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Addictions - Basics

- by Philip St. Romain; all rights reserved

Definition: attachment to any attitude, behavior, substance or process in such a manner as to create harm for oneself and/or others. This attachment becomes automatic, compulsive.
--the use of attitudes, behaviors, and substances to avoid facing inner emotional turmoil; these avoidances are "fixes."

Function of Addictions:
  A. Gives a temporary sense of pleasure or relief.
  B. Keeps one out of touch with inner turmoil/emotional pain.
  C. Provides "energy source" for maintaining oneself in a role.
  D. Provides a means to gain control over one's emotional experiences.
  E. Helps to maintain one in a "fixed identity."

Examples of Addictions:
A. Attitudinal: "I'll be OK (happy, secure, serene) when . . .
  1. I can control the people/circumstances of my life.
  2. I must do things perfectly; I must not make mistakes.
  3. I know enough.
  4. I'm self-sufficient/don't need others.
  5. Other people must like/approve of me.
  6. I must be special to someone.
  7. I must come out on top.
B. Process:
  1. Co-dependent relationships (caretaking, messiah, "lover").
  2. Gambling/betting.
  3. Sex (pornography, masturbation, promiscuity).
  4. Shopping/spending.
  5. Working/accumulating money.
  6. Watching television "to pass the time."
  7. Religious activities that manipulate feelings/avoid silence.
  8. Reading books and magazines (Internet) for fantasy, escape.
C. Substance:
  1. Alcohol/mood-altering drugs (prescription, illegal).
  2. Junk foods--e.g. foods high in sugar/salt.
  3. Minor drugs--coffee, nicotine, over-the-counter drugs.

Stages of Addiction
A. Experimentation--learning how the "fix" works.
B. Early stage--using fix to get pleasure/high.
  1. Few consequences from use of fix.
  2. Ability to control use of fix in most cases.
  3. Tolerance to fix increasing: can use more.
C. Middle stage--using to get relief from pain.
  1. Use of the fix becoming a problem/source of pain.
  2. Losing control over fix; adding new fixes.
  3. Discomfort when not using or moving toward a period of usage.
  4. Emotional numbness, depression, mental preoccupation, defensive.
D. Late stage--using to obliviate consciousness.
  1. Severe psychological/physical consequences.
     2. Many blackouts.. periods of dissociation from self/reality.
3. Suicide, insanity, accidental death, physical sickness, prison.

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