshipVision.com
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