Still, the notion that teen behavior and attitudes generally, and the proclivity to do drugs in particular, are rooted in developmental brain anatomy, is overly broad and unfair. Only a minority of teens do drugs. Some teens are impulsive, others are cautious. Some take risks, others avoid them. For every teen who has impaired judgment, there is another who is wise beyond their years. We certainly see kids who do drugs and hide it from their parents, but we also see kids who fight hard to get their parents off drugs and into treatment. Bottom line: teens deserve as much respect as adults for their individuality, their wisdom, and the choices they make.
An interactive, content-rich, easily searchable platform for LifeRing participants who give something back to the LifeRing network.
Thursday, May 6, 2010
Adolescents of All Ages
Still, the notion that teen behavior and attitudes generally, and the proclivity to do drugs in particular, are rooted in developmental brain anatomy, is overly broad and unfair. Only a minority of teens do drugs. Some teens are impulsive, others are cautious. Some take risks, others avoid them. For every teen who has impaired judgment, there is another who is wise beyond their years. We certainly see kids who do drugs and hide it from their parents, but we also see kids who fight hard to get their parents off drugs and into treatment. Bottom line: teens deserve as much respect as adults for their individuality, their wisdom, and the choices they make.
Sunday, February 7, 2010
Growing in Dublin
I am writing to you in the hope that I may receive information about facilitating LifeRing meetings within our organisation. We are a community based organisation based in Dublin 12, we work with both problematic alcohol and drug users. We have at the moment A.A meetings being held each week, but it has come to our attention that the amount of people attending these meetings is far less than the amount of people who need help. When we put the question to the people who don't attend, their response is that they believe it was themselves who chose to drink or take drugs and that it should be themselves who chooses and has the power to stop. Since finding out about and from reading your web-site,(which I really enjoy and agree with) I have mentioned it to some of our service users and they seem excited at the idea of attending these meetings.Dennis S., the LifeRing convenor who founded the first two LifeRing meetings in Dublin, promptly contacted the writer and offered his assistance and cooperation. It's very likely, from the looks of it, that Dublin will soon have three LifeRings.
I understand that there are 2 meetings being held in Dublin, but I am hoping that maybe we can facilitate them here also. Is there any possibility of this? Or can I receive some information please about training myself to become a convenor of LifeRing.
Note that this email comes from a counselor at a program that so far is exclusively 12-step oriented. If you looked at this program from the outside, seeing only the surface, you might write it off as a stone 12-step program, beyond hope.
But the clients on the inside have different ideas. The amount of people attending the 12-step meetings, the writer observed, "is far less than the amount of people who need help." That's just about a universal condition in every 12-step program. As we know from AA's own triennial membership surveys, reported in Don McIntire's journal article (covered in my book Empowering Your Sober Self), out of 100 people who approach AA, at the end of 90 days, 90 per cent have walked away.
It doesn't take a rocket scientist to figure out that there's a gap here. To its immense credit, the staff at this program in Dublin actually asked the people who don't attend AA, why don't they? This is almost revolutionary in a profession that's very strong on talking at clients but not so good at listening to clients. But the client-centered spirit of Carl Rogers is penetrating even into substance abuse treatment, the most backward province in the kingdom of mental health treatment, and the result is what you see: clients who insist that they're not powerless to get free of alcohol and drugs, and who want support groups that acknowledge that power and reinforce it. In short, clients who want LifeRing.
Even in Ireland. Or perhaps: especially in Ireland.
Saturday, September 5, 2009
Second LifeRing at MPI
MPI was also the second treatment program where patients got a choice between the LifeRing meeting and a 12-step meeting on site in the same time slot (Kaiser Oakland was the first). At the appointed hour, a counselor takes to the PA system and advises clients that they have a choice of AA in Room x and LifeRing in Room y. The LifeRing meeting usually holds up very well in that setting. When I was the convenor, there were a couple of nights when no one came, but quite a few nights when everyone came, either because the AA speaker failed to show up or because the clients had quite enough of AA for the day, thank you. On the average, the LifeRing meeting drew about a third to a half of the program's census when I was present. I hear from John D., who has been convening this meeting for some time now, with help from Rick K., that the attendance has picked up from that ratio, and that the room is usually pretty full now. So I should not have been surprised to get a call from one of the staff counselors two weeks ago asking for a second LifeRing meeting to be established at MPI, please.
This is the new reality for LifeRing. Ten years ago we would knock and knock on the doors of treatment programs like MPI and the doors would get slammed in our faces. We had convenors ready to lead meetings, but no rooms or referral sources. Today, we get phone calls from treatment programs asking us to start a LifeRing meeting, or another LifeRing meeting, please.
Luckily, I quickly found not just one but two LifeRing regulars with the requisite six-months-or-more sober who are ready, willing and able to convene this new meeting. They are Rick B. and Jon M. We'll be launching the new Tuesday evening meeting at MPI this coming week, day after Labor Day, at 8:30 p.m.
Wednesday, May 20, 2009
Another door opens by a crack
Now comes an invitation to speak about LifeRing at another well-known bastion of the 12-step approach, the Henry Ohloff program in San Francisco. I will be addressing staff at the outpatient center on June 2. Like Mountain Vista, this program is not ready to host a LifeRing meeting, and it may be quite a while before the treatment protocol opens up to the reality that there are many roads to recovery. But meanwhile, there are staff members in these tradition-bound programs who have their eyes and ears open for new developments that may help some of their clients.
This is certainly a welcome sign. If I ask why it is occurring, the answer is that patients/clients are driving it. In at least 80 per cent of the cases where we are contacted by a treatment professional and asked for more information about LifeRing, a patient or client was the driver. A patient or client introduced the professional to LifeRing literature or the LifeRing web presence, or informed the professional that he/she was attending LifeRing and that it was helping.
And even when an individual patient or client is not directly the driver, in the sense that he or she located LifeRing and put LifeRing on the professional's radar screen, it is still patients/clients who drive the process passively, by voting with their feet when the professionals only offer an approach that does not work for them. A treatment program that only offers the 12 steps and nothing else is going to experience, sooner or later, the reality that 80 per cent of newcomers to AA walk away within 30 days (and 95 per cent within a year).
While few treatment programs retain a patient as long as a full 30 days -- the average stay at one nominally 28-day program I know is around 10 days -- the client resistance to 12-step may well show up from Day One of treatment. If the program has nothing else to offer, it's going to lose clients earlier than if it offered choices. Monomodal treatment translates into high patient turnover. You don't need to be a rocket scientist to figure it out.
And so, the wheels turn, and sooner or later a call goes out to LifeRing, or another alternative approach. Quite a few LifeRing convenors now have had the experience of explaining LifeRing before audiences in treatment programs. To be sure, it's far too early to proclaim a tsunami, but if we compare the interest in LifeRing from treatment programs ten years ago and now, we're almost in a new era. Ten years ago, most minds were closed and we couldn't get in the door. Today, we're frequently in the embarassing situation of getting requests from a program director to start a meeting, and not having a convenor to take the room. It's a problem, but it's a better problem to have.
Sunday, September 7, 2008
LifeRing at the National Association of Addiction Professionals' Conference

From Andy Ross, who represented LifeRing at the annual meeting of the National Addiction Professionals' Association (NAADAC) in Kansas City:
I'm back in Wichita from the National Conference of NAADAC, the National Association of Alcohol and Drug Counselors; combined with the annual conference of KAAP, the Kansas Association of Addiction Counselors; and NALGAP, the National Association of Lesbian and Gay Addiction Professional, which was held last weekend in Overland Park, Kansas. I do not have a count of how many attended though it seemed to me to be not a great many more than attended the last KAAP conference I went to a couple of years ago.
Perhaps the increased cost of travel, the date being the Labor Day holiday weekend or the fact that somehow Overland Park has escaped the world's notice as a premier "destination" city contributed to a turnout that was a bit lower than I expected. Nonetheless, there were several hundred attendees, many from Kansas, Nebraska, Missouri and nearby states but also representatives from all of the regional centers in the nation and a few international members.
I arrived at the Overland Sheraton Wednesday, August 27th, around 4:30 or 5:00 p.m. and found the exhibit hall about half full of exhibitors booths already set up or being set up and, with a little fumbling on my part, was able to get the LifeRing booth set up properly. There were perhaps 40 - 45 other exhibitors, ranging from SAMHSA, NIDA and a few other government agency reps; to a Narcotics Anonymous booth, Hazelden (the Minnesota based treatment program and publishing house), providers of urinalysis and drug testing kits, nutritionists, meditation music and literature providers; really, a whole gamut of services. The government booths, especially, provided a plethora of free literature and information.
The exhibitor's hall was open Thursday, Friday and Saturday at 7:30 a.m. and just about everyone attending hit the hall each morning bright and early as that was also where the free continental breakfast, juice and coffee were served each day prior to the beginning of workshops and plenary sessions. Again, as to the total number of attendees, I can only make a guess but the most I saw, based on a quick guesstimate-headcount at a plenary session, was about 175. I believe quite a few attendees, especially from Kansas and Missouri, came for only a part of the conference and returned home and they were coming and going throughout the weekend.
Our booth was at a junction of two aisles of exhibitors and directly across from the coffee tables so we had excellent traffic flow past the booth and many people stopped and chatted with me about LifeRing's philosophy and about the nuts-and-bolts aspects of how we operate. The one pamphlet I wish now I had thought to request more of, specifically, was the LSR Online booklet. Because the majority of attendees were from the middle of the country, where LifeRing has few face-to-face meetings, our online presence particularly interested many.
Attendance in the exhibitors' hall was pretty spotty and sparse whenever workshops and meetings were in session which gave me time to browse the other booths and to attend some workshops myself. LifeRing got an unexpected and unsolicited plug at the workshop of Gary Blanchard, MA, LADC1, whose presentation focused on his book, Success Centered Addiction Recovery Facilitation. Mr. Blanchard had been by the booth and picked up pamphlets and spoken to me and he was very impressed with LifeRing's approach, which neatly dovetailed with his own "non-traditional" philosophy of addiction treatment. He urged everyone at the workshop to check out our booth and I spoke with most of those in his workshop later in the day as they came by to see what we were about.
Thursday was the busiest day at the booth and Friday morning was a continuation of that but the traffic tapered off by late afternoon. Saturday, by contrast, was quite light and by early afternoon a number of the other exhibitors were already breaking down their booths or leaving them largely unattended. In retrospect I wish I had kept a log of how many came by and perhaps taken notes as Marty did in Nashville. I'll know to do so in the future! Trusting to memory proved to be a less than adequate method of tracking contacts. Everyone I met expressed interest in alternatives to traditional recovery support and also acknowledged the very great desirability of such alternatives.
Just from memory I did meet with counselors from Oregon, Washington, Idaho, Montana, Colorado, Nevada, New Mexico, Nebraska, Massachusetts, New York, Vermont, W. Virginia, Kentucky, Florida, Missouri, Oklahoma, Texas, Mississippi, Alabama, Vermont, New Hampshire and Minnesota as well as a man from Kenya and three counselors from Reykjavic, Iceland. It was an exhausting weekend from which I am still not quite feeling fully recovered; but tremendously rewarding and well worth the time and effort. I encourage anyone who has the chance to attend similar events to do so and represent LifeRing to the people best placed to refer newcomers to recovery to our philosophy and support!
Wednesday, August 20, 2008
LifeRing at the APA in Boston
From Kathleen Gargan, who represented LifeRing at the American Psychological Association Conference in Boston:I'm back from the 2008 American Psychological Association Conference in Boston. This was a fascinating, if exhausting, experience. The exhibition Hall was open from 9:00 a.m. to 5:00 p.m. on Thursday, Friday and Saturday, and from 9;00 a.m. to noon on Sunday.
On Thursday and Friday, I handed out 317 "Welcome to LifeRing" pamphlets, and repeated my "In a Nutshell" description of LifeRing: "Can I tell you about LifeRing? LifeRing is a non-profit, secular alternative to Alcoholics Anonymous and Narcotics Anonymous for people who don't relate to the spiritual or religious focus of the 12 step approach."
I learned quickly how important it was to get the word "nonprofit" out of my mouth as soon as possible, since most of the other booths were there to sell something. On Saturday and Sunday, traffic was much lighter and I gave out 75 pamphlets and visited exhibit booths of treatment centers, as well as academics who were giving papers on addiction related topics.
I also visited the AA and NA booths and was received cordially in each case. By far, most of the people I talked to were very positive about LifeRing. No one wanted to argue about The One True Way to get clean and sober.
One man asked if AA was "threatened" by our group. I told him that it certainly doesn't need to be, and asked him what made him ask such an interesting question. He laughed and said something about territoriality.
Even people I interrupted as they walked by very quickly with the "my destination is more important than anything you could possibly tell me" vibe thanked me for stopping them when they heard about LifeRing.
Several people wanted to know if we had studies to show the effectiveness of LifeRing; some asked if we were related to Rational Recovery, and many people expressed surprise to hear that such a thing as a secular recovery program could exist!
Therapists from Oregon, Rhode Island, New Jersey, Kentucky, Pennsylvania, Tennessee, the Carolinas, Massachusetts and Utah wanted to know if there were face-to-face meetings in their area. Psychologists and students from Kuwait, Egypt, Spain, the US Virgin Islands and Puerto Rico now know about LifeRing.
I collected cards from several people who want more info One author from Pennsylvania expressed interest in doing an article about non 12 step recovery programs for the state Psychologists' journal. I plan to follow up with an email to each one. It was wonderful to hear so many people say that there is a great need for a secular alternative to 12 step programs.
It seems to me that having a presence at this event automatically gave LifeRing a certain gravity; as if we should be taken seriously as a resource for recovery. There were no representatives from Women for Sobriety, Smart Recovery or S.O.S. Likely this is because it is expensive to participate. (I learned when I arrived that we were
required to rent 10 square ft of carpet, $218.00 for 3 & 1/2 days,
and if we wanted a table and chair, we would need to rent them as well, and for equally appalling amounts)
I also feel that it would be helpful to have more than one person "personning" the booth. Sometimes as I was talking to someone, I noticed 4 more people walking by. Also, as time went on, I found I had less energy to approach people. I would have helped to have had at least one other person there to reach more people and to trade off with. Of course this will not always be possible, but it's something to think about for future conferences.
All in all, I'm very glad I got to do this gig, and I recommend to all!
I'm sure there is pertinent information I am leaving out. Please ask me questions if you want to know more!
-- Kathleen
Tuesday, March 25, 2008
Draft of new brochure, for comment
The text of the brochure is drawn largely from my earlier blog post about this court case, there. Please post comments about the court decision there. Thank you.
Tuesday, February 5, 2008
Email from a Treatment Professional
"All the newest scientific literature in recovery says "one size does not fit all - and should not" implying people should have choices that will keep them coming, as it is difficult to affect change when the patient does not attend. Historically, we have viewed resistance to 12-step programs as "denial". We are moving away from that dogmatic approach to substance abuse counseling. This is my long-winded way of attempting to say I no longer view LifeRing as "competition" to [12-step], especially given the extraordinary acceptance it has had among our IOP patients who would not have otherwise attended AA or NA.
Consequently, I suggest you move the meeting to whatever date and time you wish.... Given what we are learning about substance abuse treatment, disallowing to the change would not be in the best interest of the patients wishing to attend, and therefore hard to justify. ...
So, in summary, I say move the meeting on your own.... Again, congratulations on a very popular treatment alternative that has meant the difference between attending or not attending self-help groups for a large number of our patients."
Saturday, December 29, 2007
Another professional discovers LifeRing
Received at the LifeRing Service Center today:
I am thrilled to learn of the existence of your organization. I am a Treatment professional that deals every day with patients who have been failed by "old-school" treatment modalities, and completely alienated by 12-step groups. Many of them are legally mandated to attend "sobriety-based self-help groups" but have no options other than AA, etc. or some extremely fundamentalist religious groups. There are a few SMART recovery groups around, but not enough. My particular position allows me to specialize in one-on-one counseling with patients who come through emergency room interventions and might not otherwise access help. I utilize a totally strength-based counseling method, which is obviously completely in alignment with your philosophy.
I would like to get my free copy of "Presenting Lifering" so I can begin to distribute it among my colleagues and possibly support some of my successful patients in forming a group of their own.
My Agency is called [...]. I will be looking at solutions to get my company to invest in a full complement of your literature as a healthy alternative to AA. [...]
Thanks so much. I am excited to get started in expanding Lifering.
Sunday, November 25, 2007
More Help from Professionals
Hello LifeRing;
I am researching LifeRing and seriously considering getting a meeting started here in ______. ... I am looking for some guidance on how to become a convenor and start a meeting. ... I have 19 months sobriety this time around, almost exclusively without a 12 step program. I'm a participant at my CDRP at Kaiser Permanente. In fact, it is my therapist who suggested looking into starting a meeting.
I am very impressed with what I've discovered so far about LifeRing. I just finished listening to LifeRing 101 on my computer. I just ordered the workbook and "How's your week" from the website. ...Any help you can give is greatly appreciated.
[Signature]
Note the line, "it is my therapist who suggested looking into starting a meeting." A very similar thing happened a few weeks ago in another city hundreds of miles away from the above: a counselor not only suggested that the client start a LifeRing meeting but set up the room and the time slot.
Wednesday, November 7, 2007
Choice philosophy gets boost
The first publication, the report of a 2005 recovery conference under the auspices of SAMHSA, the federal agency, contains a summary of recovery principles beginning with the important basic truth that there are many roads to recovery. An excerpt containing the entire summary is in my New Recovery blog here.
The second is a new monograph titled Recovery: Linking Addiction Treatment & Communities of Recovery: A Primer for Addiction Counselors and Recovery Coaches, by William White, MA and Ernest Kurtz, Ph.D. A PDF copy of the whole 80-page essay is here. It's published by the Addiction Technology Transfer Center, a SAMHSA project.
The Preface, by Charles Bishop and Michael Flaherty, summarizes the main point in these words:
This paper’s most important focus is on recovery and the suffering addict’s (client) needs and perspectives as the most important throughout the entire recovery process. This paper emphasizes how each person has both the responsibility for and a philosophy of choice in his/her recovery. Thus, the counselor and clinical treatment system staff become supporting partners along with a rainbow of community-based, non-professional mutual aid recovery fellowships, all working to help the addict. (emphasis added).Anyone familiar with modern medicine may be tempted to yawn here, because the concept of patient choice and responsibility is by now entrenched and familiar there (source). But much of addiction recovery is still in the Middle Ages, so the notion that the patient has a choice in recovery -- and that this is to be recognized and supported -- is nothing less than revolutionary. What's even more significant is that this recognition comes from two heavyweight authors with solid-gold credentials in the 12-step universe. White is the author of the definitive history of addiction treatment in America, Slaying the Dragon, reviewed here; and Kurtz's Ph.D. thesis, Not God, is one of the classic texts in AA history.
The authors zero in on the subject of choice on p. 19. After a preface that takes note, without comment, of widespread allegations that the 12-step approach does not work for everyone -- a point that virtually every front-line treatment professional would readily concede -- the authors "recommend promoting a choice philosophy and monitoring each client’s ongoing responses to recovery support group participation."
The Choice Philosophy: A choice philosophy is based on the recognition of multiple pathways and styles of long-term recovery and the recognition of the right of each person to select a pathway and style of recovery that represents the individual’s personal and aspirational values. (emphasis added)Here's what a choice philosophy would look like in the practice of a treatment center:
This is an excellent, useful list. Persons shopping for treatment programs might print it out and ask marketing reps to what extent their facility matches this picture. Patients currently enrolled in programs might use the list to advocate for reforms in the way programs are operated. Staff members could bring up points from the list at staff meetings to suggest improvements in patient services. Program administrators could circulate the list for discussion at staff retreats.■ Professional counselors, recovery coaches and volunteers represent the diversity of pathways and styles of recovery.
■ Professional counselors and recovery coaches are knowledgeable about the full spectrum of religious, spiritual and secular recovery support groups and can fluently express the catalytic ideas used within each of these frameworks.
■ Professional counselors and recovery coaches are aware of patterns of co-attendance (concurrent or sequential participation in two or more recovery support structures, e.g., co-attendance at WFS and A.A. meetings, N.A. participation with later transitioning to A.A. as one’s primary recovery support structure).
■ Individuals and their families are educated about the variety of recovery experiences and the legitimacy of multiple pathways and styles of recovery.
■ Informational materials, lectures and structured exercises that people receive represent the scope of recovery support options, e.g., posting all local recovery support meeting schedules on the treatment agency website and facility bulletin boards, giving each client a wallet card with the central contact numbers of local recovery support groups, profiling local recovery support groups in agency/alumni newsletters.
■ Individual choice is respected; individuals receiving services are not demeaned or disrespected for the recovery support strategies they choose; clinical strategies involve motivational interviewing principles and techniques rather than coercion and confrontation.
■ Professional counselors and recovery coaches are encouraged to self-identify and bring to supervision negative feelings they may have about a particular pathway of recovery chosen by a client.
The authors go on to raise some of the central theoretical and practical issues in choice philosophy:
Choice and the Stages of Recovery: To implement a choice philosophy, addictions counselors and recovery coaches must reconcile the philosophical and therapeutic value of choice with the growing evidence of how neurological impairments can impair the choice-making abilities of individuals in active addiction and early recovery (Dackis & O’Brien, 2005). The challenge for the addictions counselor or recovery coach is distinguishing authentic choice from what A.A. calls “stinkin’ thinkin,’” what Rational Recovery calls the addictive voice or “Beast,” what Secular Organization for Sobriety refers to as the “lizard brain,” what LifeRing Secular Recovery calls the “addict self” (versus the “sober self”), and what Christian recovery groups refer to as the “voice of the Devil.” Given the dichotomy between the sober self and the addicted self, the question becomes “Who’s really choosing: Dr. Jekyll or Mr. Hyde?” Some would frame this as separating what each client wants/needs from what his or her disease wants/needs.
One way to partially reconcile this dilemma is to view recovery as a progressive rehabilitation of the will—the power to reclaim personal choice (Smith, 2005). At a practical level, this means that the first day of detox may not be the best time to rely exclusively on client choice. Without rehabilitation of the power to choose and an encouragement of choice, we get, not sustainable recovery, but superficial treatment compliance. To effectively apply a philosophy of choice will require discretion and skill where immaturity, acute psychiatric symptoms, drug impairment and impaired ability to read social cues severely limit choice generation, choice analysis and capacity to stick with any personal resolution. In such cases, we must carefully plot a path between complete autonomy (total choice and clinical abandonment) and paternalism (no choice). Scientific confirmation of this stance is found in a study in which people with severe alcohol problems, recognizing their impaired decision-making capacities, preferred therapist—set goals in treatment; whereas those with less severe problems preferred self-set goals (Sobell, Sobell, Bogardis, Leo & Skinner, 1992).
Creating Informed Consumers: A philosophy of choice is viable only with persons who have the neurological capacity for decision-making, who believe they have the right to make their own choices and who are aware of and can evaluate available service and support options. Creating informed, assertive consumers of addiction treatment and recovery support services can be enhanced by: 1) affirming the service consumer’s right to choose, 2) distributing and reviewing consumer guides on treatment and recovery support services published by recovery advocacy organizations, 3) teaching service consumers how to recognize quality services, 4) encouraging consumers to visit service options before making a decision (versus taking whatever is offered them), and 5) defining the criteria by which the client and service specialist will know if participation in a particular group is working or not working (Bev Haberle, personal communication). Similar considerations need to be extended to educate the family members of those needing or seeking recovery.There's a lot here, more than will fit into one blog commentary. The authors clearly see the main issues. They have framed the topic in a way that can lead to useful discussion and to therapeutically important program reforms. LifeRing convenors, who have been facilitating the practice of choice philosophy in recovery for a considerable period of time, will have much experience to contribute to this discussion. It is gratifying to those of us who believe that recovery by choice is the wave of the future that these concepts are now being understood, formulated, and endorsed by respected and learned voices in the addiction treatment profession.
Monday, October 8, 2007
LifeRing at CAADAC '07
My plan was to leave home at 6 a.m. and arrive at the conference hotel when the Exhibit Hall opened at 7:30, but I overslept my PDA’s alarm and didn’t arrive at the Marriott in Rancho Cordoba, a suburb of Sacramento, until 8:30. That turned out to be fine. The volunteer at the registration desk quickly found my name tag and I as quickly found the LifeRing table in the Exhibit Hall. The exhibit tables were crammed into the hall like sardines, and there was only room for two of our three pop-up displays. Setup took only a few minutes, and – there being no one in the Exhibit Hall but other exhibitors – I dropped in on the plenary opening session in the large ballroom next door.There, the keynote speaker, a Dr. Kevin McCauley, a former Navy surgeon now running a private addiction practice in Salt Lake City, was holding forth with a PowerPoint slide show on the disease model of addiction. CAADAC is the California Association of Alcoholism and Drug Abuse Counselors, and had chosen a speaker from Utah to kick off its annual event. Dr. McCauley’s talk impressed me with the positive attitude he showed toward addicted people. It was refreshing to hear a treatment professional speak of the good qualities of alcoholics and other addicts, not just of their character defects. He said, for example, that the heroin addicts he knew were “sweet, affectionate” persons, and that addicted persons generally shared character traits of great sensitivity and empathy – traits that they used addictive substances to mask and obliterate. Other aspects of Dr. McCauley’s talk impressed me less. His model of brain functions in addiction was so crude as to be a caricature. He worked the issue of sexuality for laughs like in a sit-com script for a teen audience. He delivered a number of opinions that may have been popular with many in the crowd but were blessed with little in the way of supporting evidence – for example, that author James Frey (A Million Little Pieces) was a “sociopath,” or that people who recovered without treatment were not really “alcoholics." I got the uncomfortable sensation that the doctor was catering to the lowest common denominator – an impression that was shared, it appears, by others with whom I spoke later in the conference. As a keynote presentation, to my mind, it set the bar low.
At the first coffee break I was back at the LifeRing exhibit table. The aisles between the tables were so narrow that traffic was discouraged, and if one person stopped to chat, the aisle was nearly blocked. Nevertheless, people came; and all of them were drug and alcohol counselors.
As I had done at the NAADAC and the APA conferences, I buttonholed people, saying “Let me tell you about LifeRing. LifeRing is an answer to the question, ‘What do I do with clients who are willing to give recovery a shot, but they tell you that 12-step is not their cup of tea.’ Do you have clients like that?”
Not a single person answered in the negative. Some said, “A few.” Many said, “I have a lot of those.” A few counselors said, “Practically all of them.”
“What you can do with those clients,” I continued, “is send them to LifeRing.” While listening for and responding to the customer’s questions, I gathered up a bundle of LifeRing literature and put it in their hands. The LifeRing “magazine” that we published last year was still new to nearly everyone with whom I spoke. The great majority of people who stopped at the table had not heard of LifeRing before, but it seemed to me that the minority who knew our name was a bit greater than at last years’ event in Burbank.
Very gratifying was to hear the number of enthusiastic responses to the presence of LifeRing. A program director from Bakersfield gave me her card and said her facility had available meeting rooms that we could use for a LifeRing meeting, for the asking. A Sacramento program director offered assistance in starting LifeRing meetings there. The owner of an inpatient facility on the coast near Monterey offered to host a LifeRing meeting on their site. Quite a few professionals from Southern California expressed interest in learning about future LifeRing meetings and activities in their area. Several members of the CAADAC board of directors and the organization’s Executive Director, Rhonda Messamore, stopped by the LifeRing table and spoke words of appreciation for our participation.
After the coffee break I had the good fortune to attend a workshop on “What is Recovery and How Do You Measure It” by B.J. Davis, Psy.D., Clinical Director of Strategies for Change, a large outpatient facility in Sacramento. Dr. Davis quoted extensively from published research on treatment outcomes, and supplemented the findings with research projects he had undertaken personally at his facility and in his prior academic positions. The most powerful factor in bringing about successful outcomes, he reported, was the counselor’s ability to forge a therapeutic alliance with the client. The specific counseling ideology, by contrast, was a very minor factor. Accordingly, Dr. Davis said, the counselor’s ability to empathize with and to work out a treatment plan collaboratively with the client was a key to success. The most effective treatment is that which the client is motivated to follow, whatever it may be. The use of positive reinforcement is highly effective, whereas negative reinforcement – punishment – usually fails. Dr. Davis criticized treatment strategies that rely on control. Too many counselors think that treatment is about imposing their program on the client, thus rendering the client even more powerless than before. Treatment should be about empowering the client and working collaboratively. Too many counselors are lazy; they have only one treatment plan for everyone: “get a sponsor, work the steps.” They know nothing else. What would we say to a doctor that handed out Prozac to every patient, regardless of their individual profile? We would consider it malpractice. Yet we do the same kind of thing all the time in drug abuse treatment. Counselors are well-intentioned but good intentions aren’t enough. In conclusion, Dr. Davis presented a number of instruments for measuring the Quality of Life in recovery – based on the profound truth that clients will have difficulty maintaining sobriety unless they achieve a subjectively satisfactory quality of life in their recovery.
Dr. Davis was not only a well-informed but also a powerful speaker, charismatic and humorous, who led his audience forward and upward, even if this meant entering a discomfort zone. The Association would have done well to have selected Dr. Davis as its plenary keynote speaker.
Lunch this day was a two-hour membership meeting, featuring reports by the various officers and committees. I have been a CAADAC member for several years and attended with voting rights, symbolized by a green plastic wristband. I learned among other things that CAADAC has 1,678 full members, plus about 1500 student members and about 1700 “recovery workers” (aides), and that CAADAC is one of nine competing organizations of addiction counselors in California. The highlight of the session was a report from a CAADAC-affiliated project at San Quentin prison, initiated by prisoners, designed to train the inmates as fully qualified addiction counselors on their release. Nine of the eleven inmates who took the test for CAADAC certification passed it. One of the recently released prisoners, Brian Smith, spoke briefly and received a standing ovation. When that was done, there was no time left over for membership Q and A or for floor debate on motions presented, and the session closed without anyone having the opportunity to use the green wristband symbolizing their voting rights.
I spent the afternoon in conversations with visitors at the LifeRing exhibit table and with other exhibitors. Among others, I chatted with the woman at the California Department of Alcohol and Drug Programs about the impact of the recent Ninth Circuit Court of Appeals decision affirming that AA/NA were religious. She was only vaguely aware of the decision. She did not believe that people were coerced into attending 12-step programs, or that they should have the right to sue if they were. She believed that secular alternatives existed everywhere, if the client asked for them. She did promise to take the LifeRing literature I gave her to her supervisor. I also ambled over and had a friendly chat with one of the fellows at the Narcotics Anonymous exhibit table. He told me that NA was able to use the 12-step program and other literature of AA free of charge, whereas all the other “Anonymous” organizations had to pay AA royalties. I explained LifeRing to him and he listened. We had a friendly chat. I cruised some of the exhibit tables representing inpatient treatment programs. One program had only four beds, yet turned a profit. Another did very well with ten beds, even at 80 per cent occupancy. Three of the larger programs occupied adjacent booths and I learned that they were owned by the same company, which owns more than 240 separate treatment facilities nationwide. I met a new hire whose sole job was marketing for one of these programs. I got the impression that there is some serious money being made in the private for-profit treatment industry, even in this difficult economy.
The next morning’s plenary presentation centered on workforce development in the addiction profession. The presenters discussed an ongoing survey of addiction workers, with considerable detail about the questions asked, but little in the way of results, as they had not yet evaluated the answers. Much of the ongoing survey dealt with addiction workers in the public sector (those working for counties, cities, and the criminal justice system). Fortunately there was time for questions. I raised my hand, was recognized, and asked what plans the Association had to help its members working in the public sector in the wake of the recent Ninth Circuit ruling that AA/NA are religious. A counselor in the public sector who gives a client only the choice of “get-a-sponsor-work-the-steps or go to jail” can be sued. What is being done to make secular treatment options and secular support group options more widely available?
After a few clarifying exchanges -- the speaker was not familiar with the decision – the reply was denial that people are coerced into 12-step programs. The speaker thought that secular treatment alternatives were available practically everywhere. He did, however, promise to give the topic further study.
I had unusually heavy traffic at the LifeRing table immediately afterward from people thanking me for asking that question and expressing their frustration at the speaker’s denial that 12-step coercion occurs. It occurs all the time. People shook my hand and smilingly called me a troublemaker, sh*t-stirrer, and similar compliments.
Minutes later the hairy beast was in full evidence. I attended a workshop on “Therapy in Conjunction with Adult Drug Court” – Drug Court being one of the main settings where clients risk being coerced into 12-step programs – and the presenter provided a five-page handout containing on its last page a copy of the 12 steps.
During an early question break, I asked: “I see from your handout that working the 12 steps is part of your Drug Court treatment program.” -- “Yes, that’s right.” -- “And if the client is not compliant with the treatment program, they go to jail, correct?” -- “Yes, that’s right.”
I then explained the Ninth Circuit decision in a few words. The speaker had apparently not heard of it, and manifested some trouble wrapping his mind around the concept of client choice, but with some prompting from others in the audience, he eventually got it. He then retreated into the same denial as I had seen earlier. “Oh well, if the client brings in some other program they want to do, if they’re not just playing games, the court evaluators will certainly look at it.” And, “the county has secular programs available.”
A woman behind me muttered something hostile about “judges legislating from the bench,” and the session showed signs of flying off the rails, but I backed off and the speaker resumed the droning exposition of his counseling approach. After a while I had to leave or risk falling off my chair with boredom. In retrospect I blame myself for not making a bigger fuss over the issue; it might have been a healthy thing, a spur to positive change, not to mention a relief from tedium, for this workshop to blow up in a floor fight over the First Amendment issue.
An excellent workshop followed lunch, titled “The Ethical Issues of Nicotine Use by Care Providers.” The presenter, Steve Sarian, is director of the U.S. Navy’s Drug and Alcohol Counselor School, an ordained Buddhist priest, and a hospice chaplain. He conducted the session in a highly interactive way, which made for a lively time. Sarian was eloquent in showing that nicotine is a mood-altering addictive drug, and that counselors in addiction treatment programs face ethical issues if they are nicotine users. He also cited research showing that alcoholic smokers are more successful in achieving durable abstinence from alcohol if they also quit smoking. Sarian used a light touch in outlining the issues surrounding nicotine use, an approach that was highly effective in stimulating participation and mental processing in the audience. I gave him very high marks.
After a final afternoon session at the LifeRing exhibit table, during which I sold the remainder of the workbooks I had brought, I packed up the displays, left a few brochures and magazines on the table for tomorrow’s session, and hit the road. The big awards dinner in the evening, if it was anything like last year’s, was eminently missable – a round of Good Ole Boys giving each other wall ornaments. The conference program had half a day to run on Sunday, but traffic at the exhibit tables typically would be very light, and several other exhibitors were also packing as I left.
In looking back over this experience, several thoughts occur to me.
(1) It was good to be able to combine the role of exhibitor with the role of meeting participant. Many of the other exhibitors merely sat in the cramped exhibit hall talking to one another or playing games on their PDAs between coffee breaks. Boring. By participating in the workshops I learned things, and I was able on a couple of occasions to ask questions and to raise issues that will in the long term help LifeRing to penetrate the secular market niche where we belong. Being an active participant was also a lot more fun.
(2) The CAADAC organization has a long way to go before it becomes an effective advocate for the addiction profession. Its main problem is that its wheels are stuck in the 12-step rut. Content-wise, the 12-step approach is dead. It cannot be developed further. One can only repeat it as an article of faith, over and over, like a Nepalese prayer wheel. Scientific progress on this basis is an oxymoron. Twelve-step doctrine may be a viable foundation for a lay priesthood, but not for a modern healing profession. So long as this religious doctrine remains the core teaching of the profession, parity with the medical healing professions, which CAADAC so fervently seeks, can never be achieved. Moreover, the constant influx of 12-step recruits possessed of nothing but their personal experience, and willing to work as counselors for the minimum wage or less, means that a general elevation of salaries and benefits, so crucial to professional workforce development, will remain a Sisyphean effort. In order to advance, the association must take a firm and clear stand that personal experience with the 12-step approach is insufficient qualification for a professional. The organization must actively learn, teach, own, and promote secular alternatives, or it will die a lingering death.
(3) The national organization, NAADAC, is probably no less an alter ego of AA than is CAADAC. In both organizations, in any session, if you say “Hi, I’m Joe, I’m an alcoholic,” most people in the room will reflexively respond, “Hi, Joe.” But the eyes are a bit more open and the brains have been working a bit harder in the national group. So, for example, in the national’s conference program in Nashville, the 12-step meetings at the start and/or end of the day were labeled “Optional.” The CAADAC program lists them without that qualifier. NAADAC’s headline speaker was Carlo DiClemente, speaking on Motivational Interviewing – a secular approach that has little in common with 12-step but much in the way of helpful insights for treating addictions. CAADAC’s choice of the doctor from Utah, McCauley, as keynoter, tended to massage the soft belly of the status quo instead of kicking its hind end forward, which is what needs to happen. The NAADAC conference program had only one workshop specifically devoted to a 12-step issue, and that one was canceled. The CAADAC program was larded with pablum for the faithful: “The Medicine Wheel and the 12 Steps,” “A Musical Journey Through the Twelve Steps,” “Spirituality in Recovery” (by Father John), and others; and even where the Step approach was not in the workshop title, it was frequently present in the content, as in the Drug Court program. On balance, therefore, my feeling is that CAADAC’s continued affiliation with NAADAC is probably a good thing to the extent that the more advanced thinking of the national group may be able to pull the local organization forward.
(4) Virtually all the people I met both in CAADAC and NAADAC are sincere, well intentioned, hard working, and approachable. When I first entered these halls a year ago in Burbank I felt apprehensive, as if in potentially hostile territory. I no longer feel that way. These are good people and they can be talked to. LifeRing should definitely continue to participate in these organizations. As more and more of our members become treatment professionals themselves, they should be active in these groups and, in an appropriate situation, play leadership roles. Although there are people in these groups who have tunnel vision, most participants subscribe to the philosophy “whatever works,” and if we can make our aims and methods clear to them, they will be powerfully helpful to us in giving their clients the option of attending LifeRing support groups if they so choose.
-- Marty N. 10/7/07
Saturday, October 6, 2007
Three little anecdotes
A young man came from the Kaiser Chemical Dependency Recovery Program in
A not-so-young man came to the workbook study group, first time, and said that he had been busted for growing marijuana. His case fell under Prop. 36, the
The program director of a new inpatient treatment program in a nearby suburb telephoned the
Sunday, June 10, 2007
Letter from a Counselor in Nebraska
Dear LifeRing:
I was so pleased to hear your advertisement on NPR this morning. I came right home and checked out your website. Please put me on whatever lists you have to receive information about this organization. I believe it is something my clients and I have been looking for.
Nancy M.
Therapist
Lincoln, NE
Did anyone else hear "our advertisement on NPR"?
Saturday, July 28, 2001
People Develop Commitment Through Having Choices: A Lesson From Harvard Business Review
Richard Chase and Sriram Dasu author a cover article titled "Want to perfect your company's service? Use behavioral science." (HBR June 2001, p. 79, click to read it online). They try to apply decades of behavioral research to illuminate what the service experience feels like to the customer. Here are some main points:
(1) People remember the start and the end of the experience more than the middle, but they remember the end most of all. Therefore, to bring customers back, service providers should end on an upnote. Can we learn from this principle in our context? Many of our local meetings end with a round of applause. This is a feel-good experience and provides an upbeat ending. Score one for us.
(2) If there is bad news, get it out of the way early. At a recent meeting it was known that one member had had a relapse. When the opening statement was done, the meeting convenor could have started the check-in ("how was your week") to his left or to his right. Instead he went straight across the room to the member who had relapsed and asked him to start off the discussion. Good move. The meeting processed the bad news early and ended strong.
(3) People desperately want things to make sense and will concoct an explanation when none is available. In the recovery context, the atmosphere is filled with "explanations" derived from the religious/spiritual 12-Step movement. If we don't step in with our own secular explanations, people will fall back on what's available, even if it's counterfactual or meaningless under scrutiny. Lesson: convenors who study and develop a deeper theoretical understanding of secular recovery principles can fill the vacuum and help people make sense of their experience in a rational manner.
(4) People develop commitment through having choices. "A fascinating study found that blood donors perceived significantly less discomfort when they were allowed to select the arm from which the blood would be drawn. The lesson is clear: people are happier and more comfortable when they believe they have some control over a process, particularly an uncomfortable one. Often the control handed over is largely symbolic (as in the choice of arm). In other cases, it's very real: the medical profession has long recognized the value of allowing the patient to make an informed choice about alternative treatments for cancer and heart disease. These are extremely important, high-stakes decisions, and great value is gained by including the patient in the decision. He or she feels less helpless, less hopeless, and more committed to making the process work." (p. 83).
In a nutshell, our approach of telling the person new in recovery that they have a choice and that they have the power to construct their own personal recovery protocol is sound in principle, with clear support in motivational research. The contrary approach -- telling people that they are helpless and have zero power to choose -- is a substandard, unsupportable practice. Our approach develops and reinforces the most important single ingredient in a person's recovery over the long term: the inner commitment to succeed.
It's always good to learn that we're on the right track, even if the stroke comes from such an improbable source as HBR.
Wednesday, June 27, 2001
Literature Racks Can Offer the Person in Treatment a Choice of Support Groups
| On any given day an estimated 900,000 people in the U.S. are in treatment programs for substance abuse. Most of those treatment facilities have literature racks for their patients/clients. Most of those literature racks carry only one kind of literature -- the 12-Step kind. It doesn't have to be so. Literature racks in treatment programs can offer the person in recovery a choice, and can bring people to our LifeRing meetings who would otherwise never have known about us.
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| Here are some photographs of literature racks in treatment facilities where LifeRing brochures are available. The rack at the right is a standard commercial 12-pocket plastic wall display, mounted in the dual diagnosis ward at Herrick Hospital in Berkeley CA. A small selection of the omnipresent AA literature is in the top row. The five main LifeRing handouts are in the bottom row. Do you recognize them by sight? They are from the left, the San Francisco Bay Area meeting schedule (ivory), the unhooked.com brochure (blue), and then the "3S" trilogy: Sobriety Is Our Priority (green), Secular Is Our Middle Name (gray), and Self-Help Is What We Do (pink). This rack has an empty pocket just waiting for our next brochure. |
| The next picture shows a custom-made wooden wall rack mounted in the Merritt-Peralta Institute, a 28-day inpatient program, on the 5th floor of Summit Hospital in Oakland, CA This rack was built for full-sheet (8 1/2 x 11) handouts, and standard trifold brochures like ours pretty much sink out of sight into its pockets. Staff assigned us the top rack, and our handouts were all but invisible until a clever friendly patient stuffed a towel into the bottom of the bin so that our pieces would be seen. There isn't enough room to display all the brochures, but it's better than nothing. As in most treatment facilities, the meeting schedules are the fastest-moving items. This rack generally presents a somewhat messy appearance, and I can proudly say that our own shelf usually gets tended to more often, and is more up to date, than that of many of the other organizations with whom we share the rack. Some of the other bins have literature three years out of date, and some have stood empty for months. When we run out of LifeRing meeting schedules in this rack, I usually hear about it immediately, and if I forget to bring a resupply some week, I get raised eyebrows. |
| The next rack is at the Chemical Dependency Recovery Program of the Kaiser Permanente HMO in Oakland. It's a clear plastic six-pocket commercial rack, available at office stores, that is designed to stand freely on a table. In this treatment facility, AA has a large wire literature rack with space for about 24 different brochures, but there is no place for that rack other than down on the floor, where it's hard to see and presents a trip hazard. For a while we stuffed our brochures into some of the empty pockets in that rack but this didn't seem right. Finally LifeRing member Syl S. hit on the solution of buying our own rack, the cost of which she generously donated. Syl originally obtained a wall rack similar to the first one shown above, but staff denied permission to mount anything on the walls, citing fire regulations. But staff had no problem with a table rack. The display is positioned on a side table within easy view and reach of patients seated in the waiting area near the reception booth of this outpatient facility. Syl made a bright neon label for the front. We use two pockets for meeting schedules here because of the heavy demand for that item. Having our own rack, and such a nice looking one in such a favorable position, is a very pleasing thing, and the literature in it moves at a steady clip into patients' hands. |
| Last is a single-pocket standup rack -- also a standard office supply store item -- that holds meeting schedules. A label on the rack tells what is in it and gives the Service Center phone number to call for refills and information. We are experimenting with placing these racks in churches, coffee houses, grocery stores and other appropriate sites, wherever someone volunteers to keep them refilled. If you want one of these racks and are willing to keep it supplied, call the Service Center at 510-763-0779. |
Literature racks can reach people when you're not present. They never sleep and never go on holiday. They offer their freight of wisdom and support without commentary or attitude. But they are only as good as the hand that fills them and tends them. A literature rack reflects on the organization. A rack that long stands messy or empty bespeaks an organization that has stopped caring or has sunk into chaos. A rack that regularly gets tended and refilled testifies to an organization that has its act together and that cares about people and wants to be approached. Getting our literature into literature racks in treatment facilities is not always easy. In many cases, permission to stock literature comes along with permission to hold a meeting on the facility, and not before. Thus the literature in the rack helps bring people to the meeting, and the people in the meeting help resupply the rack. But in other cases, we can get literature into a facility before we have a meeting there, on the ground that the patients are looking for meetings anywhere in the community and have an interest in our area-wide meeting schedule. A number of patients in treatment facilities do not obtain any benefit from the traditional 12-Step approaches, and live in a state of frustration or despair because they are unaware that there are other roads to sobriety. A well-stocked literature rack with LifeRing handouts in it can be their first news that other choices exist. I know people who say that they are still clean and sober today because they found LifeRing from a handout in a literature rack. Getting LifeRing literature into treatment center literature racks presents many patients for the first time with a choice of recovery paths, and saves lives that might otherwise be lost. |
Friday, March 3, 2000
"One More Arrow In the Quiver"
Report on a presentation to staff and patients of a 12-Step treatment facility
By Marty N.
This morning (1/27/00) Marjorie J and I presented the LifeRing approach to a "doctor's hour" meeting of patients and some staff at the Merritt-Peralta Institute (MPI) in Oakland. The MPI is a unit in Oakland’s privately owned Summit mega-hospital located on Pill Hill in midtown. About 30 persons were present, seated around a long table in the board room. The MPI has a reputation for being a hard-core traditional 12-Step treatment facility. Knowledgeable sources have described it without malice as a Step-Nazi citadel. It is one of the largest inpatient facilities and is, after Kaiser, one of the largest outpatient programs in the S.F. Bay Area.
In the reception area on the fifth floor there is a placard containing the 12 Steps in red letters about 2 inches high; this is framed behind glass in a wood case about three feet by four feet. The frame is bolted to the wall with ¼” thick carriage bolts. You can’t miss it. The literature rack is filled with AA and NA schedules in messy profusion. There is an MPI alumni newsletter that contains nothing but 12-Step homilies.
How, you may ask, did we get invited to present our program to this staff? The bottom line answer is: patient demand. The medical director of the facility told us that they were constantly encountering patients who did not want to have anything to do with the 12-Step program, and he, the director, did not know where to send them or what to do with them. So, if you are ever a patient in a treatment facility and you have problems with the 12-Step approach, be sure to register your concerns. You may not see immediate changes, but the cumulative impact of your pressure over a period of time may eventually create an opening for change, as in this case. There are individual treatment professionals in every facility I have had contact with who, like this physician, are driven by a desire to help the patient, over and above any personal 12-step affiliations, and who realize from daily professional experience that the 12-Step approach just does not cut it for a number of their patients. Patient demand is driving these professionals to look for alternatives. Patient demand combined with staff professionalism is what got us invited to this citadel of traditionalism. As far as I know, we are the first and only non-Step group to ever be invited there.
Our host told us before we began that he did not want to polarize the issue into Us v. Them, and did not want to have the session turn into a debate. He wanted us to be seen as a complement and an adjunct to their traditional program, one more arrow in the quiver, not as a rival or a competitor. This is a situation with which everyone who advocates for a secular alternative has to deal. It’s all a lot of fun to polemicize with faceless dodecamaniacs on the Internet, but when you’re talking to a staff meeting and your objective is to win approval to hold a meeting on the premises, the word is: be positive. Our experience in talking to the Kaiser groups in Oakland over the past three years came in very useful here.
In this case, I began by telling about my own recovery. I said that I had 7 years 3 months and 25 days clean and sober, all of it in SOS/LSR, and had never attended any 12-Step meeting. I described LSR/SOS as a supportive, tool-rich environment where people are encouraged to build their own recovery programs, taking what they need for their individual recovery. Then, by way of example, I outlined my own personal 1-2-3 program (do something every day, go to meetings, use the Sobriety Priority as a decision-making tool) along the lines I’ve written in my story in the Handbook. The audience members could see nothing objectionable in this approach, which is in its secular way quite traditional, and it seemed to reassure them at the outset that we were sound.
Then, I explained the concept of the drunk self and the sober self at war in the user/abuser. By drawing cartoon heads on the whiteboard, I was able to show the small, weak, sober self becoming empowered by interaction and support via the meetings, and becoming dominant within the person. This is a plausible, intuitively correct model of recovery, presented in an entirely positive way without polemics. Only later will some in the audience realize that this simple and sensible recovery model requires no Higher Powers. Like Occam's razor, it has no need of the God hypothesis. I concluded with a few words of gratitude toward the LSR/SOS program for being there for me to get sober in, and with appreciation for my new sober life.
Marjorie then took the floor and told very movingly of finding SOS/LSR on the Internet, and how the sosmail list helped her pull herself out of drinking and isolation and helped her get sober, and how participating in LifeRing positively changed the quality of her life.
We then took questions. The first question was to describe what goes on at an LSR meeting. I read the opening statement for our SF Bay meetings out of the Handbook, and briefly described the check-in format and the topic format, emphasizing our use of crosstalk, and our practice of closing meetings with a round of applause.
I don’t remember all the questions in detail, but one of the next ones was about crosstalk. I said that we felt the process of drunks talking with drunks was central to making the sober place inside us stronger (pointing to the whiteboard and the diagram I had drawn), and for that reason we encouraged crosstalk and allowed it in either all or part of each of our meetings. Marjorie pointed out that sometimes we asked a person whether they wanted crosstalk to their share, so that a person could be protected if they felt crosstalk would threaten them. This set the questioner (a person who introduced himself saying “I’m Joe (or whatever name) and I’m an alcoholic”) grumbling to himself but without a comeback. (You need to know that AA, even though it has made an icon out of “drunks talking to drunks” does not allow crosstalk in its meetings.)
Another question was, “do you have mentors or sponsors?” I said that if a newcomer in our group felt attracted to another person’s recovery program and wanted to learn from them in particular, they were free and encouraged to approach that person and form a closer relationship with them. But we had never formalized these relationships. The reason is partly historical. When AA began, meetings were underground and you had to be invited; the person who brought you was your “sponsor.” But today meetings are publicly announced, so there isn’t any need for this role, really. Besides, I said, formalizing the relationship scares us; sponsors have a lot of power, but there isn’t any exam, or any standards, or licensing board, and that worries us; so we’ve kept mentoring strictly informal. The questioner did not pursue this and seemed satisfied.
One person wanted to know the history. I told briefly of how the founder got sober in AA in 1978 but then felt he had to start on a new foundation, and began SSG, and so on. Another questioner (another one who began “I’m Joe and I’m an alcoholic”) took off on this and asked a very interesting question that I had never heard before. He said, what was it the founder could not handle in AA? What was the thing that made him finally decide to leave?
I said the thing that gave the founder cold sweats and finally made him leave AA was the thought “what if God wants me to drink?” He realized in that case he would have to tell God to go to hell. And when he thought about the implications of that, he realized he had to start a program that was not God-based, but was based on the Sobriety Priority. The questioner took this answer very seriously and did not argue with it.
Someone asked whether we were just for atheists and agnostics. I explained that we were not atheist/agnostic but secular, meaning that people of all faiths and none were welcome, and that neither religion nor anti-religion were business that came up in the meetings. I said that people with very definite religious beliefs felt comfortable in our group because our process did not require them to amend the beliefs they came in with.
The same questioner who had asked about the founder then volunteered that he had attended a couple of our meetings and found that, as far as religion goes, in our program “you get to keep what you have.” I think this is a very good expression.
Another questioner asked, skeptically, “is this some kind of experimental program? Have there been any studies done as to whether it works or not?” I answered that as to studies, there was the 1996 study by Connors and Dermen, a copy of which was included in the presentation packet we put together and handed out. Admittedly, I said, this was not a comparative study with a control group, which was the only way to really find out anything scientifically. But then, scientific studies with control groups had never been done for AA or NA either, except in rare instances and with mixed results. If anyone in this room would like to study our group in a scientific way, I said, I’m sure we would be glad to cooperate; please to talk to me afterward. As for being “experimental,” I said we gladly copped to that, we were still learning and developing and trying things out, and I hoped that we would always be listening and learning and developing, and that if we ever got to the point where we thought we had the final answer on how to get you, you, and you, and everyone in the world sober, we would become obnoxious. (I had sense enough to stop there and take another question.)
A questioner wanted to know about our history locally and our name change, and where did we have meetings. I dealt with the name change very briefly: we got involved in litigation with another group that claimed rights to the name and we lost and the court made us change our name. End of story. As to history, I pointed out that our first local meeting was on March 17, 1988, and this meeting was still going, and in fact Marjorie was the current secretary of it. At this time, we have meetings in the area seven days a week, and you can do “seven in seven” in our organization. This made a strong impression on the group. I pointed out we had meetings at the Kaiser in Oakland, at Kaiser in San Francisco, at Kaiser in Richmond and at Kaiser in San Rafael, as well as at Herrick Hospital in Berkeley. This also seemed to impress, as Kaiser is the biggest chemical dependency outpatient program around here, the implication being that if Kaiser hosted our meetings, we must be OK. Also, I said, at Kaiser Oakland on Saturday morning, the patients have to attend a support group between the hours of 10 and 11, and Kaiser has AA and NA and LifeRing going side by side during this hour, patients’ choice. Several heads nodded approvingly at this concept.
When they ran out of questions, our host thanked us and again said, as he had earlier in introducing us, that he frequently had patients who resisted the 12-Step programs and he did not know what to do with them. He felt that an alternative group would be a useful addition to the program, “one more arrow in the quiver.” That seemed to express a consensus. They gave us a good hand. What happened next was completely unexpected to us. The whole group, patients and staff, linked hands and recited the Serenity Prayer, followed by some kind of rah-rah chant along the lines of “keep coming back, it works if you work it,” like at an AA meeting. We took it in stride.
Several patients and staffers talked with us afterward to express interest and support. The physician who was our host said he was pleased with the way it turned out. He joked that he hoped he still had a job after hosting our talk. He looked relaxed and upbeat. He introduced us to the program coordinator, a younger man, and the two of them agreed in our presence that we should have an evening LifeRing meeting at the facility. They would consult their calendar and get back to me. With cordial shaking of hands and thank-yous, we parted.
We left 15 copies of the Professionals’ Packet and a bundle of meeting schedules. One of the staffers said he would personally see that the schedules got into their literature rack. I will follow up about the meeting. I have been looking for a way to get a meeting at this facility for more than three years. From time to time people who have gone through their program manage to find us, and it’s always the same story: 12-Steps rammed down one’s throat, many patients not happy, looking for an alternative. Hopefully they’ll have one soon.
Credit our member B. for providing a key information link to make this happen. A little before Thanksgiving B. had a major relapse, and managed in one weekend to check himself into, and get thrown out of, both the Herrick crisis unit and the MPI unit. When he sobered up and told the story at a meeting, he happened to mention that he saw the same physician, Dr. C., at both places. That was how I learned that the Dr. C whom I already knew from the Wednesday morning Herrick meeting was also on staff at MPI. I had had no idea. The very next day I buttonholed Dr. C at Herrick and asked him whether we could start a meeting at MPI. I nagged him by phone and by letter over the holidays. Last week finally came the invitation, on five days' notice. We were ready.
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P.S. I got the call today (ten days later) that we are invited back for a second presentation, this time to staff only, on 2/24. -- MN.
Edited 3/3/00 MN.
Tuesday, December 28, 1999
A New Year's Message
I.
We are a collection of individual lives, each fiercely separate and unique, yet drawn together by profound shared life experiences: the trauma of chemical dependency and the drama of our recovery. There is no one exactly like each of us. Yet without the prior work of others very much like ourselves, none of us would be together here. When I got sober, there was already a meeting for me to go to, and my case manager at my treatment facility already knew about it and referred me to it. That would not have happened but for years of hard work by people like Karl S. and Mike B. and Janis G. and numerous other local people who started SOS in this area while I was still an active drunk, not to mention people like Tom S., Paula B., Dudley A., and many others who did the same in other cities. And they, in turn, were only picking up a thread started nationwide by Jim C. and the other members of the founding generation. And these, in turn, were part of a Zeitgeist that saw the founding not only of SOS but also of Rational Recovery, and before that, Women for Sobriety, and other alternatives to the Old Order in recovery. We are individuals, but the thread of our lives is part of a larger fabric. The little speck of color that is our autobiography takes its enduring significance from its connection with the broader weave of the times we live in.
Where we go with the thread of our lives in the years ahead is, of course, up to us. Once we are sober, we have choices. We have choices not only about our personal road, but about the way we are going to relate to one another; not only about the face we present to the world as individuals, but also about the kind of group portrait we appear in.
The number one priority for us as individuals is, necessarily, to stay sober. Personal sobriety is the foundation of everything else. Whatever we may wish for ourselves in the new millennium -- health, friends, romance, family, revolution, career, money, freedom, education, success, peace of mind, travel, excitement, whatever -- it all requires sobriety as its necessary precondition. If we have our sobriety, we can make progress toward our goals. If we lose our sobriety, all our dreams go down the drain with it. That's why I hope everyone will join me in resolving above all to make this next stretch of time a sober one. Let's all be in a position to say, and keep saying, that "I've been sober this entire millennium."
Personal sobriety is also the foundation of progress for us as an organization. Here in my home town, we have achieved a modest measure of success as a group because our members have a track record of successful long-term sobriety. Our core group consists largely of people who have never attended a 12-Step meeting and have done their entire sobriety the secular way. The long-term stable sobriety of our core membership has, over time, gradually eroded the skepticism and resistance of portions of the local treatment community, and this in turn has opened new doors to us and brought us new opportunities and a steady stream of new participants. Because of sobriety, we have built the first local meeting schedule in the history of our organization where a recovering person can do "seven in seven" -- a secular recovery meeting every day of the week. Because of sobriety, we have a continuing stream of new convenors with the requisite sober time and enthusiasm to start new meetings. If we continue making sobriety our priority, and take care of our organizational homework, I don't doubt but that our local chapter can double in size in a few years and become a part of the recovery mainstream in this area, as well we deserve to be.
II.
Anyone who surveys our organization from a nationwide perspective will come to the conclusion that we still have a long way to go before we live up to our potential. The concept of secular recovery is an immensely powerful one. It is in harmony with the advance of science in practically all other areas of human knowledge. Much of the chemical dependency field is an isolated backwater in the social sciences, a place where faith-healing rules, where the scientific method is viewed with disdain, and where the theoretical foundations cannot bear scrutiny -- a Kansas of therapeutics. Eventually this citadel of medievalism must crumble. However, our organizational development still lags woefully behind the manifest sweep and power of the secular perspective. In many major metropolitan areas, where populations are traditionally receptive to secular approaches, we have no meetings at all. We have no meetings in New York City, Boston, Washington, Baltimore, St. Louis, Kansas City, Denver, Seattle, Birmingham, and many other big urban areas. In Chicago, we have only one; in the whole Los Angeles metropolitan area, after fourteen years, we have only five. Clearly, we have work to do. As an organization, there is no more important strategic priority for us than to build more meetings.
My experience in advocating for SOS and now LifeRing in the San Francisco metropolitan urban area for the past few years, and in print and on the Internet, convinces me that progress in building meetings hinges on our ability to present our approach in a positive way. When we tell our audiences how our program works, they respond with interest and approval. When we tell them how the other programs don't work, attention fades. Of course, in explaining how the LifeRing Recovery approach works, we inevitably have to draw clear boundary lines between ourselves and other perspectives. But with practice it becomes possible to do this also in a positive manner. The better we understand what we do and how it works, and the more confidence we ourselves feel in our own method, the more effective we are before the public.
III.
One of the things that we have to explain again and again is that the basic difference between ourselves and the traditional approach is not about God, but about people. Do drunks have it within them to recover? Is there a base to build on within the addict? The traditional approach tells us, no, there is not. We are a defective, hopeless and helpless lot -- there is not one spark of recovery power within us. We are one hundred per cent zero. Therefore, recovery can come only through outside action, only through a power beyond ourselves, only through divine intervention. The psychology of absolute powerlessness requires theology; or, perhaps, it is theology.
We see people more accurately. When we look within the typical alcoholic and addict, we see a person in conflict. Part of them is committed to the addiction and is dedicated ultimately to death by drinking and/or drugs. But another part of them is in rebellion against that and wants to live. There is the sickness in us, but there is also the health; there is the dying, but also the survivor; there is the will to drink, but also the will not to. If the survivor were not there, we would have drunk ourselves to death long ago, and no desire to get clean and sober would be manifest in us. I have talked to hundreds of alcoholics and addicts in various states of wetness or recovery, and one of the great common experiences we have all shared is this recurrent inner war about drinking or using, and quitting.
If there is within each living alcoholic and addict a place that wants to get sober, then the road to recovery, in the most general terms, lies in finding and enlarging that place. If there is a voice inside that wants to get healthy, then the task is to hear and to answer that voice, and to help it speak louder. If there is a life force inside, opposed to the deathbound addictive force, then the strategy is to link up with that force, give it ammunition, and make it powerful.
My younger son is fascinated with professional wrestling, and sometimes I think about the inner struggle of the addict in this vernacular. When I drank, my 300-lb Boozer was the king of the ring of my body and mind, and my inner Sober Guy was a 90-lb runt. But when I got into a self-help support meeting, all us runts started doing pushups and learning moves and ganging up on the boozers, and eventually my Sober Guy got smarter and bigger and stronger and kicked Boozer’s butt.
Some people are more comfortable with a medical metaphor. People who suffer from invasive diseases, such as AIDS, know that there is a war raging in their bloodstream between the virus and the T cells that kill the virus. They measure progress, and life itself, in their daily T cell count. Recovery means to bring up the T cell count. If the T cells are able to maintain a stable high level for a long period of time, the disease goes into remission. The person can lead an almost normal life.
Others prefer the simple mechanical metaphor of the balance beam scale. In the active drinker, there are many weights on the side of drinking and few on the side of sobriety. Recovery means to add weights to the dry side and remove them from the wet side. At first, nothing seems to be happening. Eventually, one more small shift causes the whole balance to tilt in the other direction.
All of these images locate the source of recovery within the person. To see people this way is to say that no one alive is one hundred percent zero. No person, no matter how low they have sunk into the addiction, is entirely powerless. The power to get clean and sober may be small, it may be uninformed, uninspired, unskilled and unconscious, but it is there. Using this vision, people can find a place to start within themselves. People can begin to see themselves as inherently worthy and redeemable. People can find hope.
When we locate the potential to recover within the individual, we offer a simple path to recovery that is comprehensible to anyone, no matter what their degree of education or how recent their sobriety. Empower the sober self within you, disempower the inner addict. Avoid doing those things that lead you to go back to drinking or drugging. Do more of the things that reinforce your sobriety and lead you to a healthier life. Don't drink or use, no matter what; all else will follow.
We offer an approach that, from day one, aims to build the person's sober self-respect and make them fit to live a sober life in the world as it is. We are honest with recovering people and tell them from day one the sobering truth that they, and they alone, have the responsibility and the power to keep themselves sober.
We know from experience that addiction strikes people of all cultures, classes, religions, personalities and other categories. No ready-made therapeutic formula can ever fit everyone. Nor is there benefit for most people in merely following a cookbook recipe. Recovery comes from the process of struggling with the particular elements of one's own life, and of rebuilding oneself, piece by piece, as a sober person. The "magic" is not in the program, but in the fact that the person puts effort into working it. We encourage people to construct their own recovery programs, not because there are no good off-the-shelf programs, but because we know that really deep learning comes only from working it out yourself.
We have observed that recovery arises from the survival drive within a person. We therefore stress methods that give encouragement and support to the person's positive sober qualities and efforts. We avoid methods that increase a person's sense of powerlessness, shame, guilt, fear, or other paralyzing emotions. We believe that development of a strong and resilient sober ego is essential to maintaining long-term sobriety and to developing a healthy personality.
Not only a strong sober ego, but a strong sober pleasure system and a healthy body are helpful to a successful recovery. We encourage people to take part in pleasurable activity, to pursue hobbies, recreation, friendships, music, dancing, sports -- anything that rebuilds the system's ability to have fun without chemical crutches. We encourage attention to good nutrition, with special attention to chemical deficiencies typical of addiction-ravaged bodies. We encourage people to examine their smoking and we give them support to quit when they are ready. We see exercise and health generally as supportive of long-term sobriety.
Although many people recover on their own, we believe that group support can be a beneficial engine that makes the self-help process quicker, more effective, and more fun. We believe that group support -- one human leveling with another -- is the active healing ingredient in all organized recovery programs no matter what their ideology. The group process is central to what we do. We don’t try to overlay the healing power of human interaction with supernatural or metaphysical explanations. We get a cleaner burning flame that way.
We focus on people as they really are -- complex, conflicted individuals torn by contradictory passions, with the power not only to deploy and destroy, but also to huddle and heal. When we look at people in this light, then the “God” or “not-God” issues fade into the background. Our psychology can explain recovery in its own terms; it requires no theology to make it work. When we are able to articulate positively how our process operates, the public will gradually be weaned off the mistaken belief, so limiting to our development, that we are only a group for atheists or agnostics or people with secular humanist convictions. Once we can articulate how the recovery process works, people will see that the distinction between theological belief and unbelief is unimportant. You can participate and benefit no matter what your religious or spiritual philosophy. Those issues don’t matter here. Progress in building meetings over the next stretch of time will depend in great measure on the extent to which we are able to communicate this basic message.
IV.
Although the most important part of our audience is always the person seeking recovery or in recovery, we urgently need to pay more attention to the professional treatment community. I am well aware that this profession in its majority is something like an alter ego of the 12-Step movement, and often not the more enlightened part of it, at that. One could probably fill a book with horror stories of "Step-Nazi" atrocities committed in the name of treatment; in fact, I understand that a publisher is working on just such a volume.
However, we would be making a big mistake if we failed to approach the profession at all, expecting automatic rejection. One of the most salient trends in the profession in the past two decades has been an influx of academically trained clinicians with a knowledge of the scientific method and coursework in modern psychology. The stereotypical counselor whose qualifications consist of working the Steps plus perhaps a weekend crash course for a pseudo-certificate still exists, but is by no means the only player. In the better treatment programs, the supervisory staff have M.D. and/or Ph.D. degrees and all the full-time staff have licenses that require the equivalent of a master's degree in graduate school plus more than a thousand hours of supervised clinical experience. Some of those people are still quite closed-minded or fearful, but many are the opposite. They are quite willing to hear us and, in many cases, are willing or even eager to open their doors and refer their patients to us. In many cases, the absence of a secular meeting from a treatment facility is no one's fault but ours. In many cases, the doors have not opened because we have not knocked on them.
Our experience in the S.F. Bay Area underlines the tremendous value of good relationships with professional treatment providers. The good relationship we enjoy with many providers is the simple secret of our ability to sustain "seven in seven" here. When we are able to obtain the approval of a treatment provider to hold a meeting on its premises, we gain three important benefits.
- Number one, we gain physical proximity to our primary constituency, the recovering person. At Kaiser Oakland and some other facilities, the LifeRing meetings are right across the hallway from the treatment meeting, and not by coincidence, the LifeRing meeting starts five minutes after the treatment session ends. The people don't have to travel far to find us. Many of our members came to us first because we were conveniently located, and stayed on because we gave them tremendous support for their sobriety. This translates into good word of mouth among program participants, and that translates into more attendees, and so on in a positive loop.
- Number two, we gain a constant source of referrals. One of the principal sources of the numerical strength of the 12-Step organizations is the fact that virtually every treatment program refers its patients to them. When our meetings convene in the facility, we tend to get included more often in the referral loop. In the best facilities, the incoming patient is issued an orientation kit that includes meeting schedules of different support groups, including ours. Some of the counselors still won't refer to us, but more and more of them do. The fact that we meet right there where staff can glance in as they walk by, and that they can see how our members are doing in the program, erodes the barriers. In the past two or three years I have seen a sea change in the reception we receive at one such facility. We used to be barely tolerated; now we are accepted. We used to be on the margins; now we are part of the mainstream. As people graduate from their treatment cycle and look for longer-term support, they seek out and find the other LifeRing recovery meetings in the area, so that the benefits of the referral relationship gradually spread through the whole organization.
- Number three, approval by a treatment facility translates into economic benefits. There is no rent to pay, and the collection basket can be invested directly in more literature and promotion such as our Yellow Pages ad, our phone message machine, and the like. This is not the most important thing, but it is certainly a factor to keep in mind. The treatment facilities are also big consumers of our handout literature; in some places, keeping the literature racks replenished with our brochures is a weekly job.
One of our tasks in the coming period will be to popularize this local experience and to encourage its replication. Just as the adoption of SOS by the Texas prison system in the summer of 1996 was a breakthrough for secular recovery in the penal setting -- a breakthrough one hopes will be replicated -- the growing acceptance that LifeRing is enjoying in parts of the SF Bay Area treatment community is a landmark achievement.
One of the practical ways by which we intend to replicate this experience is through the publication of what we currently call the "Professionals' Packet." This is a collection of articles and book excerpts about our approach, with a cover letter. I made up this packet in the form of a presentation folder for a talk to a treatment provider in '98 and it worked so well -- we got the meeting -- that I've made up several dozen of them meanwhile for various similar occasions. This ought to be bound into a booklet and popularized via LifeRing Press.
A much more ambitious effort to pave the way for greater acceptance of our approach in the profession is the proposed National Secular Treatment Survey (NSTS). The basic idea here is to quiz substance abuse treatment providers nationwide about their openness to secular recovery modalities. The survey aims not only to get the information, for use by people looking for secular treatment options, but also to make providers more aware of the issue and thereby promote the concept, so what when we come knocking on the door, there will be greater readiness and acceptance. We have made a very small start toward a secular treatment referral list on unhooked.com, but still have a long way to go before it approaches comprehensiveness.
Greater rapport with the treatment community also means working harder to enhance our own toolbox. We have a modest start toward equipping a real sobriety workshop, but a great deal more needs to be done. We should visualize ourselves as gradually evolving into a Big Tent for all kinds of abstinence-based secular treatment methods. The Miller-Hester Handbook of Alcoholism Treatment Approaches gives a catalogue of many of the possibilities; see the review on unhooked.com. Our approach to recovery is consistent with the most modern scientific investigations into the nature of alcoholism, other addictions, and the healing process. Treatment programs with the best outcome statistics are those that embody flexibility and diversity, and that encourage self-efficacy and choice. Those are our principles. We are in tune with the emerging, modern, professional trend in the treatment industry, which looks at the problem with secular eyes and sees merit in scientific methods. Participation in our self-help support groups is compatible with the broadest range of abstinence-based therapeutic regimes.
One of the most welcome developments in this direction is a greater participation in our process by professionals in the treatment community. The participation of Doug Althauser, program director of the Kaiser CDRP in Hawaii, at our convention this past September was, hopefully, a sign of things to come. The pressures and concerns treatment professionals face are not identical to those that drive us as a recovery support organization, but we have a tremendous amount to gain from understanding the treatment world better and from doing what we can, within our principles, to respond to the profession's concerns. In the coming months you may see some experiments, in writing and/or in the form of a pilot meeting, aimed at packaging our own free-form "do-it-yourself" approach in the manner of a treatment program, inspired in part by Althauser's book (reviewed on unhooked.com). Who knows, one of these years we may even launch the California Method to compete with the Minnesota Method. I heartily invite all treatment professionals who are interested in our approach to come closer and become part of our development.
One day every community will have not only one brand of recovery meeting, but several. Alcoholics and addicts who have a sincere desire to get sober will have a choice of services, just like other consumers. Each approach will stand on its merits, rather than on its monopolistic position. The promise that we are good people who need help, rather than bad people who must be punished, will be honored. We believe that where there are more roads, there will be more travelers and where there is more choice, there will be more successes.
v.
Five years ago, a modest and seemingly insignificant initiative set forces in motion that are profoundly changing our organization. I refer to Tom Shelley's commencement of the SOS email list. Up to that time there was no regular communication channel between members in different cities, unless one counted the quarterly newsletter, to which few subscribed. We were in the dark. In that climate, some people believed grandiose claims that we had 1000 meetings and 20,000 members, while others responded with cynical rumors that we had no meetings and no members at all. No one had good information because no one had good communications. Tom's list began to change all that. Gradually, bit by bit, over many months, we began to peel away the candy and the dirt and uncover the reality. We found that we have far fewer meetings than some claimed, but a great many more than others feared. The most important thing is that now we have a grip on reality, and we are rebuilding credibility.
And so it has gone in just about every other area of our organizational life. Where once darkness reigned and where hyperbole and its flip side, cynicism, flourished, we now have a better-illuminated, more realistic and more practically useful understanding of where and what we are. Along with the new unofficial flow of information came new surges of energy and power. The founding of www.unhooked.com, the UU in the Pines event, the Sobriety Handbook, and ultimately the September '99 convention were fruits of the new, instant, direct, person-to-person cyber-communications channels that Tom had opened years earlier. All of this was unofficial and from below. Thanks to the Internet, we are a much better-informed, more cohesive, more spirited and energetic bunch than we were in 1994, not to mention a larger and more active one. There is no question but that our internal culture is becoming more than ever one of participatory democracy, independence, and service-oriented activism. The Keepers volume well captures this spirit; can I put in a plug for it here?
The most precious asset we have as an organization, besides our reputation for sobriety, is our unity. We have a huge potential to change our corner of the world. We have an excellent philosophical foundation: sobriety, secularity, self-help. Secular recovery is an immensely powerful concept. I feel that we may be on the brink of tremendous breakthroughs in public acceptance. However, before we get there we are going to have to make some constructive adjustments in the way we are organized.
Our most pressing problem by far is name unification. The adverse court decision regarding rights to the SOS name has left us in a confusing situation, name-wise. Having alternative or dual names (SOS, LSR) is unsettling. Many of our own members don't even understand it. How could we expect the public to? We need name unification so that the public sees us as one organization that has its act together, and not as two organizations, or one organization in schism. Names matter, and if we want one organization, we need to unite around one name.
It is a great comfort to know that, as a consequence of the ’99 convention, there is a Study Committee dedicated to investigating this and the several related issues. We have much work to do in the area of internal democracy and organizational autonomy before we can realize the potential of our concept. In the coming year, I pledge to do my utmost to promote a peaceful, harmonious resolution of our organizational problems, to avoid stirring up gratuitous antagonism, and to put principles ahead of personalities. I see many reasons for confidence that we will put this difficult chapter behind us and have our hands free for the many constructive tasks that await us.
VI.
One of our major challenges in the coming period will be to explain ourselves and our approach not only to people looking for recovery, and to the treatment community, but also to the general public.
Alcoholism and addiction are public health problems of major proportions, and everything that is done in this area is ultimately of public interest. I see us as one effort among many to respond to the public's growing impatience with the long-term lack of progress on the alcoholism and addiction front in our country. We do believe that we have a better mousetrap, and we want the public to know about it. Moreover, we are in harmony with the strong and clear views of the courts of appeal, which say that where the government is involved, the constitution mandates that a secular recovery option be offered. We resonate with that part of the American ethic that values choice, cooperation, hard work, and self-reliance -- "God helps those who help themselves."
I also believe that we owe a duty of honesty not only to ourselves and each other, but to the public. Wherever the public is willing to accept us as recovering alcoholics, without prejudice -- as the law requires -- we should have the personal choice of disclosing our own status and our personal affiliation with our recovery group. For persons in positions of public trust, where the politics of alcohol or alcoholism are involved, I believe such disclosure should be the rule rather than the exception. In the long run, I believe that the status of the recovering alcoholic will gain in public respect from a policy of less anonymity and more honesty. I also am among those who believe that it is good for our recoveries to be as open as our life situation realistically allows.
VII.
We are part of a tradition that goes back to the first self-help recovery groups organized by the indigenous people of North America in the 1700s. The Washingtonians of the 1840s -- a mass movement for abstinence, secular in inspiration -- are among our forebears. We have learned and borrowed a great deal from the traditionalist organizations that have dominated the past half-century. We are in some ways nothing more than a reincarnation of the core vision that animated all of these movements: drunks helping drunks get sober. In that sense we are as old as the hills and our method is as primitive as a campfire. At the same time we are a product of the era that produced MRI and HTML; we are as modern as brain scans and the Internet. Nothing exactly like us has ever been seen before.
What will happen to us as individuals and as an organized movement in these coming years, no one can tell. One thing I know: it matters deeply what we do today. Our actions have consequences. Many of us are sober, productive and perhaps even alive today only because a Karl or a Janis or a Jim or a Tom or a Dudley or others sat in a meeting room, sometimes all alone, years ago, so that it would be there when we were ready for it. When we get together in events like our recent convention and feel the synergy, we know it was all worth it and it was all important to do. And so, as the odometer clicks over, I look around me and am glad. Glad to have these many fiercely independent sober companions. Glad to be on this road. Glad to be in this adventure.
12/28/99


