Some Things You May Not Know About Substance Abuse, Part 7: In the beginning of recovery, it doesn’t matter if you are self motivated. It just matters that you have motivation

In the beginning of recovery, it doesn’t matter if you are self motivated. It just matters that you have motivation

Most people believe that internal or self motivation is the best kind of motivation and that people who are motivated for recovery to please others, whether they be the court, a spouse, a boss, or a parent, are not as well motivated.

Facts and figures show otherwise. They show that people who are externally motivated are more likely to succeed in staying clean than those who are doing it just to please themselves.

The one who is only self motivated is free to change his mind, and most of them do.

It’s one thing to sit and say, I’m never going to use again. What alcoholic has not prayed to the porcelain god that very prayer? Most say they do not want to use again when they are suffering from the consequences, not the desires, of use. When the desire to use returns, there is nothing to stop them. The bars, drug houses, and tobacco shops are filled with people who want to stop using. The ones who do stop have a reason to do so and have the need to make sacrifices.

The person who is externally motivated has more to lose.

I will help anyone where they are at, whether they are internally or externally motivated. But, if I were to chose who I would work with in recovery, I would rather work with the ones who are both externally and internally motivated. They would be the most likely to succeed. But I would take a client who was externally motivated over someone who only had to please himself.

That is particularly the case if the addict has someone: a spouse, a parent, an employer, or a judge, who could externally motivate him, but chooses not to. That person is set up to fail because others have failed him.

The person who is externally motivated has people in her life that care enough to take a stand.

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The Shrink’s Links: Blossom Hypnosis

Bringing you the best of mental health every week.

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When I used to work at an inner city community mental health clinic, Rekha Shrivastava had the office next door. Rekha is a quiet, unassuming lady. Her clients loved her. For good reason. I would watch them walk into her office miserable and walk out happy. I was never quite sure what they did in there, but Rekha called it cognitive behavioral therapy.

Well, it’s years later and Rekha is still making people happy, only now she’s in private practice and she calls it hypnosis. They never let us do hypnosis at the inner city community mental health clinic. It was considered a whacky, alternative type of therapy, even though there’s good evidence it helps with a wide range of problems.

If you’re interested in hypnosis or want to read Rekha’s blog, click here for the link.

The Shrink’s Links: Karl Popper and the Refrigerator Light

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I got on an energy-saving kick once and became concerned about the light inside the refrigerator. Did it really turn off when I shut the door? Little did I realize how this question took me to a place shared with one of the most renown of modern philosophers, Karl Popper.

The question about the light was an important one because if the light stayed on when I shut the door then it was wasting energy, both by uselessly lighting the inside of the refrigerator and by heating it up. I studied the button in the door jam. It turned off the light when I pressed it. The door pressed the button when I shut the door. Therefore, when I shut the door, the light must go off. That might have settled it, except I had been studying psychology, the behaviorists in particular.

The behaviorists said that we should not be making claims about anything we could not directly observe. We shouldn’t be talking about the unconscious, for example, or any thoughts and feelings of another person, because they were all interior events. The only thing, they said, that we could study in psychology was what was on the outside; the behavior, in other words. That’s why they were called behaviorists.

Whether the light was going off when I shut the refrigerator door was an interior event, much like another person’s thoughts and feelings. It was true that I could directly observe the operation of the button by my finger or the door while it was shutting, but, whether the light remained off when the door was shut all the way was conjecture and thus not worthy of the claims of science.

I began to make plans to cut a hole in the door with an acetylene torch or remove the food so I could crawl in. That seemed the only way to directly observe. I might have actually done that, but I had another thought. Even if I did directly observe the light going off when I crawled in or cut a hole in the door, how would I know whether it continued to go off when I wasn’t there to see it? Yeah, I know that it’s highly probable that it would, but how could I be certain?

It’s a good thing I was studying psychology because I soon recognized that this quest for certainty was ill conceived, maladaptive, and dysfunctional. It was the same quest for certainty seen in obsessives, the worried, the panicked, the psychotic, and the paranoid. It was also the same quest for certainty demanded by the scientific method.

That was precisely Popper’s point. Popper lived in the 20th century, a refugee from Nazi Germany, a dissenter from the prevailing philosophical position of the day, logical positivism, to which the behaviorists belonged. His thing was that science was not as rigorous as claimed. Most of science, he said, was really pseudo-science, making untestable hypotheses and relying on conjecture and inductive leaps far more than admitted. Even what is assumed to be direct observation is infected with biases and shaped by unconscious theory.

To say that something is not a verifiable claim, not science, in other words, is not the same as saying that it’s worthless. Popper puts the entire field of psychology into the pseudo-science category. I agree with Popper that psychology often says it knows what its talking about far more than it does. That is not to say, though, that it cannot illuminate, inform, and inspire. In fact, you could also say the same about Popper’s assertions.

The point in revealing that this emperor called science is wearing no clothes is to question authority. That’s Popper’s thing, too; questioning and undermining authority. When people attempt to exert power, they do so by claiming to represent the truth. We see this in totalitarian societies of all types. Popper thought he saw this in the way science is used to exercise authority.

I know quite a few scientists. I know them as humble people. They are very careful not to say more than the data suggests. One only has to read the conclusion section of any scientific paper to see how painstaking they are to say exactly what they mean and not go overboard by claiming more than their experiment suggests. They couch their assertions in so many qualifiers it’s often hard to tell just what they are saying.

No, it’s not the scientists that make overreaching claims; it’s the people who attempt to use science to gain or keep power. You hear this sometimes in the respectful tones they use to report science: “studies show… the doctor says… research tells us… we need more education in….” You see it in the way people will defer to MDs and PhDs. Underneath these self-effacing, deferential tones is a person attempting to control you, to use the authority of “Truth” against you, to be influential in the halls of power.

Now, please don’t go off and think that any assertion is just as good as any other, that the claims of astrology, intelligent design, The Flat Earth Society, climate change deniers, your favorite psychic, and the most outlandish crank should be taken as seriously as those of a board certified physician, a conference full of physicists, or Nobel laureates. Some deserve more of a hearing than others. The point is that every claim needs to be evaluated on it’s own merits, not on the merits of the person professing it. Every physician, physicist, or laureate, is a person and subject to all the biases and prejudices to which people are susceptible.

After all, even a wise and educated counselor and writer was once ready to cut a hole in his refrigerator door to prove that the light goes out.

Click here to go to the Karl Popper Web

 

The Shrink’s Links: Minimalism

Bringing you the best of mental health every week.

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Less is more.

Less clutter, fewer time commitments, negative thought patterns and toxic relationships equals more time, space and energy for things that really matter to you.

Do I really need to say more?

Click here to go to the site and learn how to free yourself of the madness of maximumism.

The Shrink’s Links: Mindfulness Apps

Bringing you the best of mental health every week.

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You don’t need an app to be mindful. As a matter of fact, getting rid of that phone and the laptop and the computer for a day, or even an hour, and paying attention to the here and now might be a great exercise in mindfulness. But, if nothing seems real to you, or possible, unless there’s a app for it, then here’s the place to start: a place that lists a bunch of mindfulness apps.

Click here to go to the site.

The Shrink’s Links: The Smokefree Way

Bringing you the best of mental health every week.

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Sometimes I get new books to review. I just finished The Smokefree Way by Tamir Turgal. As an addiction counselor, I’ve read many books and heard many people talk about addiction and the process of setting oneself free. I’ve never read anything as clear and direct as this one.

Turgal offers a cognitive approach to recovery from addiction to tobacco, perhaps the most persistent and frustrating addiction of them all. When most people try to quit smoking, they gravitate towards the biochemical treatments of puffing, patches and pills. But, what Turgal says is needed, is a change in thinking. He exposes many of the delusions, excuses, misperceptions, and lies that keep people stuck in their addiction.

For instance, many people are overwhelmed by how hard they think it is to stop smoking, forgetting how hard it is to keep smoking. When you smoked your first cigarettes, you didn’t feel good, you were coughing and dizzy, but you persisted. For a few days after you smoke your last cigarette, you also don’t feel good; but, if you persevere, you’re free. Yeah, you’re grouchy when you quit. Temporarily. But, when you smoke, you stink. Sure, when you quit, you gain weight. Temporarily. When you smoke, you can’t breathe, Quitting requires some sacrifices. But it’s costly to smoke, time consuming, and shaming. Quitting is hard, but it’s no harder than smoking.

Turgal deserves an award for cutting through the bullshit, the smoke and mirrors, that surrounds cigarettes.

Click here to go to the website.

The Shrink’s Links: Intersections

Bringing you the best of mental health every week.


When I’m not shrinking heads, or writing about shrinking heads, I’m often writing fiction. For instance, I have another blog, At the Epiphany Cafe, where I experiment with new ideas and characters under the pen name, S Harry Zade. When these ideas and characters work they eventually become a book. One such book, Intersections, just came out. Maybe you’d like to read it.

Click here to go to Intersection’s Amazon website.