Tag: Alcoholism & Recovery

Keep Sobriety Simple

Get your head right, and keep it right!

Alcoholism: What’s The Best Treatment?

alcohol article on justruminating men's blogWhat Is the Best Alcohol Treatment?

There are three myths about alcohol treatment, according to some of the foremost researchers in the area, led by psychologist William R. Miller (Handbook of Alcoholism Treatment Approaches: Effective Alternatives, 3rd edition, edited by Hester & Miller, published in 2003 by Allyn & Bacon). The first myth, and possibly the worst, is that there is one and only one effective approach to addiction recovery. If you are seeking treatment and a facility tells you a version of this myth, it would be better to look elsewhere for help. Alcohol treatment research, and addiction treatment research generally, shows there is no single approach that is best for all individuals.

Many paths to addiction recovery

The first principle of the 12 Guiding Principles adopted by SAMHSA’s Center for Substance Abuse Treatment’s National Summit on Recovery is: There are many pathways to recovery. Their list was generated by leaders in treatment and recovery, and included recovering individuals, treatment providers, researchers, faith-based providers and state and federal officials. A similar document of 10 principles, addressed to the problems of individuals with co-occurring mental health issues, produced at a Substance Abuse and Mental Health Services Administration (SAMHSA) conference, stated: There are multiple pathways to recovery.

The other two myths are that “nothing works” and “everything works.” Put another way, there is a popular but incorrect belief that all treatments for addictions are equally good or bad. Drs. Miller and Hester have been comparing the research contrasting the various approaches. Their scientifically sophisticated review of alcoholism treatment outcome research demonstrates that some treatment modalities are especially effective for most people. Rank ordered, the evidence is strongest for:

1. Receiving honest but non-confrontational one-on-one feedback regarding one’s alcohol- related health from a health professional;

2. Non-confrontational strategic Motivational Interviewing;

3. The medication acamprosate;
4. A complex set of cognitive and behavioral methods called the Community Reinforcement Approach
5. The assigning of a Self-Change Manual, also called Bibliotherapy
6. The medication naltrexone;
7. Behavioral Self-Control Training (a moderation approach);
8. Behavioral Contracting for rewards given in exchange for clean drug test results:
9. Social Skills Training
10. Behavioral Marital Therapy

A common theme in all of these treatments is that they are delivered with empathy and without confrontation. These treatments are often mentioned in media articles about improving our poor record in helping people with addictions. Unfortunately, few addiction treatment centers offer them. However, with the aid of the internet one can find them more easily than before.

Alcohol treatment with weak evidence of effectiveness: Of the 48 approaches ranked, the evidence is weakest for:

 48. Educational tapes, lectures and films, upon which much time is spent in some rehabs;
47. General Alcoholism Counseling;
46. Psychotherapy;
45. Confrontational Counseling;
44. Relaxation Training;
43. Videotape Self-Confrontation or watching oneself behaving badly while intoxicated;
42-39.These four included three medications and Milieu Therapy;
38. Alcoholics Anonymous
37. Twelve-Step Facilitation Therapy, a one-on-one teaching and support of the 12-Steps.

Of course, even these treatments will be helpful to some. However, it would appear most sensible, if seeking treatment for oneself or a loved one, to start with a treatment that had a better record of success. Further, common sense would suggest that if one approach does not work, it is not necessarily the individual’s fault. If an alcohol treatment does not help much, try something else!

(from Practical Recovery)

AA: Prejudice or Reality?

AAI wonder how many other people maintain this opinion of AA, an organization that has helped thousands of Alcoholics in their quest for sobriety…is there a support network for alcoholics?

From the Big Book of Alcoholics Anonymous (Appendices II: Spiritual Experience, Page 568)

“There is a principle which is a bar against all information, which is proof against all arguments and which cannot fail to keep a man in everlasting ignorance—that principle is contempt prior to investigation.”

—Herbert Spencer

AA And Me

wp-1484928101125.jpgI just came from another VA Group–see About Me for a quick background on me–and it has generated some new thoughts I may have towards Alcoholics Anonymous.

According to their website:

Alcoholics Anonymous is an international fellowship of men and women who have had a drinking problem. It is non-professional, self-supporting, multiracial, apolitical, and available almost everywhere. There are no age or education requirements. Membership is open to anyone who wants to do something about his or her drinking problem.

aa and me on justruminating men's blogWell, to be brief, I was always turned off by different aspects of different meetings.  Some seemed like English Class (Big Book Meetings), while others seemed to drone on endlessly while a Speaker told me how they had made it to sobriety (Speaker or Solutions Meeting.)  They had all these different slogans that, at first glance, seemed corny:

Live and Let Live     It Works If You Work It     Suffering Is Optional     Easy Does It     First Things First     Keep Coming Back

To name just a few.  But today, I realized that I was looking at AA all wrong:  I was JUDGING, I wasn’t READY to become sober, I lost EMPATHY for the drunk at the podium, and I just didn’t “Buy Into It.”  I realize that it could be me up there, talking about how my life as an alcoholic has been, and how I am trying to keep my sobriety every precious day.  I realized that perhaps I could actually benefit from being in the audience, and perhaps one day be telling my story (which, I understand, is therapeutic in and of itself).

So, I have decided to attend a meeting this weekend and give it another shot.  Because isn’t it about giving me another shot when it comes right down to it?  And in group I did learn that AA has the highest success rate of any aftercare program, so that grabbed my attention too!

Stay tuned…