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Alcohol/Substance or Drug Addiction-Appropriate Help or Treatments Identified by these and other politically incorrect, but truthful, perspectives:

   
 
  • "First and foremost, appropriate, apt to be truly effective help with persistent unhealthy drug (includes alcohol) use deals with its root cause. For instance, no one inhales enough foul-smelling smoke from cigarettes to do lasting harm to himself while risking the health or happiness of everyone who depends on him unless he is addicted to the drug, nicotine. Substance addiction is the root cause of chronic and binge cigarette smoking."                   RTL
  • A treatment for substance addiction or dependence is judged to be appropriate when found to be effective in "non-study" or "real world" environments. Little if any help is gained when a drug treatment only works when studied formally in clinical trials.
  • A substance addiction-appropriate treatment includes when needed help to avoid "addiction symptom substitution." There is insufficient real benefit when substance-addicted people substitute or replace with another way to ingest the same drug or with another addicting drug or some other harmful behavior.
  • A treatment facilitates needed changes in the honestly-believed but inaccurate ideas or attitudes of substance-dependent individuals along with healthier environmental supports that enhance and sustain the all-important motivation to become and remain clean and sober.
  • Total and permanent non use of the addicting substance (sobriety) is the essential intended outcome to be gained from whatever is done to help.
  • Rather than failing, returning to unhealthy drug use is seen as an opportunity for the substance-addicted person to learn that what was done to stop doesn't address the root cause or that he or she is truly dependent. Abstinence is much of the answer and that returning to consciously controlled use of something that abused him and threatened all he loves is not doable or desirable.
  • Success dealing with addiction takes more than surface acceptance of its presence. Alcohol and other drug-addicted human beings benefit from assistance that is enlightening and respectful to enable their soon and repeated acknowledgment that they are addicted and so consciously-controlled use is and will remain beyond them.
  • The health care professional who offers help has and maintains the belief that while there are various contributors the essential, pivotal, root cause of the unhealthy behavior is addiction, dependence. The addicting substance rather than its usual source or delivery method is the deciding health and life-risking factor.
  • While a cure isn't possible, something even better is available. Those who are substance-dependent can learn about and achieve recovery: a lifelong process that enables healthier, happier, more productive living and the influences that support relapse avoidance.
  • A substance addiction-appropriate treatment views the ingestion of the substance as beyond lasting conscious control and choice. Unhealthy or risky drug use neither shows nor suggests something missing or personal such as weakness or immorality. Consequently, it is inappropriate to use negative judgement, criticism or punishment as a means to help achieve and maintain sobriety.
  • The right to choose using a drug that addicts, example, 'smokers' rights,' is a deadly illusion that confuses unhealthy physical need, compulsion to use and ego-defensive health risk denial with choice.
  • It is human and so to be expected that there are psychological defenses, such as and primarily risk denial, that are intended to provide protection from further perceived attacks on self-esteem and excuse continued drug/alcohol use.
  • Substance addiction does not exist independent of other concerns. Help may be needed to avoid or overcome significant social and environmental threats to recovery. While threatened personal health or already existing health problems may be the primary obvious focus of what's done to help, there are other problems to be addressed and avoided to maintain sobriety. Those include legal, relationship, economic, and more.
  • The unintentionally self-initiated, acquired physical need for the drug - primarily experienced early on and as craving - is addressed in ways that are safe and likely to help maintain sobriety.
  • So-called "hitting bottom" is too risky and not required to have and maintain what is needed for drug-use behavior cessation and recovery.

END

 

    Richard Terry Lovelace, Ph.D., MSW (Master of Social Work) is in clinical practice with Winston Clinical Associates - 336-722-7300 - Winston-Salem, North Carolina USA

    Dr. Lovelace is mostly retired from clinical practice and no longer sees new patients who need more than one or two sessions. Now devoted primarily to this not-for-money public health service . . . he rarely writes for others. Those publishers included John Wiley & Sons, McGraw-Hill, Self (magazine), Clinical Laboratory Management Association, Counselor Magazine for Addiction Professionals and Business Life magazine.

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Copyright 2007, Richard Terry Lovelace. All Rights Reserved. You have permission to reproduce this and other materials available on this website for your personal and non-commercial purposes. All copies should include a copyright statement. Link to Laurel O. Boyles, P.A., Attorney and Counselor at Law.