Confusing the Outside With the Inside A Two-Tiered Model of Addiction

1
Confusing the Outside With the InsideA
Two-Tiered Model of Addiction

• Marty S.
• November 4, 2006

2
Background to Foreground Distorted Perceptions
3
Background to Foreground IIDistorted Perceptions
4
Barriers to Recovery

• Inertia
• Fear
• Ignorance
• Will

5
Battered Body SyndromeBasic Recognition Theorem

• If you push a system hard enough
• and long enough..
• or hard enough all at once,
• it will break or break down

6
Battered Body Syndrome IIEssential Corollary

• A compressed body hurts (running the system hot)
  
• Good News
• We dont have to hurt anymore.
• Bad News
• Decompression is scary!

7
Decompression and Liberation
Liberation
Compression
Decompression
8
Trauma ShockBasic Insecurity

• Trauma Defined
• Shock Defined

9
Trauma Basic Definition

• Maximum arousal
• of the sympathetic nervous system
• by pain or the threat of pain

10
Shock Basic Definition

• Inadequate tissue perfusion
• (lack of blood flow to the brain)

11
Shock (Cont.)Treating or Preventing
12
Losing ControlTillich, Laing and the Loss of
Ontological Security

• Ultimate Condemnation
• Ultimate Meaninglessness
• Ultimate Annihilation
• Chaotic Nonentity

13
First Things First?Maslow Circulatory
Sufficiency
Beliefs and Spirituality Self Actualization Love E
steem Safety Physical Needs Circulatory
Sufficiency
14
Tronic SpitzMultimedia Clip
15
Infant DepressionThe Byproduct of Neglect
16
Trauma Classifications

• I Direct experience of trauma
• II Witnessing or hearing of traumatic events
• III Traumatization through being informed of
  trauma
• IV Traumatization through representations of
  trauma
• (TV, movies, video games)

17
The Ontological Question Children Ask Themselves

• Can I trust those on whom I depend for survival
• to control my external and internal environment
• so that I am and remain safe and secure?
• If the answer is no or a highly conditional
  yes
• children know they are in trouble..

18
How to Create an Adult ChildThe Traumatic
Effects of Family Alcoholism

• 3 P Psychology

Paralysis Perseveration Pathological
Attraction
19
Learned HelplessnessParalysis
20
Drastic DeprivationExperimental Neglect
21
Family Loyalty

• Stockholm Syndrome

22
A Triumph of ScienceMisplaced Aggression
23
Why Were Afraid to Let Go of the Past

• We cant afford to forget..
• what we dont want to remember.

24
The Battered Inner ChildHide and Go Seek

• Even then, as we hew away, peace and joy may
  still elude us. That's the place so many of us AA
  oldsters have come to. And it's a hell of a spot,
  literally.
• How shall our unconsciousfrom which so many of
  our fears, compulsions and phony aspirations
  still streambe brought into line with what we
  actually believe, know and want! How to convince
  our dumb, raging and hidden "Mr. Hyde" (Mr. and
  Ms. Hide) becomes our main task.

25
Clearing up Some Key Concepts

• Disease
• Disorder
• Habit

26
Clearing up Some Key Concepts IIDisease

• Infectious
• Injury/Damage
• Black Lung
• Diabetes

27
Clearing up Some Key Concepts IIIDisorder
Compared to What?

• An Ordered Response to a Disordering Stimulus
• The Pathology of Normalcy

28
Clearing up Some Key Concepts IVHabit

• Internal Deformity
• Eternal Futility
• (the struggle to get it right)

29
Disavowing the Inner Child
The Rocky Balboa School of Recovery
30
Disavowing the Inner Child II
Go away kid, ya bother me
31
Family Combat at its ExtremeThe Hardened Soldier
32
5 Orders of Dyscontrol(Menniger)

• 1. Nervousness (anxious and tense)
• 2. Neurotic (hysterical/obsessional)
• 3. Naked Aggression
• 4. Psychosis
• 5. Psychogenic Death/ Suicide

33
Playing the Pain to Stay Insane The Walking
Wounded

• Amnesia
• Ambulatory Shock
• Stupor/ Blackout
• Coma

34
Taking a Trip to the DrugstoreFilling Our
Scripts at the Pharmacy Inside
Five pharmacological functions that matter

• 1. Arousal
• 2. Sedation/Inhibition
• 3. Analgesia/Painkilling
• 4. Thought regulation (stop, start, focus)
• 5. Pleasure (as an antidote to pain)

35
Giving Memory Its StingTracing the Sources of
Pain

• Muscles and trigger points
• Sphincters and the gut
• Stress and strain in the spine
• Organ damage

36
Matter Over MindThe Tensed Body
Illustrations from the book Bodymind by Ken
Dychtwald, Publ. Jeremy P. Tarcher, Los Angeles,
1977
37
Matter Over Mind IIThe Tensed Body
Illustrations from the book Bodymind by Ken
Dychtwald, Publ. Jeremy P. Tarcher, Los Angeles,
1977
38
PTSD, Essential Characteristics

• Hypervigilance/ Hyperalertness
• Hypereactive
• Extremely Low threshold for restimulation
• Traumatic intrusions

39
Traumatic IntrusionsThe Internal War

• Distorted perceptions
• Spiritual dejection
• Tensed body

40
Avoiding the Memories The Screening Material
Method
Daily worries anxiety Phobias, obsessions,
fantasies, dreams taboos Flashback material
41
TropismsDamned if You Do, Damned if You Dont

• Heliotropism Light
• Geotropism Gravity
• Chemotropism Chemicals
• Galvanotropism Electric Current
• Rheotropism Movings retinal Images
• Sterotropism Influence of Solid Bodies

42
Avoiding the Memories IISome people want to use
you-Annie Lennox

• Other people as objects of addiction

Mutual Addiction Dyad (MAD) Mutual Addiction
Triad (MAT) The more the merrier..
43
DenialismThe Ultimate Dysease

• Content
• Affect (feeling/sensation)

Denial of
44
Uncovering Buried MemoriesDissociation and the
Unconscious (Hilgards Model)
Available to Consciousness
Unavailable to Consciousness
Amnestic barrier
Repression barrier
Available Indirectly to Consciousness Only
Through Flashbacks
45
The Drama TriangleBasic Roles of Internal
Addiction

• Rescuer Victim
• Persecutor

46
Another PossibilityProgress

• Victim

Sober Side of The Self
Rescuer
Persecutor
47
Goal of RecoveryFrom Emotional Intoxication to
Emotional Sobriety
Victim
Integrity Whole Sane Safe
Sober Side of The Self
Rescuer
Persecutor
48
Connecting the DotsCompleting the Cycle of
Domestic Violence

• Undetected and Unacknowledged Behaviors

Female Victim Overt Victim Covert Victimizer
Female Victimizer Overt Victimizer Covert
Victim
Male Victim Overt Victim Covert Victimizer
Male Victimizer Overt Victimizer Covert Victim
49
Struggle and FailThe Bipolar Roller Coaster
50
Struggle and Fail IIThe Bipolar Roller Coaster
F. Shapiro (Pavlov) Milkman Sunderwirth M.
Holden M. Toomim M. Smith
Excitatory Arousal Sympathetic excess syndrome
(struggle) Accelerating Trauma Kindling (high
idle)
Getting a Rush
The Feeling Zone (unhurried thinking)
51
Struggle and Fail IIIThe Bipolar Roller Coaster
The Feeling Zone (unhurried thinking)
F. Shapiro (Pavlov) Milkman Sunderwirth M.
Holden M. Toomim M. Smith
Inhibitory Sedation Parasympathetic excess
syndrome (fail) Braking Shock Vagaling (low
idle-stall, hypoxic and hypercarbic)
52
The Three Hs of Dysfunction The Pattern of
Failure Exhaustion

• 1) Hypoxia
• 2) Hypercarbia
• 3) Hypoglycemia

53
JECT (Jacere - to throw)English Class
Abject To throw away from Deject To throw
down Eject To throw out Inject To throw
in Introject To throw into Object To throw
against (oppose) To throw about (the thing that
is thrown) Project To throw forward Reject To
throw back Subject To throw under Important
some of these words can be used as a noun or a
verb
OBJECT TO BEING AN OBJECT!
54
TO PRESS English Class
Compress To press together Depress To press
down Impress To press in Oppress To press
toward (against) Repress To press
back Suppress To press under Important all the
above can be considered enpression
THE ONLY OPPOSITE - EXPRESS!
55
OUT OF THE PAST OUT OF HIDING The Six Es of
Recovery

1. Express
2. Exhibit
3. Expel
4. Erupt
5. Eject
6. Evict

TOSS OUT THE INTROJECTS THEIR AMAGOS AND THEIR
MESSAGES!
56
Ontological Security Insecurity (Comparative
Profiles)

• Ontological Insecurity

Ontological Security
Maximum elevation Agony Terror
Maximum elevation Sensefull Ecstasy
D I S SOC I AT I O N
Calm Conscious
The Feeling Zone (unhurried thinking)
Maximum Sedation Numbness Despair
Maximum Sedation Euphoria Bliss (the healthy
contented infant Kohut)
57
The Brain in ConflictWhy We Cant Keep Our New
Years Resolutions

• New Brain/Neo Cortex/Experimental/Declarative.
• Mid-Brain/ Caught-In-Middle Brain/Habits/Condition
  ed-Automatic
• Old Brain/Hind Brain/Instinctual/Hardwired

Instinct-training interlocking (incorporative
mechanism)
58
Specters From the Past Traumatic Intrusions

• First line- Internal
• Second line- External
• Third line- External

59
Uncovery/Recovery

• 1. Dissociation - Reassociation
• 2. Entrancement - Detrancement
• (stop watching the movies
• at the back of the cave)

60
Stages of Reassociation

• 1. Dissociated symbolic
• 2. Emotive disclosure
• 3. Disembodied recitation
• 4. Conscious neutral narration