Presentation on theme: "C.C. Nuckols Information on Alcoholics Anonymous. A.A. World Services, Inc. Available at:"— Presentation transcript:
Information on Alcoholics Anonymous. A.A. World Services, Inc. Available at: Accessed Sept 20, Evidence-Based Psychosocial Interventions Alcoholics Anonymous (AA) Self-help group Promotes abstinence Requirement for membership is a desire to stop drinking Members share their experience with anyone seeking help with a drinking problem They give person-to-person service or "sponsorship" to the person with alcohol dependence coming to AA from any source
* p <.05 Timko C, et al. J Stud Alcohol 2000;61: * p <.05 Timko C, et al. J Stud Alcohol 2000;61: * * 1- and 3-year abstinence rates among those attending formal treatment alone and those attending formal treatment plus AA (N = 466) Evidence-Based Psychosocial Interventions Efficacy of AA
INTRODUCTION How privileged we are to understand so well the divine paradox that strength rises from weakness, that humiliation goes before resurrection; that pain is not only the price but the very touchstone of spiritual rebirth. Knowing it's full worth and purpose, we can no longer fear adversity, we have found prosperity where there was poverty, peace and joy have sprung out of the very midst of chaos. Great indeed, our blessings! Bill Wilson
Letter to Bill From Carl Jung His craving for alcohol was the equivalent, on a low level, of the spiritual thirst of our being for wholeness, expressed in medieval language: the union with God.* Dear Mr. Wilson Your letter has been very welcome indeed. I had no news from Roland H. anymore and often wondered what has been his fate. Our conversation which he has adequately reported to you had an aspect of which he did not know. The reason that I could not tell him everything was that those days I had to be exceedingly careful of what I said. I had found out that I was misunderstood in every possible way. Thus I was very careful when I talked to Roland H. But what I really thought about was the result of many experiences with men of his kind. His craving for alcohol was the equivalent, on a low level, of the spiritual thirst of our being for wholeness, expressed in medieval language: the union with God.*
Letter to Bill From Carl Jung you walk on a path which leads you to higher understanding How could one formulate such an insight in a language that is not misunderstood in our days? The only right and legitimate way to such an experience is that it happens to you in reality and it can only happen to you when you walk on a path which leads you to higher understanding. You might be led to that goal by an act of grace or through a personal and honest contact with friends, or through a higher education of the mind beyond the confines of mere rationalism. I see from your letter that Roland H. has chosen the second way, which was, under the circumstances, obviously the best one. I am strongly convinced that the evil principle prevailing in this world leads the unrecognized spiritual need into perdition, if it is not counteracted either by real religious insight or by the protective wall of human community. An ordinary man, not protected by an action from above and isolated in society, cannot resist the power of evil, which is called very aptly the Devil. But the use of such words arouses so many mistakes that one can only keep aloof from them as much as possible.
Letter to Bill From Carl Jung You see, "alcohol" in Latin is "spiritus" and you use the same word for the highest religious experience as well as for the most depraving poison. The helpful formula therefore is: spiritus contra spiritum. These are the reasons why I could not give a full and sufficient explanation to Roland H., but I am risking it with you because I conclude from your very decent and honest letter that you have acquired a point of view above the misleading platitudes one usually hears about alcoholism. You see, "alcohol" in Latin is "spiritus" and you use the same word for the highest religious experience as well as for the most depraving poison. The helpful formula therefore is: spiritus contra spiritum. Thanking you again for your kind letter I remain Yours sincerely C. G. Jung
Psychological And Spiritual Two different domains of human existence – Psychological Domain Relative Truth – Relative to a particular individual in a particular circumstance Personal Meaning Interpersonal Relationships Domain-Form – Content
Psychological And Spiritual Two different domains of human existence (continued) Spiritual Absolute Truth What is eternally true now and forever Beyond any particular viewpoint Direct realization of the ultimate Timeless Unconditional Love Domain-Emptiness Context
CONTEXT LOVE HUMILITY GRATITUDE
THE ZERO POINT FIELD HUMAN BEINGS AND ALL LIVING THINGS ARE A COALESCENCE OF ENERGY IN A FIELD OF ENERGY CONNECTED TO EVERY OTHER THING IN THE WORLD. THIS PULSATING ENERGY FIELD IS THE CENTRAL ENGINE OF OUR BEING AND OUR CONSCIOUSNESS, THE ALPHA AND THE OMEGA OF OUR EXISTENCE.HUMAN BEINGS AND ALL LIVING THINGS ARE A COALESCENCE OF ENERGY IN A FIELD OF ENERGY CONNECTED TO EVERY OTHER THING IN THE WORLD. THIS PULSATING ENERGY FIELD IS THE CENTRAL ENGINE OF OUR BEING AND OUR CONSCIOUSNESS, THE ALPHA AND THE OMEGA OF OUR EXISTENCE. McTAGGART, THE FIELD, PROLOGUE
THE ZERO POINT FIELD THE FIELD IS OUR HEART, OUR BRAIN, OUR MEMORY AND MUST BE TAPPED INTO TO HEAL THE FIELD IS OUR HEART, OUR BRAIN, OUR MEMORY AND MUST BE TAPPED INTO TO HEAL IT IS THE ONLY REALITY. EINSTEIN IT IS THE ONLY REALITY. EINSTEIN NEWTON, DESCARTES AND SCIENCE CANNOT EXPLAIN SUBJECTIVITY-THE REALM OF CONSCIOUSNESS AND SPIRITULITY NEWTON, DESCARTES AND SCIENCE CANNOT EXPLAIN SUBJECTIVITY-THE REALM OF CONSCIOUSNESS AND SPIRITULITY – WRONG PARADIGM
THE ZERO POINT FIELD PIONEERS OF QUANTUM PHYSICS TURNED TO PHILOSOPHY AND SPIRITUALITY TO EXPLAIN WHAT THEY HAD FOUND PIONEERS OF QUANTUM PHYSICS TURNED TO PHILOSOPHY AND SPIRITUALITY TO EXPLAIN WHAT THEY HAD FOUND – PAULI- ARCHTYPES AND THE QABBALAH – BOHR- TAO AND CHINESE PHILOSOPHY – SCHRODINGER- HINDU PHILOSOPHY – HEISENBERG- PLATONIC THEORY OF ANCIENT GREECE
THE ZERO POINT FIELD THEY HAD DISCOVERED THAT OUR INVOLVEMENT WITH MATTER WAS CRITICAL THEY HAD DISCOVERED THAT OUR INVOLVEMENT WITH MATTER WAS CRITICAL SUBATOMIC PARTICILES EXISTED IN ALL POSSIBLE STATES UNTIL OBSERVED BY US SUBATOMIC PARTICILES EXISTED IN ALL POSSIBLE STATES UNTIL OBSERVED BY US LIVING THINGS ARE PACKAGES OF QUANTUM ENERGY CONSTANTLY EXCHANGING INFORMATION WITH THE FIELD LIVING THINGS ARE PACKAGES OF QUANTUM ENERGY CONSTANTLY EXCHANGING INFORMATION WITH THE FIELD – COLLECTIVE CONSCIOUSNESS – HOLY SPIRIT – LIFE FORCE
Heisenberg Uncertainty Principle You can either know a particles position or momentum, but not both Any attempt to observe (measure) the electron alters it There is no such ting as an independent observer (objectivity) Intention influences outcome
Heisenberg Uncertainty Principle This is the primary significance of the uncertainty principle. At the subatomic level, we cannot observe anything without changing it. There is no such thing as an independent observer who can stand on the sidelines watching nature run its course without influencing it. Gary Zukav
Left/Right Brain JILL BOLTE TAYLOR Right Hemisphere-Parallel Processor Left Hemisphere-Serial Processor Communicate through the Corpus Collosum – 300 million axonal fibers Each hemisphere thinks differently and care about different things
Right Hemisphere The Present Moment-Right here and now Thinks in pictures and symbols Receives sensory information that allows us to understand what the moment feels like, smells like and tastes like – Sensory collage Connects to the energy all around us We are energy beings connected to everything through the consciousness of our right hemisphere We are energy beings connected to everything through the consciousness of our right hemisphere
Left Hemisphere Linear and methodical All about the past and the future Takes the collage of the present moment and categorizes and organizes the informational details It then associates this information with what we have learned from the past and projects it into the future
Left Hemisphere Thinks in language It is the ongoing chatter in the brain It is calculating intelligence (survival and gain) It says, I am – This separates us from everything else The Experiencer – Ego – Animal brain heritage
Left/Right Brain If disconnected from the brain chatter that connects us to the outer world the mind is silent Lose the complications of the past and future and become overwhelmed by the peacefulness of the moment The more time we spend in the inner circuitry of our right hemisphere the more peace we project into the world The more time we spend in the inner circuitry of our right hemisphere the more peace we project into the world
ORIGINS OF ADDICTIONS AND EMOTIONAL SICKNESS (SUFFERING) BELIEF THAT OUR PERSONALITY IS THE ESSENCE OF WHO WE ARE BELIEF THAT OUR PERSONALITY IS THE ESSENCE OF WHO WE ARE BELIEF THAT HAPPINESS IS OUTSIDE THE SELF BELIEF THAT HAPPINESS IS OUTSIDE THE SELF INABILITY TO STAY CONSCIOUSLY IN THE MOMENT INABILITY TO STAY CONSCIOUSLY IN THE MOMENT PERSONAL AND MATERIAL ATTACHMENTS PERSONAL AND MATERIAL ATTACHMENTS
ORIGINS OF ADDICTIONS AND EMOTIONAL SICKNESS (SUFFERING) Think of the physical, biological brain as a large computer (hardware) Throughout life (especially early life) this computer is programmed with software Software (mind or Ego) consists of all of opinions, motives and positionalities that one possesses Each time you remove a software program you get closer to TRUTH (SELF)
BELIEF THAT OUR PERSONALITY IS THE ESSENCE OF WHO WE ARE Notion of Original Sin creates idea that some original mistake causes later suffering – Sense of guilt or of being wounded Victim/Perpetrator Victim/Survivor – Have done something wrong in the past and now must suffer/be punished for it – Guilt is one of the chief teaching techniques Try not to make mistakes to prove not bad – Buddhism-problems are impermanent and seen as opportunities
BELIEF THAT OUR PERSONALITY IS THE ESSENCE OF WHO WE ARE HINDUISM (ADVAITA VEDANTA) – ONLY ONE REAL THING IN THE UNIVERSE – ALL ELSE IS ILLUSION (MAYA) – ATMAN=SOUL=SELF – BRAHMAN=GOD ATMAN=BRAHMAN THE ESSENCE OF SELF IS GOD (IMMANENT) ESSENCE IS THE GIFT OF LIFE ENERGY
SPIRITUAL GROWTH AND HEALING The more one is in touch with SELF The more SELF can constellate SELF in others – THIS RECONTEXUALIZES PATIENTS REALITY SO THEY EXPERIENCE HEALING ON A LEVEL THAT TRANSCENDS THE EGO – THIS RECONTEXUALIZES PATIENTS REALITY SO THEY EXPERIENCE HEALING ON A LEVEL THAT TRANSCENDS THE EGO (Source of all Suffering) THE COMPASSION OF THE PRESENCE (SELF) ALLOWS FOR THE FEELING OF LOVE PRODUCING PEACE WITHIN AND REMOVING INNER AGONY THE COMPASSION OF THE PRESENCE (SELF) ALLOWS FOR THE FEELING OF LOVE PRODUCING PEACE WITHIN AND REMOVING INNER AGONY
BELIEF THAT HAPPINESS IS OUTSIDE THE SELF BELIEF THAT HAPPINESS IS OUTSIDE THE SELF TWO PROMISES OF THE EGO TWO PROMISES OF THE EGO – Egos products are valuable because they have meaning – Content is necessary for survival and IT WILL BRING HAPPINESS SEEKS HAPPINESS OUTSIDE OF SELF SEEKS HAPPINESS OUTSIDE OF SELF HAPPINESS IS A PART OF ONES ESSENCE-IT HAS ALWAYS BEEN THERE HAPPINESS IS A PART OF ONES ESSENCE-IT HAS ALWAYS BEEN THERE
PAST PRESENT FUTURE PAST PRESENT FUTURE GUILT FEAR GUILT FEAR
INABILITY TO STAY CONSCIOUSLY IN THE MOMENT THE FARTHER AWAY ONE IS FROM THE MOMENT THE MORE THE SUFFERING THE FARTHER AWAY ONE IS FROM THE MOMENT THE MORE THE SUFFERING – FEAR (ANXIETY) IS GENERALLY ABOUT THE FUTURE – GUILT AND SHAME (DEPRESSION) IS GENERALLY ABOUT THE PAST
PERSONAL AND MATERIAL ATTACHMENTS BUDDHISM-ALL SUFFERING IS DUE TO ATTACHMENTS AND IGNORANCE ATTACHMENTS TO… – PEOPLE WORK – THINGS (FOOD, DRUGS, WORK)
Power Principles of Alcoholics Anonymous Avoids coercion (Force) – Easy Does It – Live and Let Live – First Things First Respects Freedom – Individual choice – Neither endorses or opposes any cause – Alcoholic must diagnose him or herself
"Lord, make me a channel of thy peacethat where there is hatred, I may bring lovethat where there is wrong, I may bring the spirit of forgivenessthat where there is discord, I may bring harmonythat where there is error, I may bring truththat where there is doubt, I may bring faiththat where there is despair, I may bring hopethat where there are shadows, I may bring lightthat where there is sadness, I may bring joy. Lord, grant that I may seek rather to comfort than to be comfortedto understand, than to be understoodto love, than to be loved. For it is by self- forgetting that one finds. It is by forgiving that one is forgiven. It is by dying that one awakens to Eternal Life. Amen." -Saint Francis of Assisi Twelve Steps and Twelve Traditions page 99Saint Francis of Assisi
Power Principles of Alcoholics Anonymous Honors Power Patterns (Positive Attractors) – Honesty – Humility – Responsibility – Service – Tolerance – Goodwill – Brotherhood
Power Principles of Alcoholics Anonymous Avoids Moral Judgment (Negative Attractor) – No Opinions – No Motives – No Positionalities Exerts No Control (Force) – Charts a Path – If you practice these principles in all of your affairs, you will recover from this grave and progressive fatal illness, and regain your health, self-respect and the capacity to live a fruitful and fulfilling life for yourself and others. CHAPTER 11, ALCOHOLICS ANONYMOUS
Power Principles of Alcoholics Anonymous Power Is Based On.. – Power of the Group Principles over Personalities – Higher Power – Service To Others Humility
ONLY 31 PAGES LATER THE BEDEVILMENTS ARE REPLACED BY THE PROMISES THE BEDEVILMENTS (page 52) We were having trouble with personal relationships. We couldn't control our emotional natures. We were a prey to misery and depression. We couldn't make a living. We had a feeling of uselessness. THE PROMISES (page 83) We will lose interest in selfish things and gain interest in our fellows. Self-seeking will slip away. We will comprehend the word serenity and we know peace. Our whole attitude and outlook upon life will change. Fear of people and of economic insecurity will leave us. That feeling of uselessness and self-pity will disappear.
ONLY 31 PAGES LATER THE BEDEVILMENTS ARE REPLACED BY THE PROMISES THE BEDEVILMENTS (page 52) We were full of fear. We were unhappy. We couldn't seem to be of real help to other people. And, most of all, THE PROMISES (page 83) We will intuitively know how to handle situations which used to baffle us. We are going to know a new freedom and a new happiness. No matter how far down the scale we have gone, we will see how your experience can benefit others. We will not regret the past nor wish to shut the door on it. We will suddenly realize that God is doing for us what we could not do for ourselves.
EGO FUNCTIONS: STRUCTURE OF THE EGO Western Psychotherapy – Need for strong ego Defined in terms of impulse control, self-esteem and competence in worldly functioning Eastern Psychology – EGO as defensive self Unreal and unnecessary – Egoless Free from the constraints of the ego Ego as transitional state
EGO FUNCTIONS: STRUCTURE OF THE EGO Composed of positionalities that set thinking mechanisms in motion Primordial Positionalities – Ideas are significant and important – Dualistic, There are dividing lines between opposites – Value of authorship: Thoughts are valuable because they are mine – Thinking is necessary for control, survival depends on control
EGO FUNCTIONS : STRUCTURE OF THE EGO TWO PREMISES – Egos products are valuable because they have meaning – Content is necessary for survival and IT WILL BRING HAPPINESS
EGO FUNCTIONS : STRUCTURE OF THE EGO Achilles Heel VANITY IT CANNOT PRODUCE SUSTAINED HAPPINESS
EGO Source of
EGO Feeds off of: – UNHAPPINESS – MARTYRDOM – GUILT – INJUSTICE – BEING THE VICTIM
In nonduality, in no one instant can any such thing as a problem', 'conflict or suffering occur. These all arise in anticipation of the next instant or recall of the past. The ego appears to be the product of fear, and its purpose is to control the next instant of experience and ensure its survival. It seems to vacillate between fear of the future and regret over the past.. Hawkins, The Eye of the I. Veritas, 2001, pg 19.
EGO EGO pictures a world that is a projection of its own illusions and positionalities
Emptiness Most is Space Suffering comes from ATTACHMENTS Suffering comes from MISCONCEPTION
EMPTINESS Taught that it is bad and associated with
Emptiness Fill the EMPTINESS with: – Sex – Food – Alcohol – Drugs BUT IT DOES NOT WORK!
In Not Out Instead of going Out further, decide to go In Sort through the layers in our Mirror of Memory (EGO) Back to EMPTINESS
We derive an answer based on our Personal Level of Awareness.
Personal Levels Of Awareness Level One: Toxicity/Addiction Level Two: Early Recovery Level Three: Acceptance Level Four: On-going Recovery Level Five: Spiritual Transcendence Level Six: Early Life Developmental Trauma
FORMAT: Personal Levels Of Awareness Level-What is the stage of addiction or recovery? Steps of Alcoholics Anonymous- What steps must be completed to move forward? EGO- What changes must occur in the way we see the world? Treatment Approaches- What approaches will help the client move to the next level?
Steps of Alcoholics Anonymous Step Zero-Willingness to change
Level One: Toxicity/Addiction Treatment Approaches Understanding the Unconscious Mind Stages of Change Precontemplation Assessment and Education Motivational Interview Intervention Motivational Crisis Understanding Desire & Pride
Do Not Drink/Drug To ESCAPE Neuroleptics will relieve anxiety but client will not call for a refill Percodan script brings different response Use to Connect – life of the party
The Power To Get One High
How Does Happiness End Up Nastiness? At one time I created happiness Now I say that the drug makes me happy When give power to the drug it reverses the energy field People become intoxicated to experience self Once they relearn it can be experienced directly there is little actual need for the drug – Function of AA
How It Starts When I first found my DOC Chased the high What caused this? – Dopamine-Nucleus Accumbens – Glutamate-Prefrontal Cortex Both transmitters in abundance Produced maximum pleasure and stimulation (energy)
As Addiction Progresses Glutamate levels go down rapidly This interferes with cognitive functioning – Cognitive functions (ex. Executive Functions) do not come back until 6-8 weeks into recovery-more with stimulants – Provigil
Addiction As A Stress-Related Disorder How is it addicts brain different? – Stress We dont all face the same kinds of stress – Genetics Chronic Severe Stress secondary to.. – Early Life Trauma – Rape – Undiagnosed Mental Illness – Living Conditions and Lifestyle
Chronic Severe Stress Elevates Corticotrophin-Releasing Factor (CRF) – Precipitates chronic increase in cortisol Shuts down Prefrontal cortex Breaks dopamine system – Down regulation=Anhedonia Midbrain takes control – Survival Mode CRAVING
You have to get something to make this better-CRAVING Add alcohol and/or drugs Alcohol and/or drugs become the central organizing principle – Tagged as #1 coping mechanism
Hedonic Capacity Normal pleasure and normal release of dopamine doesnt work DEFECT IS A STRESS-INDUCED DYSREGULATION OF THE BRAINS HEDONIC (REWARD) SYSTEM REQUIRES LARGE AMOUNTS OF DOPAMINE
What Creates Large Surges of Dopamine? DRUGS ALCOHOL FOOD SEX RELATIONSHIPS GAMBLING RAGE & VIOLENCE OVER-WORK & OVER-EXERCISE
Desire Level of Addiction – Bondage and enslavement Worldly acquisition and ownership that can become insatiable (GREED) Compulsions – Constant craving + emotion= Need Results in endless pursuit, depression, anxiety and manipulation seeking satisfaction
Desire Excessive Desire creates inner feelings of lack leads to… – Constant seeking – Chronic dissatisfaction – Feelings of being incomplete Inner feeling of wanting leads to – Frustration – Anxiety – Greed – Avarice
Desire Origin is the hunger of the animal Seen as selfish Desire to control others is an attachment Desire blocks the SELF
Desire Alcohol and Drugs are the right direction but the wrong method – HOW CAN ALCOHOL AND DRUGS CREATE A FEELING ASSOCIATED WITH THE CONSCIOUSNESS LEVEL OF THE HIGH 500s (JOY)? A/D block lower energy levels High is the radiance of SELF Drugs themselves calibrate at 75 Craving is for the high of JOY
Desire Wanting more and more but enjoying it less and less Even the pleasure disappoints – Residual sense of something lacking – So we cling to it hoping that by possession we can complete the act – But you can never fully possess Desire will no leave us alone Downside – Frustration – Envy – Jealousy
Desire Great importance given to external objects – EGO becomes infatuated with its own projections There is a hopefulness about the human spirit that sometimes will not accept no Treatment – Understanding that desire can be both an ally and a foe (TRUTH) – Replace wanting and lack with choice and decision
Desire Treatment (continued) – Grief process Working the steps Grief of loss from childhood issues – Cannot deny any aspect of self as its shadow will persist – Desire involves a drive for transcendence Sublimate – Desire as a natural response to the reality of suffering – Desire is vitality, energy and motivation What is the individuals motivation at this level of recovery?
Desire Treatment (continued) – Surrender desires to God as they arise – Identify positionalities and surrender them – And then what? I will be happy. – Dedicate all action to God – Recontextualize what was negative so that it becomes a positive in ones life
Pride Opposite of Shame – In both real worth is not a consideration Self-worth is secondary to effort (earned) and achievement As a spiritual defect.. – Attitude or positionalities – Arrogance applied to beliefs, thoughts – A refusal to surrender to God – Sees humility as inferiority and submission as humiliation
Pride Entitlement Entitlement comes from unresolved infantile narcissistic egocentricity (BABY) – Produces lack of remorse – Justifies resentments – Core of evil in our world – Real or perceived slight can cause incredible rage – As spiritual Pride creates a better than attitude such that it is now OK to hold Negative judgement
Pride Tenacious, rigidly defended and sometimes uncorrectable (ASPD). The more the entitlement the less the level of empathy. This attitude is basically psychotic as the inner grandiosity is delusional.
Pride Inflated EGO is vulnerable to attack – Can be deflated into shame – Positions must be defended High profile creates need for constant vigilance and defense – Paranoia Pride fuels denial Arrogance, personal superiority and denial block ability to grow – Creates personal neediness
Pride Need to be constantly admired may lead to depression Image swings on success and failure – Vulnerable to depression Pride=Self-Admiration – Implies others are inferior Specialness triggers resentment in others Recovery is impossible because character defects are denied
Pride Dark side of Pride is fragile self-esteem – ENVY LEADS TO HATE – COMPETITIVENESS LEADS TO MALICE – JEALOUSY LEADS TO VINDICTIVENESS Treatment – Understand that Pride is based on false assumptions of ones worth (rather die than to admit wrong) Instead of attracting positive attention and admiration it provokes attack leading to prideful rage and vengeance
Pride Treatment (continued) – Humility is necessary for most cases of self- deception Humility and integrity over self-deception – Acknowledging God and not ones EGO can result in gratitude – Humility and acceptance leads to inner peace – Seeing pride as a defect – Exploit vulnerability-Has it bought you happiness
Inscription on the Desk Plaque of Dr. Bob Humility is perpetual quietness of the heart. It is to have no trouble. Its never to be fretted or vexed, irritable or sore. To wonder at nothing that is done to me. It is to be at rest when nobody praises me and when I am blamed or despised. It is to have a blessed home in myself, where I can go in and shut the door and kneel to my father in secret. Where I can be at peace, as in a deep sea of calmness when all around and about is seeming trouble.
SEVEN DEADLY SINS These considerations were taken from pages 48, 49, 66 & 67 of the Twelve and Twelve The bold type presents definitions from Webster's Unabridged Dictionary. PRIDE: An over high opinion of oneself; exaggerated self- esteem; conceit, arrogance, vanity, self-satisfaction. – Have I been so proud that Ive been scorned (disrespected) as a braggart (bragger)? – Have I acted prideful, consciously or unconsciously out of fear? – Have I used pride to justify my excesses in my sex conduct? – Do I like to feel and act superior to others?
SEVEN DEADLY SINS GREED: Excessive desire for acquiring or having; desire for more than one needs or deserves. – Have I been so greedy that Ive been or could be labeled a thief? – Do I long for the possessions of others out of fear of not getting enough? – Do I let greed masquerade as ambition? LUST: To feel an intense desire, especially sexual desire; to long: after or for. – Have I been lustful enough to rape, if not physically what about in my mind? – Do I fear I will never have the sex relations I need? – Do I have sex excursions that have been dressed up in dreams or delusions of romance?
SEVEN DEADLY SINS ANGER: A strong feeling excited by a real or supposed injury; often accompanied by a desire to take vengeance, or to obtain satisfaction from the offending party; resentment; wrath. – Have I been angry enough to murder? – Do I get angry out of fear when my instinctive demands are threatened? – Have I enjoyed self-righteous anger in the fact that many people annoy me and that makes me superior to them? – Have I enjoyed gossiping as a polite form of murder by character assassination? GLUTTONY: One who eats too much. One with a great capacity for something; as, a glutton for work. – Have I been gluttonous enough to ruin my health? – Do I grab for everything I can, fearing Ill never have enough? – Do I bury myself in my work, hobbies or activities?
SEVEN DEADLY SINS ENVY: To resent another for excellence or superiority in any way, and to be desirous of acquiring it. – Do I agonized over the chronic (persistent or recurring) pain of envy? – Does seeing the ambitions of others materialize make me fear that mine havent? – Do I suffer from never being satisfied with what I have? – Have I spent more time wishing for what others have than working towards them? SLOTH: Disinclination to action or labor; sluggishness; habitual indolence; laziness, idleness; slowness; delay. – Have I been paralyzed by sloth? – Do I get alarmed with fear at the prospect of work? – Do I work hard with no better motive than to be secure and slothful later on? – Do I loaf and procrastinate? – Do I work grudgingly and under half steam?
Level Two: Early Recovery Steps of Alcoholics Anonymous – 1 st Step- We admitted we were powerless over alcohol-that our lives had become unmanageable. – 2 nd Step- Came to believe that a Power greater than ourselves could restore us to sanity
Level Two: Early Recovery Steps of Alcoholics Anonymous – 1 st Step- Coming out of denial Powerless over the Truth Truth reverses the energy field – 2 nd Step- Need something more powerful than ego
Level Two: Early Recovery EGO – Hopeless – Fear (Anger) – Narcissism Narcissistic Denial
Level Two: Early Recovery Treatment Approaches Management of Hopelessness Fear (Anger) Narcissism Craving Management Postacute Withdrawal Syndrome Restitution of Health Sponsorship and Home Group
Hopeless Cannot help themselves – Apathy No hope-no need to try (to make contact) – Anhedonic and/or depressed Reduced monoamines
Hopeless Treatment – Need energy from outside Love and carefrontation – Gender differences Therapeutic relationship Friendship
Fear Not from loss of drug but from loss of high energy state What is sought is sought by everyone Fact is alcohol/drugs dont work Dont need to change directions just means Find high energy state within yourself
Treatment Of Fear (Anger) Want energy but not feeling Disassemble Physical symptoms Can you handle them? Emotional symptoms Can you handle them? Not experiencing fear just a bunch of symptoms Fear is not you, it is just a symptom
Treatment Of Fear (Anger) You are bigger than your fears. Anger and other outward expressions of fear represents a need to control what feels unmanageable PARADOX Your fear and anger give people control over you Vertical Integration of the brain When you lose the fear of fear the world cannot control you!
Fear (Anger) Worry, panic, anxiety and/or anger Projections into the future – How will I change People, Places and Things? – Whats in it for me? – Without alcohol and drugs my life has no meaning? Strategies to avoid fear keep us stuck in fear Locus of control still external
Treatment of Fear (Anger) I will lose my job And then what? If you keep asking this question you will ultimately arrive at a fear of death. Answer is SURRENDER to God and Recontextualization of death Buddha said There is no death Life Ever After
Level Three: Acceptance Steps of Alcoholics Anonymous – 3 rd Step- Made a decision to turn our will and our lives over to the care of God as we understood him. – 4 th Step- Made a searching and fearless moral inventory of ourselves. – 5 th Step- Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
Level Three: Acceptance Steps of Alcoholics Anonymous – 3 rd Step- Willingness to surrender (turn over) pain and suffering (hell) moves one up the energy field Opens a space for the Grace of God AA is the language of the heart (Bill W) – 5 th Step- Capacity and attractiveness for self-destruction removed Self –hatred turns to mild regret
Level Three: Acceptance EGO – Power is internalized/Ego deflated – Non-judgmental – Does not seek to control or change – Can see and accept limitations – Result of wisdom Surrendering positions Transcending perceptual distortion
Acceptance And acceptance is the answer to all my problems today. When I am disturbed, it is because I find some person, place, thing or situation-some fact of my life- unacceptable to me, and I can find no serenity until I accept that person, place, thing or situation as being exactly the way it is supposed to be at this moment. Nothing, absolutely nothing happens in Gods world by mistake. Until I could accept my alcoholism, I could not stay sober; unless I accept life completely on lifes terms, I cannot be happy. Big Book, pg 417 new edition, pg 449, old edition
Level Three: Acceptance Treatment Approach – Guilt and Remorse – Moral Inventory – Internalization of Personal Power
Guilt-I DID SOMETHING BAD Comes later and is language based and less visceral than shame Related to unacceptable behavior Consequence of the memory of regretted past actions as they are recalled Equates former self that was with current self that is Feelings of loss (youth, money, etc.)
Excessive Guilt And Remorse Form of narcissism Allows self to be exaggerated, blown up, and the hero of tragedy Feeds the EGO The EGO blames and is a defective compass Error is inflated instead of being relinquished to a Higher Power
The EGO Hate is the Ego's juice (pay off) It loves suffering a perceived wrong, being the martyr, being misunderstood-the endless victim Stockpiles grievances and is full of self-pity – Pay off is center stage and sympathy Must choose forgiveness over hate True self is immune to falsehood
Treatment Of Guilt Guilt as opposed to lack there of (ASPD) Humility-admitting ones errors – My guilt stems from pride and I should not have said that to you. We did the best we could with what we had at the time given the circumstances – Reframe What did we learn from the experience?
Treatment Of Guilt To transcend Change context Who you were Who you are now Who you will become if you stay the path See as part of learning and development & therefore unavoidable maybe even critical Make amends Pray to have shortcomings removed Self-forgiveness, humility and acceptance of limits Confession, moral inventory, forgiveness, renewal, rededication of our lives (no secrets)
Taking A Moral Inventory First understand ones conscience and how it works (SET INTENTION) – Self-critical and perfectionistic or…. – Keep you on the path Conscience should act benignly (AS TEACHER NOT PUNISHER) in the process – Self-blame will increase guilt and shame Character defects are intrinsic to the ego which does not have the capacity to know the truth Accept ones limitations in the service of humility
Taking A Moral Inventory First approach from the side of the SUPER EGO (CONSCIENCE) – Before uncovering unconscious material be aware that super ego houses self-hatred and guilt SUICIDE Remember the ID-deep layer of the unconscious thinks in extremes and uses extreme symbolism – It doesnt just hate but wishes to kill
Treatment Of Guilt Good deeds, selfless service and service work – Help remove character defects Dealing with unrealistic expectations Understanding the difficulty inherent in the human condition
Level Four: On-going Recovery Steps of Alcoholics Anonymous – 6 th Step- Were entirely ready to have God remove all these defects of character. – 7 th Step- Humbly asked Him to remove our shortcomings. – LETTING GO STEPS
Level Four: On-going Recovery Steps of Alcoholics Anonymous – 8 th Step- Made a list of all persons we had harmed, and became willing to make amends to them all. – 9 th Step- Made direct amends to such people wherever possible, except when to do so would injure them or others.
Level Four: On-going Recovery Steps of Alcoholics Anonymous – STEPS 6-9 Action Steps to help undo what damage we can without creating further harm
Level Four: On-going Recovery EGO – Higher Mind Moral Ethical Motives, Opinions, and Positionalities – Integrity- Not Self-service – Reason and Logic – Love (conditional)
Level Four: On-going Recovery Treatment – Bringing the Prefrontal Cortex Fully on Line Utilizing Plasticity Enhancing Complexity – Motives, Opinions and Positionalities – Mindfulness
Level Four: On-Going Recovery Bringing The Prefrontal Cortices Fully Back on Line A BETTER PARENT A BETTER PERSON A BETTER CITIZEN
Bringing the Prefrontal Cortices Fully Back on Line Prefrontal Cortices – Dorsolateral Prefrontal cortex – Orbitofrontal Cortex – Anterior Cingulate Cortex Therapist task-optimize plasticity
The Prefrontal Cortices Coordinate the many brain activities needed to utilize: – Executive Functions Set goals Make plans to attain those goals Organize steps to carry out the plans Ensure that desired outcomes are achieved – Conscience – Pursue Reward Within the Law
Bringing the Prefrontal Cortices Fully Back on Line PFC plastic especially between 0-5 and years of age Developmental delays occur secondary to early life trauma and early onset alcohol/drug abuse. Treatment – Positive role models (Sponsor) – Surrogate family (Home Group) – Growing Up In AA
Motives, Opinions and Positionalities (EGO) Motives – To Feel Good by restoring self-esteem Put others down Enjoy others difficulties
Motives, Opinions and Positionalities (EGO) Opinions Highly valued by the EGO Basically Worthless Vanities Without Intrinsic Value Emotionally charged leading to STRIFE DISSENT ARGUEMENT
Motives, Opinions and Positionalities (EGO) Positionalities – Source of all MISERY, FEARS AND UNHAPPINESS – Every position is inherently flawed Sounded Good at the Time
Motives, Opinions and Positionalities (EGO) Treatment – Understand the motives of the EGO – Continue on the spiritual path toward SELF The SELF is All That Is – Humility We are not capable of knowing anything – To know is to be that which is known » All else is speculation and supposition – Forgiveness
Mindfulness Most people in therapy are preoccupied with the past and future Suffering increases as we move from the present Mindfulness is not trying to change anything but involves observing the mind, body and emotions the way they are BE
Mindfulness BE or unawareness (automatic pilot) Mindfulness practice reveals – Energy spent on daydreaming, anticipating, planning, worrying, fantasizing (EGO) – Unawareness leads to engaging in the insanity of life (doing the same thing over and over) – Mindful body scan
Level Five: Spiritual Transcendence Steps of Alcoholics Anonymous – 10 th Step- Continued to take personal inventory and when we were wrong promptly admitted it. – 11 th Step- Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
Level Five: Spiritual Transcendence Steps of Alcoholics Anonymous – 10 th Step- Self-correction turns into a way of life Self-purification – 11 th Step- Increasing connectivity to that which is already happening (Love and Divinity) Over and above what got from alcohol/drug
Level Five: Spiritual Transcendence 12 th Step- Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all of our affairs No changing of mind as now committed to the course
Level Five: Spiritual Transcendence NO EGO FORGIVING NURTURING SUPPORTIVE Small self to BIG SELF
Level Five: Spiritual Transcendence Love is not something you do it is what you are Emanates from the heart Love is inclusive-unconditional It focus on the goodness in life
Road From the small self to SELF WILL – Relatively steady and unchanging – Seat from which progress thru consciousness to transcendence occurs – Seat of POWER – Direct contact with Holy Spirit – Where form and formless meet
Spiritual Will TOOLS
Duality is source of all suffering
SELF Small self – Vulnerable to flattery – Aligns with weak or negative attractor patterns BIG SELF – Humble and grateful – Aligns with strong attractor energy
Road From the small self to SELF FORMLESS SELF Love Devotion Gratitude Humility Inspiration Faith FORM Self Ideas Thoughts Memories Conflicts Images Revenge
Road From small self To BIG SELF Internal ladder to success What you have that counts Status, wealth and belongings What one does that counts Position and activities What one has become secondary to life experiences that counts Charismatic Presence
Road From small self To BIG SELF Sense of self is identified as consciousness itself (Enlightenment) Oneness A condition of infinite Power (vs. Force), infinite compassion, infinite gentleness and infinite love Higher Power Elimination of self as finite
Unconditional Love Goal of most spiritually committed persons Requires close adherence to well established spiritual disciplines From Saying The Prayer to Being The Prayer
Mutual Support Groups Women for Sobriety -- SOS -- SMART Recovery -- LifeRing Secular Recovery --
Mutual Support Groups Fundamentalist Christian MSGs like Alcoholics Victorious (http://www.alcoholicsvictorious.org/) and Christians in Recovery For Moslems we have:(http://www2.islamicity.com/al- muminun/MIFAX/mifax.htm
Mutual Support Groups Dual Recovery Anonymous (DRA) at dual recovery program for Wiccans Faces and Voices of Recovery (FaVoR) maintains an MSG section at ces/support_home.php
UK AA PUBLIC SERVICE ANNOUNCEMENT anonymous.org.UK/newcomer/videoh.shtml> anonymous.org.UK/newcomer/videoh.shtml
Nuckols Books and Tapes L/hazCSrdSrchResults.jsp?event=&c g=-200&kw=NUCKOLS L/hazCSrdSrchResults.jsp?event=&c g=-200&kw=NUCKOLS