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

About Addiction Recovery
and Personality Subselves

p. 2 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

Continued...

Your Language Can Hurt or Help

        Words are powerful! For many people, the words addict, addiction, addicted to, and addictive personality automatically evoke shame and associations with sickness, disease, impairment, distrust, 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."

        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 most addictions, which are a psychological/spiritual symptom of inner pain + unawareness. (exception - alcoholism has a genetic predisposition). 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 "well 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, current 12-step literature, teaching, and programs ignorantly promote the harmful old misconception that addictions are an individual disease rather than a symptom of major family dysfunction.

       More helpful terms are psychological wounded, vs. addicted, wounds vs. character defect, condition, vs. disease, and "family problem" vs. "addiction."  People who resist changing their terminology here probably deny they're ruled by a false self.

        The term addiction recovery can be misleading, because it implies that self-medicating people "get over" their toxic false-self 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 bottom 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 outdated 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 ancestral misperception that alcoholism came from a shameful "weak will," surrender to the Devil or demons, and/or "moral 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 unintentionally 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...

        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 (Trial) Addiction "Recovery"

        Reality - some "addicts" (Grown Wounded Children) can stop their compulsive behaviors and "stinking thinking" (self-destructive attitudes and beliefs), and 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 introductory article. Here are some key things to consider:

        Three phases to personal healing are...

  • pseudo or trial recoveries,

  • preliminary (addiction) recovery, and...

  • full (inner-wound) recovery.

True addiction recovery traits are (a) observable changes in basic priorities and attitudes, usually including a meaningful relationship with a Higher Power; (b) stable long-term avoidance of the addictive behaviors; and usually (c) genuinely committing to some version of the key 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. I propose three interactive reasons for this:

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

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

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

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

       Usually people who have not hit their 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 + unawareness or denial of false-self dominance and 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 or "trial" addiction recovery can be viewed as a useful step toward hitting true bottom, rather than a "failure."

        Typical 12-step recoverers are drilled to keep participating in program meetings ("Keep coming back - it works!") or risk relapsing. This rule is validated by relapses among people who "don't work their program" and stop regular 12-step attendance, and fewer relapses among regular attendees.

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/s.

        Most lay and professional people (including media pros) don't know or accept this proposed definition of the cause of the four addictions and how to "treat" that cause. The good news is - this is slowly changing. The bad news is - minor kids in addicted families are still inheriting false-self wounds and ignorance, and learning to self-medicate their inner pain. For practical ideas on how to reduce this tragic cycle, see this series of articles.

+ + +

        We've covered a lot of ground in these two pages! Before applying these concepts, take a... 

Status 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 this letter to you, and try this interesting, safe 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 family problem, not 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 wounded and cannot control their compulsive self-medicating without human and spiritual help. 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 addict’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 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  ?)

        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

        After (a) learning family-nurturance, addiction, and personality-subself basics, and (b) assessing yourself for significant wounds and addiction, three options you have are to...

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

  • prepare to confront them, and...

  • confront the person and/or any enablers. Confront means to...

    • identify and respectfully assert your needs and boundaries (limits), and...

    • invite the other person/s to make healthy changes in certain toxic attitudes and behaviors.

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) addiction 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 (the other person)...

  • 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 subselves may lobby for one or more strategies like these...

Deny:: "S/He is not really addicted!" (dominant Magician subself)

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

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

Analyze, intellectualize, and rationalize: "Let me (numb my feelings, and) figure out why s/he's addicted." (Nimb-er and Analyzer subselves)

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

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

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, threaten (but don’t follow through), etc. (dominant Controller subself).

       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..." (dominant Inner Critic subself); And/or your subselves may..

Lecture, moralize, and/or preach: "Let me tell you what you have to do, and why..." (dominant Moralizer/Savior subself); and/or...

Punish: "If you're going to treat me/us that way, I'll (make you hurt)." (a dominant Inner Child and/or Warrior/Amazon);

Obsess and feel responsible: "I must fix this awful, scary problem!" and/or “I must be doing something wrong!” (dominant People-pleaser, Little Adult, Guilty Child, and/or Shamed Child subselves);

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. (dominant Avoider + Numb-er + Magician subselves); and/or you can...

Pray for a miracle and fantasize about the person "suddenly waking up to reality;"  (dominant Idealist / Optimist and Fantasizer subselves); 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…" (dominant Numb-er, Fatalist, Idealist, and Survivor  subselves).

        Add any other favorite confrontation-deferment strategies...

        Protective false-self responses 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.

Deferment choices like these unintentionally increase (enable) the addicted family's long-term problems and stress.

        Ideally, one of you will “hit bottom.” You’ll 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