Addiction symptoms, continued
from p. 1

        True addictions inevitably 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 emotional numbness and/or denials of inner pain in all family members, particularly shame + guilt + anxiety + regret + frustration + confusion + hopelessness (despair). These cause increasing worry, complaints, demands, and conflicts with family members and associates;

  • 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. permanent changes 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.)

Relapses

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

        Repeated cycles of harmful and/or embarrassing behavior > surges of guilt, shame, remorse, and anxiety; > fervent vows to "never do it again!" > relapses.] Because...

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

  • the person's social environment has probably not become more nurturing,

the tormented person relapses (repeats the toxic self-medication cycle) despite earnest vows not to do so. This inevitably increases self-scorn (shame), guilt, and hopelessness - and other peoples' distrust and skepticism.

        A fifth symptom of true addiction is relentlessly-increasing stress in and among family members, friends, and society; and declining tolerances for addiction behaviors. The psychological wounds and una-wareness that promote self-medication relentlessly erode self esteem, relationships, and families. This promotes minor kids' inheriting their ancestors' [wounds + ignorance] and developing inner pain and self-medications of their own.

        As this happens, typical family members increase their false-self behaviors. This causes 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 identifying and filling the primary needs that cause them ("Can I do something to make it safer for you to tell the truth?")

Hitting Bottom

       Some wounded people eventually accumulate enough despair, weariness, and pain to hit bottom - often in mid-life. They break long-held denials and distortions and admit "My life is out of control," and "I am solely responsible for hurting other people by my attitudes and behaviors, and for gaining control of my life."

        Frequently, addicts experience "trial (preliminary) bottoms" and relapses before hitting true bot-tom. Other survivors of low-nurturance childhoods endure dissatisfying lives and die prematurely with-out knowing why, or what they might have done to improve their lives and guard their descendents.

        Typical people who care about (or are addicted to) an addict are usually unaware of being hindered by their own psychological wounds and ignorance. The best chance for making an effective assessment about whether someone (or a family) is "addicted" (wounded and ignorant) is to hire a professional addic-tions counselor, tho they have wounds, biases, and ignorances too.

        Unbiased assessment of these symptoms requires (a) being guided by your true Self (capital "S"), and (b) factual knowledge of...

  • addiction fundamentals (this article, or equivalent);

  • family nurturance levels (Lesson 5);

  • the [wounds + ignorance] cycle and its main effects on persons and families; and...

  • the person's progressive behaviors over some months or years.

Do you have these requisites now?

        To raise your odds of accurate addiction-assessment, (a) hire a professional addictions counselor, and (b) search the Web for current addiction-assessment resources. An excellent resource is the Ha-zelden Institute. Tho it focuses on chemical addictions, most of its resources apply to other toxic com-pulsions as well.

        Expect any "addiction recovery" resources (including all 12-step programs) to (a) not know about  personality subselves and psychological wounds, and (b) to label addiction as a personal "disease" instead of a symptom of family dysfunction.

        We just reviewed the common symptoms of a true addiction, and perspective on hitting bottom. Now let's explore an often-overlooked recovery factor:

Your Language Can Hurt or Help

        Premise - How people (like you) think, speak, and write about "addiction" and "addiction recovery" can help or hinder them. For many people, the words addict, addiction, addicted to, and addictive person-ality automatically evoke pity, scorn, shame, and associations with sickness, disease, impairment, dis-trust, disgust, scorn, and pity. Is this true of you? These unconscious associations can significantly hinder managing your or someone else's toxic compulsion.

        Option - intentionally choose less evocative and more accurate terms like wounded, compulsion, and self-medicating, as in "Maria is self-medicating her inner wounds (or inner pain) by compulsive shopping." Notice how that feels compared to "Maria is a shopaholic."

Addiction is NOT "a Disease"

        Our unaware, wounded ancestors looked to doctors to "cure" alcoholism, so we have inherited their misconception that an addiction is a disease. Diseases are malfunctioning cells and organs caused by "chemical imbalances," environmental toxins, and germs.

        These do not apply to addictions, which are a psychological/spiritual symptom of inner pain + unawareness. (exception - alcoholism has a genetic pre-disposition). The risk in reflexively thinking and saying "I'm addicted - I have a disease." is psychological.

        People who feel they are sick are apt to feel less good or whole than "healthy people." This promotes shame and semi-conscious anxiety ("What if my disease gets worse? What if I can't heal it?") Shame and anxiety amplify the inner pain wounded people are trying to reduce.

        Unfortunately, most current 12-step lit-erature, teaching, and programs ignorantly promote the harmful misconception that addictions are an indi-vidual disease rather than a symptom of major family dysfunction.

       More helpful terms are...

  • psychologically wounded vs. addicted,

  • wounds vs. character defect,

  • condition vs. disease,

  • trial bottom vs. relapse, and...

  • "family problem" (or "self-medication") vs. "addiction."

People who resist changing their terminology probably deny they're ruled by a false self.

        The phrase addiction recovery can be misleading, because it implies that self-medicating people "get over" their toxic compulsion, like regaining sight after temporary blindness. A more factual  term to use is addiction management. - e.g. "Pat is trying to manage (vs. recover from) her overeating compulsion." The real issue is reducing inner pain, not focusing on compulsive self-medication. Addicts who hit true bot-tom and accept their wounds and subselves can learn to relieve inner pain in healthier ways.

        Using the term sobriety for non-alcoholic addictions (e.g. "I've been sober from my sexual addiction for 11 months") risks unconscious associations with harmful biases about alcoholism - e.g. shame, guilt, and disease. A more neutral language choice is "I haven't acted on..." as in "I haven't acted on my sexual compulsion for 11 months now." 

        Finally, note the implication of the term Anonymous in the title of typical 12-step addiction- recovery programs and materials (e.g. "Codependents Anonymous"). This label came from the old misperception that alcoholism came from a shameful "weak will," surrender to the Devil, and/or "mor-al weakness." Our ignorant ancestors taught each other that addiction could be cured by willpower, moral righteousness, and being "humble and God fearing." Not true.

        Would you say that being depressed, rageful, or having a sleep disorder is "shameful"? Trying to self-medicate inherited inner pain deserves compassion and caring confrontation, not scorn or pity! Premise - personal, family, and societal health would be better served if 12-step policy-makers and members agreed to update their organizational titles to something less inherently shaming, like "codependents United" or equivalent. What do you think?

        Recap - intentionally choosing emotionally-neutral terms to discuss addictions and recovery can help people manage an addiction successfully. Ignoring your terminology risks hindering someone's recovery because of unconscious assumptions and word-associations. On a scale of one (I strongly disagree) to 10 (I strongly agree), where do you stand on this premise now?

       You've just read what an addiction is, four types of addiction, what causes them, typical addiction traits, co-addiction, and related terminology options. Now we'll explore...

  • perspective on true and pseudo addiction recovery,

  • an addiction-knowledge status check, and

  • options for confronting an addict and/or enabler.

        Recall why you began reading this. Has anything changed? Before continuing, do you need a break?

        You've probably heard or read about recovery from an addiction. What is that?.

True and Pseudo Addiction "Recovery"

        Reality - some "addicts" (Grown Wounded Children) can stop their compulsive behaviors and "stink-ing thinking" (self-destructive attitudes and beliefs). Others can't. Many factors combine to explain why this is so for a particular person and family. A comprehensive description of these factors is beyond the scope of this article. Here are some key things to consider:

        Three phases of personal wound-reduction are...

  • pseudo or trial recoveries,

  • preliminary (addiction) recovery, and...

  • full (inner-wound) recovery.

True addiction recovery traits are...

  • observable lasting changes in basic priorities and attitudes, usually including a meaningful rela-tionship with a Higher Power;

  • stable long-term avoidance of the addictive thinking and behaviors; and usually...

  • committing to some version of the 12-step principles as daily-life guides.

Some people can achieve these without attending an in-patient treatment program and/or a 12-step program, and others can't. Variables that determine this are...

the accumulated pain from wounds and addiction-effects (moderate to unbearable), plus...

the degree of the person's false-self wounding (minor to massive), plus...

the nurturance-levels of the person's home + family + work + community environment (low to high)

Pseudo Recovery and Relapses

        Some survivors of a low-nurturance childhood stop their compulsive behaviors but (a) start a com-pensating (cross) addiction, and/or they (b) do not really adopt the 12 steps in their daily lives. This sug-gests that the person's ruling subselves are pretending to "recover" without giving up their protective toxic attitudes and self-medicating rituals.

       Usually people who have not hit true bottom adopt some form of this pseudo recovery, which may or may not lead to one or more relapses to their old compulsive behaviors and denials and/or justifications. ("Becky has started shoplifting again.")

        Premise - pseudo recovery is caused by [unendurable inner pain + denial of psychological wounds + an impasse between subselves who want to recover and those who are afraid to]. This can change if the person hits true bottom and commits to some form of 'parts work.'  Pseudo addiction-recovery can be viewed as a useful step toward hitting true bottom rather than a "failure."

        Premise - most (all?) relapses are really caused by the person (a) not hitting true bottom first, and (b) not committing to permanently reduce their inner pain by freeing their resident true Self, harmonizing their team of personality subselves, and improving the nurturance-level of their relationships, home, religious community, and workplace or school.

        Most lay and professional people don't know or accept this definition of the cause of the four addictions and how to "treat" that cause. The good news is, acceptance is slowly growing. The bad news is - minor kids in addicted families are still inheriting psychological wounds and ignorance. For practical ideas on how to break this tragic bequest, see this article.

+ + +

        To see if you're ready to apply the ideas above,  get undistracted and try this... 

Knowledge Check

        See where you are now. T = "true;" F = "false, and ? = "I'm not sure," or "It depends on (what?)"

I can describe the concepts of _ personality subselves, _ true Self, and _ false self to an average teenager now. (T  F  ?)

I accept that personality subselves are normal and real, not "pathological." (T  F  ?) If you don't, read these Q&A items and this letter to you, and try this safe, interesting exercise.

I can _ clearly explain the difference between a low-nurturance and high-nurturance family to another person now, and _ I can describe at least 10 typical traits of the latter. (T  F  ?) 

I can clearly define _ what an addiction is, and _ the four kinds of addiction. (T  F  ?)

I accept that _ a true addiction is a symptom low family nurturance, so _ addiction is a fam-ily problem, not just a personal one. Restated: effective addiction management is much more likely if the family changes, not just the addict. (T  F  ?)

I believe addicts are psychologically wounded and cannot control their compulsive self-me-dicating without human help and spiritual faith. They are not weak-willed, sick, immoral, a "loser," a sinner, or irresponsible. (T  F ?)

I can clearly describe what inner pain is, and how it relates to personality subselves.
(T  F  ?)

I can clearly describe _ what psychological denial is, and _ what needs it serves in an ad-dict’s family. (T  F ?)

I can describe at least four of the common traits of a true addiction now. (T  F  ?)

I can describe the main difference between preliminary (addiction) recovery and full (inner-wound) recovery, and why the former is required for the latter. (T  F  ?)

I accept that having "an addictive personality" really means "having a disabled true Self,  (being controlled by a false self), and not knowing this or what to do about it".  (T  F  ?)

I can clearly describe _ the difference between religion and spirituality, and _ what it means to have an active relationship with a benign, responsive Higher Power  (T  F  ?)

I can describe _ pseudo recovery from addiction, _ enabling, _ codependence, _ cross addiction, _ addiction relapses, and _ how well-meaning false-selves cause each of these. (T  F  ?)

I understand the 12 "Anonymous" steps for addiction-management now. (T  F  ?) . 

My true Self is responding to these items now or I know which other subself is responding. (T  F  ?)

        If you can't confidently answer "True" to each of these statements yet, invest time and energy in self-improvement Lesson 1.

        Now we're ready to apply these addiction fundamentals to people you care about - starting with you. If you feel you may be significantly wounded and addicted - or you're sure you are - study this for preliminary recovery options. Otherwise, read on...

If You're Concerned About Another Person's Addiction

        If you're concerned about an addicted child, go here. The following applies to adults.

        After (a) learning family-nurturance, addiction, and personality-subself basics, and (b) assessing yourself for significant wounds and addiction, you may...

  • defer or avoid confronting the other person, and deny or justify this; or...

  • research how to confront ("intervene") effectively, and then do so.

Let's look at each of these alternatives:

1)  Defer Confrontation

        Typical wounded people who haven't hit bottom are ruled by subselves who are scared to admit (a) a toxic compulsion and its causes and effects, and (b) implications (like "I am really wounded, and need to heal!")  Their degree of combined fear + guilt + shame will determine the degree of "resistance" they have (low to high) to even the most loving confrontation.

        Your near-sighted subselves will probably have anxieties about confronting someone about their wounds and addiction. For example, they may cause thoughts like..."But what if s/he...

  • rejects me ("Mind your own business!) and shuts me out?"

  • rages, screams and yells, gets physical, or runs away?"

  • has a breakdown?"

  • increases their addiction?"

  • blames me for their wounds and addiction?"

  • attacks me about things I don't want to face?"

        Your subselves' fears and uncertainties may be intense enough to overcome your true Self's desire to confront (a) the reality of family dysfunction and (b) the addicted person. Your protective Guardian sub-selves may lobby for one or more strategies like these...

Deny:: "S/He is not really addicted!"

Minimize: "S/He seems to be addicted, but it's not that bad."

Justify: "It's really best if I don't risk confronting (the other person) now (or ever) because...";  and/or...

Analyze, intellectualize, and rationalize: "Let me (numb my feelings, and) figure out why s/he's addicted.";

Worry privately or publicly all the time: anxiously repeat a stream of awful scenarios in your mind, but say or do nothing about them. A toxic variation of this is for your false self to become addicted to (codependent on) your addict.

      Or your personality subselves may…

Whine, complain, and/or plead with the target person to "do something" about their be-haviors or habits for your sake and/or affected minor kids - but set no limits or consequen-ces. Your ruling subselves can choose to be a victim (1-down), persecutor (1-up), or rescuer (1-up) in your relationship. And/or...

Try to manipulate and control the other person to change her or his priorities and behavior - e.g. "hide the bottle," get someone to "talk to" the person, lay on guilt trips, withhold, threa-ten (but don’t follow through), etc.

       Other strategies to justify deferring a confrontation may include...

Criticizing, ridiculing, and/or blaming the person privately or publicly: "I can't believe how thoughtless and selfish you are..."

Lecturing, moralizing, and/or preaching: "Let me tell you what you have to do, and why..."; and/or...

Punishing: "If you're going to treat me/us that way, I'll (make you hurt)."; and/or you can...

Obsess and feel responsible: "I must fix this awful, scary problem!" and/or “I must be do-ing something wrong!”; and/or...

Avoid ("cut off") the other person and/or situations that cause you inner conflicts about them, and deny this and/or pretend you haven't pulled back; and/or you can...

Pray for a miracle and fantasize about the person "suddenly waking up to reality;"; and/or...

Repress your feelings and needs, and stoically endure: "Well, that's just the way it is. Look at the good things we have…"

        Strategies like these aim to...

  • reduce anxiety about admitting the other person's toxic compulsion and it's impacts, and to...

  • avoid scary confrontations and conflicts.

Strategies like these unintentionally increase (enable) the addicted family's long-term problems and dis-tress.

        Ideally, one of you will exceed your tolerance-limit for pain, weariness, and hopelessness, and break your protective denials. This is more likely if your true Self (capital "S") leads your other subselves (person-ality).

        When you're ready to assert your opinions and needs to the addicted person, then...

2) Prepare to Intervene

        A poorly-prepared confrontation risks making family dynamics worse. Options:

  • Put your own wound-recovery ahead of helping other people, unless their life is at risk now.

  • Practice putting your true Self in charge of your other subselves. Your odds of a successful con-frontation with the other person/s are best with your Self solidly guiding you.

  • Educate yourself on psychological wounds, the [wounds + ignorance] cycle, codependence, enabling, the 12-step philosophy and resources, and the concept of intervention - a respectful group-confron-tation with a true addict in denial (next page).

  • Stay clear that any "addiction" is a symptom of the real problems: ignorance + inner pain + a dis-abled true Self + (probably) a low-nurturance environment.

  • Work to (a) maintain a genuine mutual-respect attitude, and (b) sharpen your assertion and empa-thic-listening skills. Use these when the other person denies, evades, attacks you, and/or justifies their compulsion, rather than using these popular lose-lose alternatives.

  • Keep your personal Rights in mind, and practice setting and enforcing your personal boundaries - in general, and with the other person. Stay clear: you are not responsible for the wounded adult's  choices and consequences - s/he is. Strong urges to rescue or "save" the person (other than your own child) may signal that a false-self dominates you. Keep these wise guidelines with you along the way...

  • Review your attitude about personal spirituality. Successful addiction and wound recovery is most likely with steady faith in a benign (vs. demanding, wrathful, jealous, and punitive) Higher Power. If you and/or the other person have no meaningful spiritual awareness or faith, lower your expecta-tions and keep exploring.

  • Identify specifically how the other person's behavior affects you and other people you care about. Confronting another person about an addiction is usually altruistic and selfish - i.e. the other person committing to addiction recovery will fill some unmet primary needs in you.

        More confrontation-preparation options...

  • View confronting someone as a gift to both of you. Do the words confront and confrontation feel "negative" (cause you anxiety)? Confronting is another term for asserting your opinions and needs, and negotiating healthy changes as teammates. If your Self (capital "S") is in charge and you're fluent in effective communication skills, you'll be able to handle the other person's reactions to your assertions calmly and respectfully.

  • Get very clear on why you need to confront the other person. Do you need to...

    • inform him or her of your concern, and/or some action you're going to take because of their behavior? And/or to...

    • request or demand that s/he (must want to) change something? Effective demands require you to define and enforce a specific consequence if the person doesn't comply. And/or do you need to...

    • problem-solve together? - i.e. to invite the person to help change something abut your shared environment (like your family relationships, roles, or dynamics)?; and/or...

    • help the person hit true bottom?, and/or...

    • act to prevent or manage a crisis?;  and/or..

    • all of these goals, or some other ones?

  • Keep your perspective. Your main goals are to...

    • preserve your integrity and self-respect, and...

    • plant seeds (ideas and information) which may bloom at a future time.

    If the person does break their protective denials and start preliminary recovery, that's a marvelous bonus!

  • Learn to recognize pseudo or "trial" recovery. It is a creative attempt by well-meaning subselves to pretend to be managing an addiction, but not making any permanent changes in core attitudes or pain-management strategies. Typical people who relapse (resume their toxic behaviors) have not hit their true "bottom," and have usually been in pseudo recovery.

  • Inform other relevant people of these preparation-options, and ask for their help. "Relevant" means other people who live and/or work with the person you're concerned about - like parents, grandpar-ents, siblings, close friends, therapists, (ex) mates, clergy, doctors, and co-workers. As you do this, be alert for signs of false-self dominance. Wounded people are often unable (vs. unwilling) to provide effective addiction-management help.

  • Consider consulting with a professional addiction counselor to increase your odds of confronting successfully. Ask their opinion about if, when, and how to do an "intervention" with your target adult. This powerful option is outlined on the next page.

        Recall that all these are ways of preparing yourself to confront an addicted person and/or any enab-lers. If these options seem like a lot of work - they are! The potential long-term benefits of a successful confrontation justify the effort. Pause and notice what your subselves are thinking and feeling now about these options.

As you prepare, keep in mind that addictions are symptoms of the real problems - inner pain + psychological wounds + unawareness. Few addicts or lay or professional supporters know this or what to do about it.

Continued. Do you need a break before reading further?

Updated  11-19-2011