Project 1 of 12 - assess for psychological wounds, and reduce them

About Addiction, Recovery,
and Personality Subselves

p. 1 of a series

By Peter K. Gerlach, MSW

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The Web address of this series is http://sfhelp.org/basics/addiction1.htm

        Clicking links below will open a full window or an informational popup, so please turn off your browser's popup blocker or allow popups from this nonprofit Web site.

        This is one of over 150 articles focused on building high-nurturance family relationships and preventing divorce. This introduction describes the Web site's purpose and the best ways to use its resources. Each article is part of a mosaic of ideas, so the more you read, the more sense they'll all make. These articles augment, vs. replace, other qualified professional help.

        Before continuing, reflect: why are you reading this - what do you need?

+ + +

        Addiction is a major stressor in all societies. There is widespread public confusion and ignorance about what true addictions are, what causes them, who they affect, and what to do about them. This brief research-based article offers perspective on these topics.

        If you're concerned about an adult or child you believe may be addicted - including yourself - keep her or him in mind as you consider the ideas below. For best comprehension, try reading the whole article first without clicking any links, and then go back and follow links of interest.

This series of Project-1 Web articles covers...

  • Options if another person is addicted:

    • defer confronting, or

    • prepare to confront,

    • confront with or without help, or

    • plan and make a group intervention

    • options if your partner is addicted

    • options if your ex mate is addicted

    • options if a child is addicted

  • A proposed update of the traditional 12
    "Anonymous" Steps

        To gauge how much you know about these topics, answer these Status Check questions.

       I have been a professional family-system therapist since 1981, and have been recovering since 1987 from being raised in an alcoholic (low nurturance) family. I have studied the topics in this series  professionally for 27 years, and struggled with my own denials, wounds, and compulsions as a recovering ACoA.

        I completed a 9-month graduate-school course on clinical work with addicted families, and I have learned about addictions and their effects from thousands of hours working with adults and children with addicted (wounded) ancestors and family members. Many were in divorcing families and stepfamilies.

        To get the most from this series, first read...

If you have trouble viewing the slides, see this. And read...

  What is an Addiction?

        Have you ever "obsessed" about someone or something? An obsession is something that a person can't stop thinking about. A habit is a semi-automatic learned sequence of thoughts and actions that can be controlled. A compulsion is a repetitive action-sequence which the person cannot control by "will-power."

        The behavior cycle may or may not be harmful  - e.g. overdrinking vs. excessive nail-biting, scratch-ing, fantasizing, or hand-washing. A true addiction is a compulsion to do something repeatedly that is clearly harmful to one's self and/or other persons.

        There are four types of addiction, which all work the same way:

  • compulsive ingestion of substances, including caffeine, nicotine, ethyl alcohol, "street" and prescription drugs, and some "comfort" foods high in sugar and fat. Some substance addictions like ethyl alcohol and heroine are amplified by bodily cravings.

  • compulsive activities, like work, sex (including porn), exercise, worship, cleaning, overeating, shopping, PC usage, fantasizing, and gambling;

  • compulsive relationships - i.e. co-addiction or codependence; and ...

  • compulsive mind/body "states" like addiction to righteous causes (zealotry); anger, and sexual or other excitement (adrenaline "rushes.")

       All true addictions follow a predictable course, and have common traits (below). They all serve to temporarily distract (self-medicate) the person from relentless inner pain - i.e. shame + guilts + anxieties (fears) + hurts + confusion + anger + frustration + sadness + hopelessness (despair).

  What Causes Addictions?

        Answers to this age-old question have ranged from "demons" to "lunar rays" (hence "lunatic") to a "weak will," to "addictive or immoral personalities." The advent of family-systems therapy in the 1950s, and co-dependence, "Inner Child," and Adult Children of Alcoholics (ACoA) concepts in the 1980s have combined to suggest a new explanation for addictions.

        It extends the theories of scores of mental-health professionals over the last century or more. These pioneers propose that normal personalities are composed of "subselves," "little minds," "sub-personalities," "ego states," or "parts."

        An increasing number of mental-health professionals now believe that addictions are promoted by traumatic early-childhood experiences - e.g. chronic neglect, abuse, and/or emotional and physical abandonment. These are epidemic - and widely denied - in our culture, caused by the silent [wounds + unawareness] cycle passing down the generations. Most professionals now accept that true addictions stress all members of a family system, not just the addict.

       These ideas and my own research and experience suggest these premises...

  • To survive low-nurturance families, kids automatically develop "false selves" - a group of protective personality subselves focused on survival and immediate need-gratification ("comfort"). Usually kids' caretakers were raised in similar environments, and are unaware that they are controlled by false selves (wounded) also.

  • For various reasons, the environment and these subselves cause children and adults unrelenting inner pain.

  • To reduce and distract from their relentless inner pain, typical kids develop a protective Guardian subself that can be called "the Addict." This well-meaning specialist discovers that one or more of the four kinds of addiction effectively reduces current inner pain temporarily.

        This dedicated subself persuades the person to medicate (distract) themselves from their pain via a toxic compulsion despite the reality that doing so inexorably increases their inner pain and stresses important other people.

        Implication: having "an addictive personality" really means "surviving a low-nurturance childhood, and being controlled by a false self which obsessively tries to help the person reduce their inner pain via one or more locally-comforting rituals."

  • As inner pain increases, so do reflexive (unconscious) attempts to self-medicate it. This - and the painful social consequences of self-medication - cause all addictions to progress through  predictable stages.

        This relentless progression is illustrated by variations of the Jellinek Curve used in many addiction recovery programs. Depending on many factors, the wounded person may eventually hit bottom and find a healthier way of managing their inner pain ("recovery"), or die prematurely.

        Note that the Curve was originally designed when people still felt that addiction was a personal problem. It would be more appropriate to chart the predictable changes in family dynamics as an addiction progresses - e.g.

  • denial of any problems, and avoidance of any confrontations;

  • increasing anxieties, frustrations, hurts, resentments, anger, and confrontations;

  • unsuccessful attempts to confront the addict and/or co-addict and get them to change;

  • increasing trouble in and with one or more dependent kids,

  • possible significant major work, legal, and/or financial problems, and/or psychological or legal divorce; and...

  • hitting true bottom and starting to manage (vs. cure) the addiction, and/or possible major health problems and/or premature death.

  • Some substance addictions develop physiological cravings which intensify the toxic dependence - e.g. nicotine, caffeine, some carbohydrates (?), and heroine. These are cellular/hormonal reactions like hunger and sleepiness, not psychological responses.

        At least alcoholism has a genetic predisposition - i.e. genetic alcoholics metabolize ethyl alcohol (which powers car engines) differently than non-addicts.

  • The 12-step "Anonymous" program of life-principles, spirituality, and supportive fellowship is consistently more effective than other ways of controlling addictions ("sobriety"). This seems to be true because the program offers self-reinforcing emphasis on breaking protective denials + nurturing spirituality + giving up attempts to control the uncontrollable + genuinely accepting self-responsibility for addictive behaviors and consequences, and honestly apologizing (reducing guilt) where possible.

  • Paradoxically, the tradition of protecting recovering addicts and their families from social and religious censure by "anonymity" (e.g. "Alcoholics Anonymous") promotes the harmful myth that addiction is a shameful personal choice - which encourages toxic self-medication!

  • The current 12-steps ignore the key role that personality subselves and low-nurturance environments play in promoting self-medicating compulsions. That's (probably) why many addicts adopt pseudo recovery (reality distortion) and/or relapse (resume addictive rituals), despite painful consequences and "knowing better."

  • (a) Choosing a more nurturing environment and (b) intentionally stabilizing (vs. "curing") an active addiction via an effective 12-step program for at least a year are essential for effective reduction of  false-self wounds. Project 1 in this nonprofit Web site and its related guidebook are about wound reduction.

        Recap - all true addictions (toxic compulsions) are caused by a person's ruling subselves trying to self-medicate (mute) relentless inner pain by using one or more of four strategies. These strategies always work (reduce inner pain) short-term - and increase the inner pain, long-term.

        True addictions are a symptom of family dysfunction (wounded, unaware adults), not just a personal problem. If you're concerned about someone who may be addicted, do these premises fit what you know of their early and current lives and families?


        Pause and reflect. How do these premises about the cause of addictions compare with your beliefs? Who's answering - your true Self (capital "S") or "someone else"?

        Another important element in understanding addicted families is the concept of "co-addiction."

 What is Co-addiction?

        Since the advent of family-systems therapy in the 1950's, society has begun to see that typical addicts' mates ("co-addicts") grow predictable, psychologically-toxic traits of their own. Three stand out:

Co-addicts typically grow their own reality distortions (e.g. denials) about the addict's behavior and its harmful impacts ("Carl is a little overzealous about sex, but he's certainly not addicted to it.") This is probably so because wounded survivors of low-nurturance childhoods seem to instinctively pick each other as partners and associates over and over again, until they hit bottom and commit to reducing their false-self wounds.

Many co-addicts become addicted to (obsessed with) the welfare and behavior of their wounded partner. This is a symptom of the widespread condition (vs. "disease") called codependence.

        This wound-symptom is a form of relationship addiction - i.e. it is an unconscious compulsion that reduces the wholistic health of the people involved. In a family setting, this means the wholistic health of dependent kids is being diminished by two or more addicts (wounded caregivers), not one. And...

Until their own compulsion is owned and controlled (vs. cured), typical co-addicts enable their addicted partners - i.e. they unintentionally promote the addiction's progress by fearing to confront their partner on their harmful behaviors and assert healthy limits ("Janice, trust me. If you go on one more credit-card binge, I'm going to file for divorce and custody of the kids.")

        Implications: (a) any addiction is a family affliction, and (b) where there is an addict, there is often a co-addict or enabler/s. The wounds and ignorances that promote unendurable inner pain and compulsive self-medication reduce family nurturance-levels. This inexorably passes the inner pain and adaptive psychological wounding on to the next generation.

        Have you wondered "How do I know if someone is 'addicted' or just 'overdoing (something stressful)'"? Let's look at that now...

Symptoms of a True Addiction

        This heading should really read "Symptoms of Compulsive Self-medication of Unbearable Inner Pain"

        In the last several generations, it has become clear that true addictions (vs. "overdoing it") have observable symptoms like these:

        The "addict" (Grown Wounded Child) denies or discounts that they have a harmful compulsion, despite compelling evidence; or they acknowledge "I may have a problem," and find they cannot stop their toxic self-medication ritual despite repeated attempts to do so. ("I've tried to quit smoking three times, and can't do it.") A related symptom is that the person's relatives, friends, and coworkers may also deny, discount, and/or rationalize (justify) the toxic compulsion and its harmful effects.

        Common symptoms of an addictive relationship or family are co-addiction (codependence) and enabling. Enabling is avoiding painful, honest confrontations with an addict about their self-destructive attitudes, wounds, and behaviors.

        This avoidance is often justified by a dedicated Magician subself who insists persuasively that this is a caring way of "not hurting the addict." Other protective Guardian subselves may urge putting off needed confrontations to avoid dire consequences. And...

        True addictions inevitably progress (get worse) over time, despite increasingly painful  results, unless the wounded person hits true (vs. pseudo) bottom. The Jellinek Curve illustrates this progression for all four types of addiction, not just alcoholism. Common progression themes are...

  • increasing denials, lies, avoidances, and evasions - and denying and/or rationalizing these;

  • failed attempts to reduce or stop the addiction/s, and/or evasions and excuses for not trying to stop;

  • relentlessly increasing protective numbness and/or denials of inner pain in all family members, particularly shame + guilt + anxiety + regret + frustration + confusion + hopelessness (despair);

  • increasing social "problems" like kids acting out, psychological or legal divorce, loss of work, physical and/or "mental" illness, financial problems, crime, etc. And for some people, a key symptom is....

  • hitting bottom and committing to true (vs. pseudo) addiction management - i.e. lasting shifts in attitudes, values, and behaviors that reduce or stop the toxic self-medication ritual without adopting a new one; or....

  • cross addiction - "controlling" one addiction (e.g. overeating), and starting and denying another one (e.g. codependence). A widespread example of cross addiction and group denial occurs in many 12-step "Anonymous" meetings - e.g. haze of cigarette smoke (substance addiction: nicotine), and an always-full coffee pot (substance addiction: caffeine.)

        Another common symptom of compulsive false-self self-medication is...

        Repeated cycles of [harmful / hurtful behavior > experiencing the personal and social effects > surges of guilt, shame, remorse, and anxiety; > fervent vows to "never do it again."] Because...

  • the underlying inner pain is the same or greater, and...

  • the external environment has probably not become more nurturing, the tormented person relapses (repeats the self-medication cycle) despite earnest vows not to do so.

This inevitably increases subselves' self-scorn (shame), guilt, and hopelessness.

        A fifth symptom of true addiction (false-self wounds) is relentlessly-increasing stress in and among family members, friends, and society, and declining tolerances. The false-self wounds and unawareness that promote inner pain and toxic self-medication relentlessly erode the bonds and nurturance levels of key relationships and families. This promotes minor kids' inheriting their ancestors' [wounds + ignorance] cycle and unconsciously developing false-self wounds and self-medications of their own.

        As this happens, typical family members increase their false-self behaviors, which cause significant secondary (surface) problems - which increases inner pain. A common false-self dynamic is to (fruitlessly) try to reduce the secondary problems ("You have to stop lying to me!") without discerning and filling the primary needs that cause  them ("Can I do something to make it safer for you to tell