Drug dependence and alcoholism have high profiles these days, with more crimes being committed under the influence, and often to finance a habit.
It is estimated that 50 million people worldwide use some form of drug regularly, whilst 1 person in every 13 are alcohol dependent in UK alone.
There are also many people in recovery, and many different treatment approaches – 12 step and non-12 step methods, and alternative therapies.
What causes some people to become addicts and not others is a popular topic for debate, with a variety of opposing viewpoints:
‘Whether a person is genetically or bio-chemically predisposed to addiction or alcoholism is a controversy that has been debated for years within the scientific community. One school of thought advocates the Disease Concept, which embraces the notion that addiction is an inherited disease, and that the individual is permanently ill at a genetic level, even with those experiencing long periods of sobriety.
Another philosophy argues that addiction is a dual problem consisting of a physical and mental dependency on chemicals, compounded by a pre-existing mental disorder (i.e. clinical depression, bipolar disorder, or some other mental illness), and that the mental disorder needs to be treated first as the primary cause of the addiction. This treatment philosophy is commonly referred to as Dual Diagnosis. A third philosophy subscribes to the idea that chemical dependency leads to "chemical imbalances" in the neurological system, which would be a substance induced imbalance.’
How people are introduced to drugs and alcohol, resulting in their addiction or dependence, is fairly well documented. For some, the dependence begins through experimentation, often at social events, with recreational drugs or alcohol.
However, a small percentage of these individuals have an underlying emotional need for a buffer between their conscious minds and the reality of their lives, and drugs or alcohol can provide an escape into an altered state of consciousness for them, relieving the pain and/or anxiety they have had to endure.
It is true to say that many addicts and alcoholics wish desperately to beat their habits, and often try a range of methods to help them achieve these goals. But, in the situation where reality contains memories that are excruciatingly painful, and the alcohol or drug of choice relieves that pain, then is it not inevitable that, when they kick the habit, they will only end up returning to it with a double sense of failure?
Alternatively, as I believe happens in some cases, their minds will not allow them to kick their habit and they will sabotage themselves, regardless of the support mechanisms provided.
Whenever we experience trauma, our minds have the ability to devise unlimited ways of protecting us, take Multiple Personality Disorder (more accurately entitled Dissociative Identity Disorder) as an example. Or, more commonly, traumatic amnesia, where the mind blocks out any memory of the event. Dissociation is an extremely effective method of dealing with extreme situations, it’s how individuals are able to continue functioning despite terrible injuries, or pain, both physical and emotional. Whilst the body is experiencing something horrendous, the mind separates itself in order to survive.
If survival is paramount, then it may seem a contradiction in terms to state that our minds can make us engage in self-injurious behaviour in order to protect us, but phobias, for instance, begin as protective behaviour such as avoiding something perceived as dangerous. However this behaviour can increase over time to a point where life becomes incredibly limited.
Take the example of the adult with agoraphobia. As a toddler in the pushchair, she was frightened by a dog shoving its face in at her.
The message is clear to her ‘dogs are scary, therefore dangerous, danger must be avoided’ – so all dogs are dangerous, therefore any places where there are dogs should be avoided. As she grows older she avoids certain streets, for fear there might be a dog.
The avoidance becomes a habit and, as years go by, the dog is forgotten, there is just an intuitive knowledge that some places must be avoided. So, the trigger for the fear is buried, and life may be manageable by just not going to certain places or doing certain things. However, the next stressful event triggers the fear response and, as she tries to rationalise it, she knows that some places are to be avoided but she can’t remember why, so, in that case, it would be best if all places were avoided, just to be safe.
To others the behaviour seems irrational, for the individual it is extremely limiting to lifestyle, and the attendant anxiety is a significant health risk. So, you can see that, ultimately, protection can create a danger of its own. Even when the original event is remembered, the logical mind can make no sense of the extreme anxiety (it was only a dog), but only by dealing with the original issue can this anxiety and fear response be resolved – and we all need help to do this, we can’t do it on our own.
My point is this, where extreme trauma or years of abuse of any kind have occurred, a mind can bury the event and dissociate from it completely in order for the person to lead a relatively normal life. Sometimes, however, people are not able to dissociate so easily, or there may be so many associations or triggers that complete dissociation is impossible to sustain. In this situation, they will need some additional help to forget, and often alcohol or drugs provide the solution.
We all, addicts and non-addicts alike, know that these things are not good options long term, but if escape is paramount then the most common interventions, such as anti-depressants and counselling, will not be sufficiently immediate or powerful. Consequently, the underlying need combines with habitual escape, creating an extremely complex and volatile set of behaviour patterns. Distraction techniques, such as participating in organised events, are helpful when attempting to withdraw the drugs or alcohol, but without the emotional support they may leave an individual exposed and extremely vulnerable.
Alright then, what is the solution I hear you ask. Well, my response is speculative but based on existing evidence. We already have evidence to show that clinical hypnosis can help people reach a position of sufficient emotional security to identify any distressing life experiences which have been buried. We also have evidence that Post Traumatic Stress Disorder (PTSD) can be effectively treated with EMDR (Eye Movement Desensitisation and Reprocessing). Why then are we not incorporating these methods into recovery programmes, so that the emotional need for the buffer is removed? This would establish a much stronger position for them to tackle breaking the ‘habit’ (which, incidentally, is a learned behaviour, and, like any learned behaviour, can be over-learned).
I watched Monty Don’s project with real interest, and it was really heartwarming to see people finding themselves, and achieving in ways that they hadn’t done before. What would be even more useful in future, in my opinion, is if each individual could be offered the opportunity of Hypnotherapy and EMDR to help them deal with their demons once and for all. I believe this would greatly reduce the failure rate, which is approximately 33% at present, but ideally would be zero.
Personal Empowerment Therapy: Dr Dawn Heather, Camborne Complementary Healing Centre: Tel: 01209 711504
www.dawnheather.typepad.com
www.dawnheather.com
email:
dawn@dawnheather.com
Recent Comments