Showing posts with label Alceon. Show all posts
Showing posts with label Alceon. Show all posts

Thursday, April 23, 2009

Natural Process of Quitting Forever: Explicit Instructions

William Weber, M.A.

ISBN-10: 1434397769
ISBN-13: 978-1434397768

Reviewed by Alceon


I was excited by the title of this book and couldn't wait to start reading.

My advice is don't waste your money or your time. I have plowed my way through the entire 96 pages of single-spaced typewriter style font on 8 1/4 x 11 inch paper and spent the majority of the time arguing with the book. The book is repetitious beyond belief. He goes over and over and over and OVER the same points, which are mostly based on bashing AA.

On page 4 is a full-page chart called "Quitting Forever" and subtitled "Explicit Instructions" The six steps didn’t quite make sense to me. Step (1) you Think about quitting forever, then (2) Intend on quitting forever, (3) Decide on quitting forever, (4) Maintain Abstinence then (5) Permanent Exit. The final step is (6) Deliberating.

I thought why do you start Deliberating if you’ve already made a Permanent Exit? Well, I'll keep reading. It’s not until I finally got to page 38 that I found two pages explaining his explicit instructions for quitting forever.

It’s kind of like Steve Martin’s advice on how to make a million dollars: "First, you make a million dollars." Well, first, you examine all your reasons then you say "I quit forever." That makes it a decision so you no longer need reasons. You’re free! You can now go anywhere and do anything and no longer be a "second class citizen" because you’ve quit forever.

You don’t need to go to meetings or support groups or forums or read sobriety books to help you quit forever (or stay quit) because once you’ve said "I quit forever" it is now a done deal. It's now a decision, which makes it a value, so you don’t need reasons anymore except the one reason that you said you quit forever. Reasons aren’t good because for every reason to quit you’ll also have to argue with an opposite reason for using and that’s all just words in your head that you can just observe as "mind chatter" and ignore. And if for some reason you drink or use after saying you’ve quit forever it’s because you like getting high or loaded and didn’t *really* quit forever.

He says the Brain-Recovery model is very complex so he will explain it in a way that’s easier to understand. He has several cartoon-like illustrations of the brain and his main proof that the model is wrong is because (and he says you can look in "any anatomy of biology book" you want and see) there are no nerves that directly connect the portion of your brain that makes you want to drink with the portion that controls your hands. So just because one part of the brain makes you want to get high or loaded, it’s biologically impossible for that part to make your hands move.

He also contradicts himself in other parts of the book and says that the whole brain works together.

The back cover of the book says that Mr. Weber "is a licensed Alcohol and Drug Abuse and Marriage and Family Therapist" with "more than 18 years of experience talking with people about quitting forever." These are very fine credentials and yet I frankly think all he knows about addiction is from the books he studied to become a therapist and talking to clients. Nothing rings true and his tone struck me often as quite patronizing.

He talks about cravings as if they were just 1 or 2-dimensional words on paper or in your mind -- not the 3-dimensional war that seems to rage in your entire body when you’re first getting sober -- and sometimes even drops in for a visit months or years later.

He completely doesn’t get the idea of quitting one day at a time. He says it means you haven’t quit forever and have to keep making a new decision to quit every single day. I say it’s because the concept of "forever" to an addict is too hard to even conceptualize at first and even though you know your commitment is to never drink again, cutting that into bite-sized one-day chunks -- and sometimes hours or minutes -- is all that makes it achievable at first.

I was also disappointed to find out that you haven’t *really* quit forever if you count days or time since your last drink. He says it means you’re really only quitting one day at a time and every day you have to decide again to quit for another day. (Damn. Guess that means all those days of freedom I’ve counted since quitting forever four years ago this Sunday don’t mean a thing!)

There is less than 1/2 page of references and there are no notes or footnotes -- but there is an almost 4" tall picture of the author's face on the title page. There are numerous spelling and grammar errors throughout the book and one area where the same two paragraphs are repeated twice.

There are one or two good points in the book but you have to dig hard and far to find them. It’s not worth the search. LifeRing’s motto DDNMW says it all much better.

Sunday, April 12, 2009

Cocaine and Methamphetamine Addiction: Treatment, Recovery, and Relapse Prevention



Arnold Washton, Ph.D.
Joan Ellen Zweben, Ph.D.

ISBN 13: 978-0-393-70302-3

Reviewed by Alceon


Cocaine and Methamphetamine Addiction
is a revision of a book published in 1989 originally called Cocaine Addiction. This new edition contains additional information about methamphetamine use and recovery as well the latest research and developments in addiction treatment.

The authors bring decades of personal experience in the drug rehabilitation field. They speak quite clearly of the need for complete abstinence from any mood-altering drug in order to maintain complete recovery from addiction regardless whether the drug is a stimulant or depressant such as alcohol.

Even though this book is specifically about treatment for and recovery from stimulant drugs, I think it would be of interest to anyone seeking information about recovery from drug abuse of any kind. I approached it from the standpoint of a past alcohol addiction and came to the very clear understanding that an addiction is an addiction regardless of the drug.

Washton and Zweben discuss the difference between a stimulant addiction vs. alcoholism (pg. 221 and chapter 2) and state that while there are "noteworthy differences" add that "most of these differences stem from the fact" that the progression to addiction from the first use of cocaine or methamphetamine is much more rapid (weeks to months) than that of alcohol, which may take 15 to 20 years to clearly develop. Thus the indications of addiction appear quite rapidly and are much more visible to others.

The authors address many issues in this book, beginning with an overview of the history and progression of stimulant drug use in this country. Chapters address the following information:

  1. Cocaine and Methamphetamine Use in America
  2. Understanding Stimulant Drugs
  3. Stimulants and Sex
  4. Treatment Approaches and Considerations
  5. Quitting Strategies
  6. Relapse Prevention Strategies
  7. The Role of Self Help Programs
  8. The Role of the Family
The primary focus of the book is on treatment and treatment options. In their practices, Washton & Zweben have noticed a synergistic effect when professional counseling is combined with group and/or self-help programs. Although 12-Step programs are the primary self-help groups discussed (mainly because AA/NA meetings are the most readily found world-wide) the authors are careful to address the reluctance many people have about the 12-Step protocol and discuss ways to address those issues. They also include a section about other self-help programs and LifeRing Secular Recovery is the first group mentioned in this section. Other groups include SMART Recovery, Women for Sobriety and SOS.

The book is extremely easy reading and contains many case examples from the authors' practices. There's no fancy medical jargon, just a lot of straight talk. Multiple charts throughout the book address topics such as Comparison of Cocaine and Methamphetamine, Quitting Strategies, Drug Triggers, Relapse Prevention Strategies and Points for the Family to Remember.

The Appendix has a 3-page list of Substance Abuse Web Sites and LifeRing Secular Recovery at
http://www.unhooked.com/ is included.

There are 15 pages of References and a nicely compiled index.

For more information about this book and the authors, follow this link to the publisher's website:
http://www.wwnorton.com/NPB/nppsych/070302.html