Denver (2)

Bill Staudenmeier is a soft-spoken man.  You could see yourself in a room with him, one on one, pouring out your troubles, and having him ask questions, ever so softly, that cut right to the heart of your issue.  In the  crowded auditorium of the second floor of the Unitarian Church in Denver, Bill had to raise his voice to be heard. His topic: mindfulness.  Bill had us sit with our feet square on the floor, back straight, shoulders relaxed, eyes either closed or in soft focus (easy for me, just had to take off the glasses), and become aware of our body, limb by limb, our breath, our vision.  What I got is that mindfulness is an exercise, or a set of exercises, where we become quiet and, well, mindful of our bodies.  This helps relax us, dissipates stress, gives the speeding mind a rest.  And there's more.  It's not only an exercise, it's a  mental tool that you can take with you and use in a great variety of situations.  For example, when you're in the presence of "your" drug, and you're experiencing a craving, the mindless thing to do is grab the drug and put it in your body.  The mindful thing is to say, "Ah, I'm in the presence of this drug and I'm being triggered and I'm experiencing a craving.  How boring! Well, soon this feeling will be over and there'll be something else more interesting to draw my attention."  Mindfulness generates a calm inner observer that gives us distance and cool in the presence of emotional barking dogs.  And there's more.  Mindfulness is not only a meditation exercise and a tool for self-government, it's a philosophy for being in the world.  If we are mindful of ourselves and of our relationship with other beings and things, we are likely to be more truthful, more kind, and more fair in our behavior.  And that's a good thing.  Many people in LifeRing are interested in broader life guidance and philosophy issues -- what does it all mean? -- and Bill Staudenmeier's introductory exposition pointed toward an entirely secular, soft-spoken, and spiritually enlightened body of thought.  In keeping with his motto of speaking kindly, Bill also said some kind things about my book, Empowering Your Sober Self, for which I am grateful. Bill's talk got a special lift at times from the huge round stained glass window that formed his background.  This being a Unitarian church, the window's motifs consisted of flowers, jewels, feathers, and other non-religious designs; nevertheless, as Bill spoke in his calm, thoughtful manner, occasionally it seemed as if a halo had materialized approvingly around his head.  See photo, above.

Candice Shelby, the next speaker, comes from several generations of drunks, which did not prevent her from becoming a professor of philosophy, which she is.  Her interest in addiction was piqued by the dawning awareness that philosophers, by and large, didn't know the first thing about it.  Candice spoke in an edgy, animated tone, with endearing wisecracks and asides that let you know she knew some things about addiction from personal experience.  She made well-deserved fun of rationalist theories of addiction (theories that deny that addiction is real and see addictive behavior as a rational choice).  Her battle with the philosophers ultimately led her to look for answers in the neurobiology of the brain.  She spent a couple of years  acquiring the equivalent of a second Phd, as she put it, in the subject.  She took us onto a tour of the human brain: neurons, axons, neocortex, limbic system, amygdala, dopamine, and all that. She showed that some of the addicted persons' response to triggers, and some relapse mechanisms, are not conscious and not within the rational framework; that emotions are faster and more powerful than rational thinking, and that people sometimes truthfully do not have a clue why they did what they did. All in all, if I were a rationalist, Adam-Smithian philosopher, I might have felt crushed by the onslaught of neuropsychological research findings that Candice marshaled. I have read a number of neurobiological explanations of addiction, particularly those trotted out to clients in treatment programs to prepare the clients for step one, and Candice's was definitely one of the best informed, better than that of some medical doctors, and far more lively and witty.  But it had some of the same limitations.  The standard program lecture on neurobiology of addiction typically builds up the power of addiction to such an extent that it becomes quite incomprehensible how and why many people are nevertheless able to shake off their addiction and get free.  What is the neurobiological basis of recovery?  Candice's talk, perhaps because her time was up before she could finish her prepared text, left this issue unexplored.  It would be interesting in a future LifeRing event to hear her lively analytical mind present the results of her study of the brain's inherent powers of recovery.  

After lunch -- on our own in an area of Denver with quite a few choices of restaurants -- we reconvened in the cooler downstairs room of the church, and heard a short presentation by Anne Hatcher with ideas toward building a LifeRing Partners group.  Hatcher, a veteran counselor and teacher with a formidable list of credentials and affiliations, is a plain-spoken, empathetic person.  Among the points of her talk that stuck with me was that the people in a relationship with an addicted person often find themselves adapting to the addicted person.  This, of course, tends to reinforce the addiction, requiring further adaptations, and so on in a vicious spiral.  The conduct that Anne has seen work is for the partners to put their own priorities first, and force the addicted person either to adapt to that, or be left alone.  Anne would like to see a LifeRing Partners group come into being.  She left us with some handouts that I will be posting shortly.  

Next came a convenor workshop, led by Dru B. of Union City CA, where Dru convenes a highly successful Friday evening meeting at the Kaiser Chemical Dependency Recovery Program.  The meeting is remarkable in that it has had a consistently good attendance, averaging about 25 in the past year, despite the fact that it commences hours after the treatment program's schedule is over and everyone has gone home.  It's also remarkable in that it is a success story in a time slot where most other meetings have not done well.  Dru runs a standard format, How Was Your Week?, and has created an atmosphere where there is lots of cross talk with people engaging one another.  The workshop session also featured presentations by Mona H. of Connecticut, focused on meetings by conference telephone; by Lynn C. of Sacramento, describing recent developments in the LifeRing chat rooms, and by Lloyd E., describing the workbook study format he has been developing in his study group at the Kaiser CDRP in Oakland. He too has developed additional material for posting.

The afternoon closed with a brief presentation of the Expansion Committee Report by Craig W., Kathleen G., Lauretta M., and Carola Z., leading members of the working body that was formed at last year's Congress to engineer the transition of LifeRing from its founder to a new generation of leaders.  As the Expansion Committee proposals had been thoroughly ventilated and publicized for months both by mail and by electronic media, there was very little discussion at this session.  Except for the fact that this was not a Congress session but just a workshop, it would have been adopted by consensus voice vote then and there.  

Dinner that evening not only satisfied the belly, it demonstrated the growth of LifeRing in Denver.  At our last annual meeting in Denver three years ago, everyone fit around a single table.  This time it took four tables to hold the group, more than the restaurant could accommodate in its separate dining room, so we ate in the main room.  It was also delightful and reassuring to see that the average age around the tables was probably  ten or 15, maybe 20, years younger than at the last occasion.

I had the pleasure during the dinner to award the annual LifeRing Pioneer certificates.  The award goes to LifeRing participants, usually convenors, who push the envelope in a good way, for example, by starting a new meeting, or a new online venue, or performing some other service that helps the organization move forward.  The number of awardees was at an all-time high.  The certificates this year took their graphic theme from the plaque mounted on the Pioneer 10 spacecraft.  A few small modifications enhanced NASA's original design for our purposes; see image.

(To be continued)

Shining Model in Walnut Creek CA

Carola Z. writes:

Just a quick note with some good  news:  The meeting we started at Kaiser CDRP in Walnut Creek [California] celebrated its first anniversary today.

The meeting is every Wednesday from 12:15 to 1:15 pm in Room 3D at 710 Broadway 3rd floor.  It's still going strong and we had a nice large group of regulars and newcomers today.

 I had made a commitment to convene this meeting for a year, and I am especially happy to be able to announce that I handed it over today to two very capable members of that meeting as the new convenors.

Way to go, Carola!  Starting a new meeting and then passing on the convenor role to other members of the meeting is a shining model of how LifeRing takes root and expands.

Carola makes it sound so simple, as if there were nothing to it.  But there's a lot to it.  First, you have to get the room -- sometimes a battle of years with an entrenched and obscure administrative bureaucracy.  Then, you have to create the positive LifeRing atmosphere in the room:  safety, openness, honesty, freedom, humor, caring ... the environment that empowers the sober self, and keeps people coming back.  It's only then that you get regulars who build up sober time and learn the ropes of the LifeRing process.  And it's only when you begin to have such a core group that you have your pool of future convenors to whom you can hand the clipboard and the basket, give a friendly hug, and move on to start another meeting somewhere else.

The core message of the LifeRing convenor handbook (How Was Your Week) is "Pass it on!"  The "it" here is the convenor role.  When convenors remember that message and put it into practice, as Carola has done, then LifeRing thrives and grows.  There are, unfortunately, also some negative examples.  Last week at the monthly convenor workshop at the Service Center, I learned that a certain meeting that I had started fourteen years ago, and passed on long ago, was now without a convenor.  People had gone to the room, sat and waited, and no convenor had showed up. So, I went and acted as pinch-hitter tonight. There were ten participants, and we had a great meeting. A member of the meeting told me that the regular convenor had convened this meeting for more than three years.  No one knew what had happened to him, and we had only sketchy contact information for him in the database at the LifeRing Service Center. I enjoyed pinch hitting and I'll do it again next week; but I shouldn't have to.  Convenors who fail to develop other convenors and pass the meeting on will eventually burn out, and risk taking the whole meeting down with them.  That's not a recipe for a healthy, expanding organization.

So, congratulations and a shining gold star to Carola and the other convenors who "pass it on!"

LifeRing in 2010 and Beyond

The LifeRing Service Center in Oakland was humming and buzzing last week with the Expansion Committee mailing.  In a few days, every LifeRing convenor in the world should have the committee's proposals in hand. (If you didn't get one, it's probably because we don't have contact information for you in the database.)

The committee of eleven worked long and hard to produce these proposals, and they deserve a full and detailed reading.  The time for membership discussion is from now to March 15.  You can send feedback via comments on the LifeRing-10 discussion blog, or via email to service@lifering.org, or via snail mail or phone to the Service Center (1440 Broadway Ste 312 Oakland 94612; 1-800-811-4142).

Passing it on: A Model

A basic rule of convenor work is "pass it on" -- recruit someone else to take over the convenor role in the meeting, after a period of time.  At the Service Center, we recently received a letter that's a model of how to handle that transition.

Dear LifeRing:
This is to inform you that my commitment as convenor of the Wednesday San Rafael Kaiser CDS meeting has ended as of December 30.
As my replacement, Caryl K. has volunteered to convene the meeting starting the following Wednesday.  At that time, she will assume responsibility for turning in the basket receipts, ordering pamphlets and books, etc.  Additionally, she has given her consent to be listed as a contact for this meeting; her phone number is [____].
I wish to thank you for the opportunity to be of service to this organization which is a much needed alternative to the non-secular recovery groups.
Sincerely,
Dee S

It's a pleasure to get a communication like this.  It lets us know that the convenor, who had been in this role for about a year, understood the basic message of the How Was Your Week book, namely to "pass it on."  And it allows us to update our database so that we know who is the current convenor of this meeting, and we have an address where we can send brochures, schedules, receipts, and letters, and we have a phone number to which we can refer callers for information.  In short, it keeps alive the connection of that meeting with the rest of the LifeRing network, and with the recovery community as a whole.

You might think, "Well, of course! Isn't that always true?"  Unfortunately, not.  There are cases where convenors pass the baton and don't tell anyone outside the meeting that they've done so.  Sometimes in remote areas convenors even drop the baton and tell no one.  As a result, at the Service Center, we have no idea who is convening that meeting, and sometimes we have the unpleasant surprise of hearing from strangers that they went to the listed meeting and nothing was there.  That happens rarely, but even once is too often, because it undermines the credibility of the whole organization.  It taints the brand, as marketing people say.

Therefore, thank you, Dee S, for showing how it's done right.

Desperate in Montana

Cassie Z. from Great Falls Montana wrote to the Service Center yesterday:

My husband and I had a horrible time trying to get any support to stay sober, after we managed to get that way a year ago. AA doesn't fit or agree with everyone. I believe that people who are in Treatment Court that are forced to attend meetings -- AA, because that's all we have -- will quit the day they're able. I hope Lifering will appeal to more people for whom "working the program" just doesn't work. We have 3 or 4 outpatient facilities here, and Mental Health, Probation, etc., that I'm confident will understand my viewpoint and give it a shot, especially if I have the literature and a plan when I pitch it to them. I have 4 or 5 people who have said they'd attend if we had a LifeRing meeting. We have nothing like it in MT; we're desperate for a NEW approach.[...] Thank you, and I'm SO excited to get started!

When we get messages like these, we're happy to send a copy of each of our brochures and a copy of the Presenting LifeRing magazine free of charge.  Once Cassie and her husband have a meeting room and a date and time that we can post on the web, we'll be happy to send them a display copy of each of our other publications.  

Because we are such a low-budget operation, we cannot afford to send free copies of our books and bundles of brochures to everyone who writes in with the intention to start a meeting.  I wish we could, but we'd go broke.

We will send display copies of books and bundles of brochures to meetings on invoice (without advance payment), once they have a place and time, but we expect the convenors to pay for the literature once their meeting has got enough money from passing the basket, however long that may take.  

We have sometimes received donations from supporters earmarked to buy books for a specific meeting, or to buy books for new meetings in general, and we're happy to honor those.  

Great letter from Eugene OR

James K. from Eugene OR writes:

I convened a successful first LifeRing Secular Recovery meeting Monday, December 21, 2009 here in Eugene, Oregon.  It was helpful and, dare I say, fun, for all!  I look forward to more meetings and hope we can grow while spreading the LifeRing philosophy.

I have a few comments I'd like to share with Mr. Nicolaus:

In 'How Was Your Week' (V1.00.0), Sec. 13.5.1.3 "Internal Ferment in the twelve step world."  I would try and replace 'ferment' with something.  Ferment is to alcohol as white is to school glue.  'Discord' and 'discontent' come to mind. [...]

Also, p. 11.  Very nice example; indigenous tribesman and firewater c.1700s.  I love this use.

"Recovery by Choice."  I love this workbook!  A few ideas:  tear-out t-chart and plan pages, more sections dealing with medicine in recovery (more methadone please), perhaps adding more commonly used treatment devices such as suboxone and antabuse. Maybe a version for inpatient and a slightly different one for outpatient and one mode for groups of several or more people to use together along with their own copies or own sections.

Thank you so much for this opportunity!

-- J.K.

James, thank you for that great letter.  I'm delighted that LifeRing is taking root in Eugene, and I feel in my bones that Oregon is going to be a big state for LifeRing one of these days.

Thanks especially for the comment on "How Was Your Week."  On my to do list for the next year is to update this volume and get it printed as a regular paperback, instead of the copy-shop plastic comb binding that it now has.  I'll certainly rephrase "ferment" to something less "spiritual."

You have great suggestions for the workbook.  It's designed right now primarily for bibliotherapy (individuals doing it more or less on their own).  But we're also using it in small peer-led groups and there are treatment professionals using it with clients, both individually and in groups.  If you could provide some more concrete, detailed suggestions how the book could be adapted for inpatient and outpatient use, respectively, that would be very helpful.

Best regards for the new year, and best wishes for the success of LifeRing in Eugene,

-- Marty N.

Tenacity Pays Off

This message came to the Service Center this week from Brian P., convenor of the LifeRing in Vacaville CA.  Vacaville is a town of about 100,000 located halfway between San Francisco and Sacramento.  The LifeRing meeting in Vacaville was started originally by one of LifeRing's founding members, Bill Somers, at the church to which he and his wife Anita B. belonged.  After Bill's death, the meeting dwindled away.  LifeRing convenors Ken K. and John D. restarted it at the Vacaville Kaiser facility (photo), but for many months it barely hung to life.  So when an email arrived at the Service Center with the subject "LifeRing in Vacaville" I was prepared for the worst.  What a sweet surprise:

I just wanted to check in regarding the Thursday Vacaville meeting which I have been convening for about 18 months or so. If you will recall, I  picked up the meeting from the individual who had originally started it.  I must confess, it was extremely slow to start. I originally worked with Ken and John D.  Often, I would often be the only one in attendance. I am happy to report that we have finally have turned the corner and  developed a core constituency of about seven people ranging in age from 71 to 24. While it still is a bit tenuous, having an established base is helping to enlarge that group.

 Kaiser continues to be very good to work with and they have been good with program referrals. Kaiser, recently finished construction and opened their full care Vacaville hospital.  Even through the construction chaos they always strived to insure that we had a meeting room.  From time to time, I entertained the notion of trying a different night for our LifeRing meeting but Kaiser indicated they would be limited on meeting space until after the construction was finished. Now that construction is finished, Kaiser has offered us  the opportunity for an additional meeting on Monday nights from 7-8PM. After polling the existing group as well as asking others, it would seem that there is a need for Monday meetings.

 Accordingly, I would like to take advantage of this opportunity and add the second meeting to the schedule.  Another individual, Robert M., has expressed in interest in convening the Monday meeting for at least six months.  Rob has been attending my meeting as well as the LifeRing Monday meeting at Kasier Vallejo for the past nine months.  I have also given him (and he has read) the LifeRing convenor handbook and related materials. He like myself, also participates in Kaiser's long term CDRP initiative, Phase III. I have offered to assist Rob with this program insuring that I can attend his meetings regularly for the first several months to try and insure a smooth start.  [...]

 Also, one area that I have been remiss in is in passing the proverbial green envelope. I have been reluctant to do so for fear of frightening someone away.  I have made personal contributions through the Vallejo meeting  in lieu of passing the envelope, but starting with the first January meeting I will start passing the envelope and remit the proceeds to the "home office" monthly. If you would kindly advise as to where I should send this it would be appreciated.  I will see that Rob does so as well.

 As a personal aside, I wanted to take this opportunity to  congratulate you on your book, Empowering Your Sober Self.  It is a great read and it offers some of the most refreshing perspectives on addiction that I have read to date. I can also tell you that you made John D's day by including his vignette.  He has every reason to be proud of his recovery and as you know, he has given much of himself to help others in need.  It is great to give credit where credit is due. [...]

Congratulations to Brian and Rob and the other regulars of the Vacaville LifeRing for this achievement.  In a follow-up email, Brian comments on the fact that getting a new meeting started, especially in a new location, may take an extraordinary amount of tenacity. He writes:

I read a book sometime back about Fred Smith, who founded Fed Ex, entitled Overnight Success. The name of the book always stuck with me because it was deceptively accurate.  While it is true that he became success in the overnight business his journey to achieve that success was anything but overnight.  I think there was a lesson there for me.

Not only for Brian, for all of us.

Second LifeRing at MPI

Merritt Peralta Institute is the oldest adult residential addiction treatment facility on the West Coast.  If you had any doubts about its treatment philosophy, the wall-size framed poster of the 12 steps, with letters 3 inches high, opposite the reception desk, removed them. Nevertheless, at the beginning of the 21st century, in March 2000, after three LifeRing presentations to staff and patients, and a prolonged soul-searching, the facility allowed the first LifeRing meeting onto its premises.  I had the honor of being one of the founding convenors, and this was my regular Wednesday night meeting for about three years.

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.  

Using Craigslist to Get the Word Out

Convenor David F. in San Rafael California has been using Craigslist to get out the word about the LifeRing meetings in Marin County.  Here is a PDF download of a recent item.  Because Craigslist automatically deletes notices after seven days, you have to stay on top of it and repost the notice regularly.

Notice the introduction, describing what we do, what our basic philosophy is, key points of our meeting format, all in easy-to-understand language and in a few words.  It concludes with links for the reader who wants to know more.  Meeting locations are hyperlinked to maps for easy access. 

This is a tool for helping meetings grow that can be used anywhere there's Craigslist.  Does it work?  Well, the meetings in Marin County have been growing. And it's free.

Even the diehards long for something ...

A friend from Montreal writes:

Now I have received a phone call from D___ who is responsible for community activities such as the substance abuse program at the C___ who has arranged an "interview" on August 31 when she and other management personnel return from vacation. At that point I would be expected to explain LifeRing to the health professionals at the Quebec government run C___.

D ___ is already very impressed with the brochure and says I don't need to bring any other materials, she would very much like to have LifeRing at the C______ and finds it all the more interesting in that it would be new to Montreal. That's what she said when I told her somewhat sheepishly, that, well, I've never experienced LifeRing, personally, yet....except for that first rush of self-empowerment.

I have discussed the matter with 3 other friends from N.A. Virtually everyone who has read the brochure (the same one I was criticizing and picking apart) falls in love with LifeRing and asks me "where's the meeting, when's the meeting?" One of these friends requested more LifeRing literature, he's thirsty for more LifeRing literature. ...

Others suggest it would be quicker to just find some other venue, like some church basement somewhere. But I had it in mind to put down some solid roots. If it gets approval at the C___ I intend to approach the Referral Centre of Greater Montreal (which is funded by Centraide, sort of like Red Feather or United Appeal). To get a listing on the CRGM would mean there would finally be an alternative offered to people calling up there (I was referered to N.A. through the CRGM).

Marty, I need to know, what am I supposed to be doing now? Go on a convenor's blog? Wait until the final nod which won't be until the first week of September. (After D___, it goes to management).

So there are no less than 3 friends from N.A. my sponsor, and at least 3 employees of the C___ who are interested in attending the first LifeRing meeting. Not counting myself.

By the way my sponsor phoned up California and put me on the phone with Bob B., the oldest surviving member of N.A. whose own sponsor was Jimmy K. the founder of N.A. and I told Bob B. that I believed that freedom from the disease concept of addiction and self-empowerment were the wave of the future and he said "Make the most of what you have".

I somehow had the feeling that even diehards long for something unnamable that is out there.....that can't quite put their finger on it. By the way virtually all of these N.A. members, unlike myself have no gripes whatever with N.A., don't feel like 5th wheels everywhere, but are impressed with LifeRing just the same.

So I have to establish a time-line and start figuring out who does what. One of these people offered support and even to accompany me to the interview if this is a good idea. So, is it a good idea? He doesn't have access to the internet.

Any input would be appreciated as I have felt alone with all this "pipe dream" for a while now, and now it looks pretty close to getting done. The first meeting would be in English, from what I can see.

I've boldfaced the line, "even diehards long for something unnamable that is out there," because it expresses something that I'm hearing from other people in other places as well. I've mentioned in the previous blog post the phone call I got from a 20+ year AA member who read Empowering Your Sober Self and felt stirred to call up and get a LifeRing meeting started. This past week I got an almost identical phone call from the same state, same county. This caller had got Empowering Your Sober Self from his local library. He has spent the past four years in AA, and he was so motivated by his reading that he phoned to see if there was a LifeRing meeting nearby and, on being told there was not yet, enthusiastically volunteered to help get one started.

Listening to these voices, I get the impression that they feel a certain emptiness at the core of the 12-step approach, and although this feeling is unauthorized and implicitly subversive, and therefore must be repressed from consciousness, it nevertheless erupts to the surface, irrepressibly, in certain times and places.

As for the nuts-and-bolts questions of what to do until September -- well, September will be here very soon. There is quite a bit of reading that could be done in the interim. If people are in the mood, they could get together in a coffee shop and discuss the readings, and become acquainted with the LifeRing concept and format, so that by the time the flag is formally raised and the doors open to the public, there will be the beginnings of a core group.

Should you take another person to the interview? If the person is familiar with the LifeRing approach from reading, and makes a presentable impression, then by all means take them. Whenever possible, I always try to take at least one other person along when I go to an interview or give a talk; it helps me evaluate the session afterward, and it helps the person get familiar with the subject matter and become comfortable giving the talk next time, when called upon.

Another door opens by a crack

A few weeks ago, as I reported elsewhere, I was invited to speak about LifeRing at Mountain Vista Farm, one of the oldest rural inpatient treatment programs in California. Mountain Vista's reputation is that of a citadel of the 12-step approach. Yet there was genuine interest in hearing about the LifeRing approach, and my presentation appeared to resonate with quite a few of the counselors in attendance.

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.

Where are those Documents When You Need Them?

The convenor of a LifeRing meeting at a nearby hospital called in a voice filled with anxiety:  

"The facilities coordinator has kicked us out of our meeting room because we haven't filed an application to renew our room permission.  I didn't even know we had to do that!  Now they want a bunch of documents about LifeRing -- a mission statement, and a 501-c-3.  What are they?  Do we have that?"

Yes, we have that.  

We have our Mission Statement in two formats.  One is the Meeting Charter (every meeting should have one) that you can download from the website here.  That's a simple, one-page statement in a decorative format suitable for posting, should you wish to.  If that doesn't impress the facilities czar sufficiently, you can hand them a copy of the LifeRing corporate charter, downloadable from here.  That's an official State of California document with the state seal, showing that we're chartered as a nonprofit public benefit corporation.  

The "501-c-3" is a document from the federal tax people, the IRS, certifying that LifeRing is a charitable entity, so that donors who make gifts to LifeRing are entitled to deduct the gifts from their income taxes as charitable contributions.  The document comes in the form of two letters from the IRS.  The first is our initial determination letter, saying that we're classified as a charity provisionally for four years.  The second is the renewal letter, saying that our charity classification is now permanent.  You can download the first letter here, the second letter here. 

In case you lose this blog post with its links, you can find this set of papers again easily by going to the home page of the LifeRing website, and in the menu on the left, click "About LifeRing" (near the bottom).  On the "About" page submenu, click on "LifeRing Documents."  Bingo!  

The Recovery Skills Format

As noted on the bulletin board, the Ontario (Canada) based group Addictions are Us recently affiliated with LifeRing. Addictions are Us brings their own "Recovery Stills" format where meetings consist of three parts, an open discussion (much like How Was Your Week), a directed topical discussion (like one section of a Recovery By Choice Workbook group), and a carry-over of a past discussion. The group's new brochure describes the format in more detail. Take a look at it here.

What may be of most interest to LifeRing convenors is the rotating topics list for the second section. Most are topics that appear in Recovery by Choice. Some are not. Some convenors may have a list like this – plus topics of local interest – handy for times when their group wants to do something a little different.

Cravings & Triggers
Daily Program
Trust – Using it and re-building it.
Dreams About Using
Setting Goals
How to Handle New Free Time
Expectations
Communication
Importance of Diet
Importance of Exercise
Problem Solving
Small Steps – Large Changes
Journalizing
Anger Management
Identifying Feelings
Allowing for Change in Yourself
Alternative Sources of Support
Cycles in Mood
Stress Management
Helpful Criticism – How to deal with it.
Substitute compulsions / addictions
Dealing with loss
Holidays – Extra plan for handling those special functions
Post Acute Withdrawal symptoms

Convenors seeking to make their own brochures may also find Southern Ontario example illustrative.

Draft of new brochure, for comment

This past week I've given LifeRing presentations to two groups of lawyers, one in Hayward and another one here in Oakland, today. At the Oakland talk a number of social workers were also in the audience. There were expressions of surprise both from the lawyers and from the social workers when I mentioned the recent federal court case that said 12-step groups are religious and that a government official cannot refer a client exclusively to 12-step groups. I was surprised they were surprised -- I kind of thought that maybe lawyers would know this stuff and that social workers would have been told by their employers. Am I naive, or what! Sooo, right after the noontime talk today I drafted up a new LifeRing brochure, called "Choice of Support Groups: It's the Law," and I would appreciate it if those of you concerned with this issue would have a look at it and give me the benefit of your comments on the brochure. The draft is posted for your download here. Please post comments on the brochure here.

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.

Get well soon, John G.!

We've received a terrible medical bulletin from John G., the convenor of the LifeRing meeting in Brampton, outside of Toronto. He is going to be starting radiation therapy soon and will have to reduce his activity. If you would like to send him a get-well wish, please address it to John at lifering_recovery@yahoo.ca

Thanks. -- Marty N.

Empowerment in Two Minutes

I sat in on a LifeRing meeting the other day with 29 people in it. That's considerably larger than the average LifeRing meeting, but it's normal for this particular group. It convenes during lunch hour at a treatment center. There's a treatment group session immediately afterward in the same room. There's no way to stretch the meeting time. Bottom line, if people are going to get their sober self empowered in this meeting, they each have an average of two minutes for it to happen.

There were times when the meeting was sparkling. The face of the person speaking was animated with feeling. People's eyes were focused on the speaker. There was quick, positive feedback. The convenor added a few choice words. The group gave the speaker an enthusiastic round of applause.

At other times the meeting was flat. The speaker's face was a mask, and their recital was unrevealing. People looked away. There was no response. There was perfunctory applause. The convenor gestured to the next person to go.

I wondered, can we define what makes a good check-in under these circumstances, when time is at a premium? Can we, as convenors, deftly intervene so that the meeting enjoys a larger proportion of the sparkling contributions, and fewer of the flat?

Here's the basic elements of a participant's check-in:

(1) Introduction. (a) Name: "My name is ___________." In many settings, this may be followed by (b) Label: "I'm an alcoholic/addict" and by (c) Time: "I have _______ days clean and sober."

(2) Story. "My week was _________."

(3) Feedback from other participants. "I had a similar experience .... (etc.)"

(4) Conclusion, and transition to next person.

Four simple elements, usually present in any check-in, no matter the length. How can we handle them so that something useful happens in an average of two minutes? Let's see.

(1) Introduction.

(a) Name. If the person forgets to say their (first) name, that's not good. The convenor or someone should ask them to say it. It's good for people to put their names out. Saying your name is a way of declaring membership in the circle, of connecting with the group dynamic. It's a friendly thing.

(b) Label. Whether a person then labels themselves ("I'm an alcoholic/addict") is optional in LifeRing. It's mandatory in some treatment settings and in many 12-step settings, but not here. The glue in LifeRing is the commitment to a common behavior -- abstinence -- and not to any particular label, diagnosis, or theory about what's wrong with us. Research suggests that on the average, people can stay clean and sober whether they label themselves or not. Moreover, in LifeRing it doesn't make any difference whether your "drug of choice" was alcohol or meth or whatever, so there's no need for people to declare whether they qualify for this meeting (alcoholic if AA, heroin addict if NA, etc.). Everybody is welcome. Bottom line, if the convenor senses that people in the meeting are labeling themselves because they think it's required of them, or because they mistakenly think they're in a 12-step meeting, it may be wise to say a few words to indicate to people that it's optional. "In our LifeRing format all we ask is that you say your name; the rest is optional." Save a few seconds; it all adds up.

(c) Time. Many treatment centers and 12-step groups require people to declare, in their introduction, how much clean and sober time they have. In LifeRing, it's definitely optional. In the particular session I observed, the treatment center's format had penetrated into and become part of the LifeRing meeting's format. Each person said their time ("I have 11 days"), and the room gave each person a round of applause for it. After a while that ritual started to feel repetitive, and the applause tapered. A person early in the hour with 5 days would get twice as much applause as a person later in the hour with 10 days. When I convene this kind of short-format meeting, I try to shift these time declarations to the end of their story. True, it's empowering to receive applause for your time. But it's much more empowering for you, and more instructive for the rest of the group, to receive applause for some specific victory you won that got you to this count of sober days. This brings us to the main element of a person's two-minute share, the content or story.

(2) Story. "My week was _________." The dullest, flattest shares here consisted of nothing but an adjective or two: "My week was fine." "My week was bad, but I made it." An adjective or a string of adjectives don't amount to a story. The person who tries to get by with this contribution is not participating. They're not revealing anything about themselves. They're not putting anything out that other people can relate to. The convenor now has to make a quick decision: is this person unclear about what's expected, or is this person refusing to participate? Everyone has a right to refuse to participate, and if that's the case, the convenor and the group have to respect it and go on to the next person. However, it's very rare for a person in a LifeRing meeting to refuse to participate. After all, we're not asking for the story of their life or their innermost secrets or their opinions about some book passage that they haven't read. We're just asking, "How was your week?" The convenor who runs into a participant who says "My week was fine" and then looks to the next person, needs to nudge a little. "So what was the finest thing that happened to you?" "What were your highlights and heartaches?"

LifeRing meetings don't revolve around the recital of life stories, but that doesn't mean the abandonment of stories as such. On the contrary, stories are the heart and soul of the check-in. "How was your week?" is precisely a request for a story.

A hundred years ago, asking for a story probably meant settling in for a half hour or more. Today, people have sat through tens of thousands of stories each told in 30 seconds or a minute. TV and radio commercials are miniature narratives that assume the audience has a limited attention span, and they probably over time generate ADHD-like symptoms in the brains of those who spend much time watching TV. Zillions of amateur videos posted on You-Tube tell their tales in less than two minutes. Bottom line: in our culture, asking people to present a story inside of two minutes or less in a LifeRing meeting is not an unreasonable request. It can be done and it's done all the time.

And what stories people tell! How was my week? My boss assigned me to ladle out the rum punch at the office party, and I did it and I didn't drink. -- I got together with my sober buddy and we watched the Raiders game and didn't drink, for the first time I can remember. -- I drove home and there were my parents in the living room smoking crack. I ran out of the house and got back in my truck and peeled out of there. -- My sister and I talked and hugged each other for the first time since my daughter killed her daughter in a car accident when she was drunk, following in my footsteps. Now that I'm sober, we're talking again. -- I have no money now, nothing at all, and I went to my mom and asked her if I could move back home, and we cried. -- The week has been a roller coaster of feelings. Sometimes I felt ecstatic, other times I thought I was going insane. -- Today is my birthday, and if I make it to bed sober it'll be my first sober birthday since middle school. -- And so on, in infinite variety.

Stories like these, which can be spun in a few sentences, have a three-dimensional vividness that many people in the meeting can resonate with. Mere adjectives -- "my week was fine"-- are barricades. Narratives told from real life are doors and windows that invite people in and create emotional relationships. I feel an emotional bond with a person who tells me a story from their week, even if nothing remotely like the same incident has happened to me; just the fact that they opened themselves up and shared it with me inclines me to view them with respect and attachment. And if I have experienced something similar, the affinity bonds can be quite strong and lasting.

In the brochure "Self-Help Is What We Do" and in other LifeRing publications, there are diagrams showing arrows going between the "S" and the "S" in two people -- reinforcing connections that strengthen the Sober Selves. It's in the telling of real-life stories that these arrows of empowerment issue out of the narrator, fly across the room, and hit their targets in the viscera of the listeners. The LifeRing slogan, "Empower Your Sober Self," has a very broad set of meanings; but in the specific context of a 30-person 60-minute meeting, the process of empowering the sober self flies on the wings of personal narratives, stories.


(3) Crosstalk. Can there be crosstalk in meetings where the average time available is two minutes? My experience is that there can be and should be. When the person has finished their story, if I am the convenor I always look around the room and ask: "Comments? Feedback?" Sometimes no one has anything to say, but often there is one hand, or two, and then more, and webs of connections get spun across the room in several directions. True, with crosstalk, the time allotted to this person may go well over two minutes; but if the topic is interesting and animates the group, that's worth doing. Other speakers will finish in a shorter time and stimulate no crosstalk at all. Two minutes is an average, not a rigid mold. We don't keep an egg timer, an oven timer, or a stopwatch with a bell. As the convenor gains experience, you develop a gut feeling for when to allow a dialogue to go on, and when to cut it off and move to the next person. Frequently the feet of the participants will tell you; if a lot of feet twitch, tap, and twist, it's time to move it.

(4) Conclusion. Psychologists have found that the opening and the ending of a presentation are the most memorable parts, and of these two, the more memorable is the ending. The speaker's vivid narrative generated flashes of sober empowerment all around, but to engrave that experience more permanently in memory, a strong and positive conclusion is necessary. It's here at the end, more than in the speaker's introductory recital of their sober time, that a solid note of applause is called for.

In a two-minute presentation, sometimes the speaker will end on a note that draws a strong audience response. Sometimes a crosstalk contributor will supply the cue for a round of applause in support of the speaker -- for example, "You WILL have a sober birthday today! I'm rooting for you!" If that doesn't happen, the convenor can do a lot of important work here with just a few words. The goal is to frame the speaker's story in empowering terms, as a sober victory. For example, to follow along with the illustrative stories outlined in an earlier paragraph:

"Shame on your boss for making you serve the rum punch. Congratulations to you for surviving that experience clean and sober! You deserve a hand!" -- "That was smart, to get a sober buddy to watch the Raiders game with! And it worked -- the Raiders won!" (Laughter). -- "That's hard, coming home to parents who are smoking crack. I would have done the same as you -- peeled out of there! Let's give him a hand!" -- "I feel really moved by how your family is coming back together thanks to your sobriety. That is so inspiring!" (Applause) -- "Moving back home is hard. But now you have a second chance, a new start. Good for you!" (Applause) -- "You stayed sober even though you were riding an emotional roller coaster. That is awesome!" (Applause) -- "You WILL stay sober on your birthday today, we're all pulling for you!" (Applause)

What is being done here? The convenor is taking the gist of the speaker's story and defining it as a sober victory, as a gain in the power of the speaker's sober self. Sometimes the speaker is aware that her story is a victory, but often she isn't. She may, in fact, begin by feeling distressed; for example, by the emotional roller-coaster ride. Someone in cross-talk may have reassured her that this is a common experience. The convenor can go further and compliment her on sticking to her sobriety despite the distress that she felt; if she can stay clean and sober through this kind of extreme experience, most likely she will do very well with time, when the emotional swings become milder, as they typically will. The convenor is reframing her story in way that builds her confidence.

Reframing for the positive works even if the speaker has just had a disastrous relapse. "I don't have any days clean and sober -- I only have hours." -- "I admire you for your decision to come back into recovery and for being here at the meeting; that wasn't easy. Let's give her a round of applause for that!"

Positive reframing is possible 99 per cent of the time, but not always. In a recent meeting I convened, one person said they were there on a DUI and just had the bad luck to be caught, but they had no problem with alcohol and considered it just another food choice. I probed, optimistically: "So, have you decided that because of the trouble drinking has got you into, you want to give abstinence a try?" The answer was, "No, I have no problem with alcohol and I intend to keep using it." My instant response: "Next person, please; how was your week?"

Note that positive reframing isn't dispensing advice ("You should ____") or otherwise telling the speaker what to do. The convenor is not playing therapist, doctor, or sponsor. All that the convenor is doing is to summarize the speaker's own story in such a way that a sober empowering element in the speaker's own story becomes more visible and more memorable, both to the speaker and to the group. The ownership of the positive element always remains with the speaker.

Ending on a positive note is, of course, the necessary platform for the group's applause. I'm a strong believer in the power of group applause for an individual's sober victories, no matter how small. I watch the faces of people who are being applauded, and most of the time, what shows is genuine happiness. Happiness about one's own recovery is the vital fuel of of progress. Moments of happiness, a few seconds long, may give people the courage to keep going for days or weeks. Sober happiness powerfully expands the sober self and shrivels the addict self inside. So, in this LifeRing meeting with 30 people in recovery (not counting the one misplaced DUI parolee), the group will applaud at least 30 times. Because frequent applause can eventually lead to fatigue, in a meeting of that size I may discourage people from mentioning their sober time at the beginning of their check-in, the usual cue for applause in this environment (see section 1 (c) above). Applauding the count of sober days is good, especially if there's nothing else of substance to applaud ("My week was fine"), but applauding a vivid short narrative is much, much more empowering, both for the speaker and for the group.

At the end of the ring, I will ask the group for one more round of applause, for everyone present, as in the usual LifeRing meeting format. Because of all this clapping, LifeRing hours with 30 people tend to sound more like a pep rally than like group therapy. No doubt, participants in smaller LifeRing meetings -- a comfortable size is 8 - 12 -- have more opportunity to explore their issues in depth. But circumstances don't always permit the small group format. Luckily, the LifeRing process is flexible and scalable. The buzz after the 30-person 60-minute meeting I convened was clear: "Great meeting!" "Really enjoyed that." "Got a lot out of it." "Glad to be here." And they come back. If we pay attention to the basics of the LifeRing process, we can deliver sober self-empowerment in two-minute packages.

I have even experienced the LifeRing format further compressed to serve rooms with 45 - 50 people inside of an hour. LifeRing convenor Henry S., who leads the Thursday evening meeting at the Oakland CA Kaiser CDRP, has honed the short format to a fine art. From down the hall, this meeting sounds like a basketball game: every minute or so, there's loud cheers and applause. It may not be a place for deep, meditative reflection, but it's sober, it's secular, and it's self-help. Moreover, it's consistently popular. As LifeRing grows, we're going to gain more and more experience with participatory formats for larger gatherings.

More Help from Professionals

This email came to the LifeRing Service Center a couple of days ago:

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.

Another Professional Seeks LifeRing

Received yesterday at the LifeRing Service Center:

This is ___________ the owner of [Treatment Program]. I have space and would like to have an onsite LifeRing meeting on Friday evenings at our site. The ideal time frame for this meeting to start would be at 6pm and end at whatever the typical time frame is for meetings. We can however be flexible about the time if something else works better.

So, I need a facilitator and help getting it set up and listed. I will do anything you want me to do to help with this process. People being treated at our program would be encouraged to attend as well as it being open to the public. There would be no charge for the use of the space, we just want to offer the support group to our clients and the community.

Our only request would be that the room is cleaned up, materials put away, and that the building is locked up when finished.

Please let me know if this is doable and what are next steps. Thank you advance for considering us to provide this important service.

[Signed]

Choice philosophy gets boost

The choice philosophy that LifeRing advocates, and that forms the core of the Recovery by Choice workbook, has received a major boost from two recent publications by well-known treatment professionals.

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:

■ 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.

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.

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.

Meeting Money: Two Cheers

LifeRing meetings regularly send money collected in the basket or from books sold to the Service Center in Oakland. A volunteer at the Service Center enters the information into the computer and issues a receipt.

Here is an example of a useful report from a meeting convenor about money collected. Note the following good points:

• The meeting number is given. This simplifies our computer entry.
• The money collected is broken down by meeting date. Good!
• The money is broken down between basket money and book money. Important for our bookkeeping!

There's only two small problems. One, the signature is illegible. This convenor's name and contact information probably aren't in our database. Consequently we can't send a receipt -- we sent a receipt anyway, but to another person in the meeting. Two, the amounts don't add up right -- the subtotals come to $186 but the money order is for $176.

Two cheers! We love getting detailed breakdowns of the money by date and source. Thank you! But please help us by spelling out your name and contact info so if there is a problem we can get in touch with you. Thank you.