Building Social Interest
in Substance Abuse Treatment
By David Gerber, M.Ed.
Director,
Counseling/Shelter Services- St. Christopher’s
Adjunct Professor, Pace
Social
interest or community/social feeling is the weak translation of Adler’s term Gemeinschaftsgefuehl. Building social interest in chemical
dependency treatment is an essential tool not only for helping individuals to
achieve sobriety, but also serves as a key to maintaining long-term
sobriety. It represents the opposite of
the addictive lifestyle which forces the individual to value and prioritize
themselves and their drug of choice first, and everyone and everything else
second. Chemical dependency treatment programs and clinicians can benefit from
understanding, teaching and promoting social interest rather than leaving it
for the 12-step programs.
Treatment, AA and Adler
There
are many current catch phrases in chemical dependency treatment programs and
12-step circles that may not be consistent with Adlerian
theory. For example, treatment and self help groups encourage individuals to
work a “selfish” program. This seems antithetical to Adler’s concept of social
interest and the founding fathers of AA who utilized the concept of one addict
helping another as a foundation of the “self-help” group concept.
Is
there room for building social interest in substance abuse treatment? Further,
is there precedent for building social interest in the 12 step programs?
Absolutely! The concept of social interest is very much a part of the 12-step
philosophy. However, in substance abuse treatment, often merely reducing the
relapse trigger of social isolation may be considered as the primary, albeit
minimum gateway to indirectly building social interest.
Treatment
programs often utilize the 12-step concepts to help clients begin the road to
recovery. In 12-step circles, it is frequently stated that the only step one
must get perfectly is the 1st:
“We admit that we are powerless over alcohol, that our lives had become
unmanageable.” The first word of the first step may be the most important-
“We”. “We” signifies that while it’s possible to stay sober on my own, it is
comforting to attempt this major life change with the help and support of
others. “We” lays the groundwork to opening up the fellowship to be of service
to others. “We” signifies the importance that the job of the 12-step community
to reach out to those in need. The concept of “We” is also at the core of
social interest. Adlerian’s may have difficulty with
many of the tenet’s of AA, but it is hard to argue that this concept of “We” as
being inconsistent with Adlerian beliefs.
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A
Publication of the
Editors
Corner
By Lisa Pergament Runyon
I
hope everyone’s summer has been going well.
It’s a busy time for us in FAS as it is time to get rolling for the
conference next February. I want to give
everyone a heads up that the conference will not be at the Phyllis Marshall Center of USF because it will
be under construction. We are currently
searching for another place for our conference and will let you know when we
decide on a location.
This
newsletter contains a Call for Proposals for our 10th Annual conference
to be held February 10 – 12th, 2005.
We hope that all of you talented presenters will fill it out and send it
in. We appreciate the variety of your
interests and your willingness to share your knowledge with us. You make our conference the best.
Our
current newsletter features an article by David Gerber who presented on Adlerian Theory and the Purpose of Chemical
Dependency at our 2003 conference. Building
Social Interest in Substance Abuse Treatment looks at current substance
abuse treatment and offers several ways of building social interest into the
process to make it more successful.
David has worked many years in the field of chemical dependency and is
the director of the CASAC program in
Congratulations
to: Lolita Grohmann on opening up her private practice.
Board
of Directors (2004-2005)
President: Randall Gainforth
Vice-President: Nicola Haddak
Secretary: Stacy Henderson
Treasurer: Lisa Pergament
Runyon
Conference
Coordinator: Charla Conroy
Executive
Director: Tim Evans
Director: Tony Miller
Director: Ross Cannon
Director: Lolita Grohmann
Director: Becky Razaire
Director: Matt Welch
Director: Geri Carter
Director: Gloria Harvey
Articles for inclusion
in the newsletter are encouraged and requested.
The deadline for quarterly publication is the 1st of March,
June, September and December for publication the following month.
Advertising rates for
4 issues, based on page size of 8 1/2 x 11 inches, with 1/2 inch
margins on all four sides. All ads must
be copy-ready, black and white.
Full page - $100 Three-Quarter
page - $75
One-Half page - $50 One-Quarter page - $25
One-Third page - $38 Business Card - $15
|
|
Membership in the
Florida Adlerian Society is open to all people
interested in the Adlerian concepts.
Membership is based on a year that runs from February to January, for an
annual fee of $20 per person.
Condolences
to: Audrey
Greenberg on the loss of her mother, Tony Miller on the loss of his brother and
Diane Gainforth on the loss of her father.
Building
Social Interest in Substance Abuse Treatment
(continued
from page 1):
The 12th step
of AA calls it’s members to service: “Having had a
spiritual awakening as a result of following these steps, we tried to carry
this message to alcoholics and to practice these principles in all our affairs.
This step speaks directly to the concept
of social interest. Once an alcoholic has learned to establish and maintain
sobriety, it becomes his/her job to be of service to others. Could there be any
better example of social interest in action?
Understanding Social
Interest in Chemical Dependency Treatment
Teaching
social interest in chemical dependency treatment is a challenge. Lying,
cheating, stealing and isolation are often times consistent with the substance
dependence in order to maintain the addictive lifestyle. In the process, trust in others is lost. When
the individual hits bottom, distrust remains and guilt and shame often enters
into the thought process. This in turn makes it difficult to develop social
interest as individuals frequently don’t believe others want to help them, and
often don’t believe that they deserve the help. To build social interest in
treatment we first must have a working definition that is applicable to the
setting. Therefore we break down the
definition of social interest in the following ways:
Herein
lay the building blocks to developing social interest in treatment, while
providing a helpful link to the teachings of 12-step programs.
Tools To Build Social
Interest in Chemical Dependency Treatment
There
are several tools at one’s disposal to help clients identify themselves on a
continuum of social interest. First is to help clients to understand the
concept of social interest as defined above. Second is to help clients understand
how they have already engaged in socially interested behavior by putting down
the substance of choice. By discontinuing use, they are no longer engaging in
self and other destructive behavior. Abstinence helps the individual move away
from selfishness, and move towards being of service to others on the useful
side of life. Providing this example of how clients are currently engaging in a
socially interested act may help to promote moving further towards more
socially interested lifestyles.
There
are many ways to promote social interest programmatically. Having community
meetings, in which clients may have a say not only in their treatment, but in
the programming, helps clients to feel “a part of” and builds a healthy sense
of connectedness to treatment. In addition, it facilitates a sense of equality
that recognizes client strengths, and reduces the power distance of an us versus them mentality.
A
program may also want to consider utilizing encouragement groups. These groups are designed to promote encouragement and provides
an opportunity to engage in socially interested acts. Consider the outcomes
when a group of selfish individuals continually practice the art of
encouragement. Encouragement groups challenge clients to recognize the
strengths of others, and how their actions are encouraging. Practicing this
skill helps to promote a more socially interested individual, group and program
as a whole. The more social interest that exists programmatically, the more
clients may be willing to attend program. With this approach, one might expect
that social interest will have a positive impact on overall outcomes.
One
way in which an encouragement group can be run in a substance abuse program is
as follows. With the group in a circle, the facilitator asks to go around the
room by passing on words of encouragement to the person on their right (or
left). The initial person starts by saying “ You
encourage me in the way you…….” Or “I’m encouraged by you because….”. The person receiving the encouragement simply says “Thank
you” and moves to give encouragement to the next person. When the go-around is
complete there are several options at the disposal of the group leader. To
ensure that each person has a chance to give words of encouragement to someone
else, the leader may ask “Is there anyone that you would like to give words of
encouragement to?” and finally “Is there anyone in the group who needs
encouragement?” This last exercise allows someone who is struggling to reach
out for support and experience getting that support. In all, the group allows
its members to be of service to each other, and can help validate the efficacy
of the treatment process. Finally, the use of encouragement in a structured
manner helps to promote social interest that can not only help establish
sobriety, but ultimately serves to sustain it.
Proving the Existence of
Social Interest Within
The
cynicism, distrust and denial present in the problem user often have them
believing that social interest is a nice concept but not realistic. These
individuals have developed their own private logic from parents that have
taught them that social interest doesn’t exist. The horrific events
of
In
summary, social interest is an important tool in the toolbox of recovery. Adler
once said that in order to cure neurosis, we should be of service to someone
else. Practicing social interest in substance abuse treatment is an essential
component to moving away from the selfish useless side of life, to the more
pro-social, encouraging useful side. Increasing social interest or the
community feeling increases one’s healthy connectedness to others, and
decreases the purpose of use.
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Special
Announcement: Dr. William Glasser will be doing a Full Day presentation on
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Groups,
Workshops and other Community Events:
Lolita Grohmann
will be leading Family
Enrichment Workshops
that will focus on the
Principles
of child guidance, relationships, and encouragement. They will be held on the last Saturday of
every month at
Tim Evans is leading a Choice Theory Focus Group
for Mental Fitness
on Wednesday evenings. The next group
will be on July 21st and the group is held every other week. This is to be a safe, supportive refuge, where
people who would like to be happier can meet and support each other. The only
requirement is you become acquainted with the book Warning: Psychiatry Can
Be Dangerous To Your Mental Health, written by
William Glasser. This will be a study group where you
can attend as long or as often as you wish.
Anyone
interested can contact Tim Evans via phone at 813-251-8484 or e-mail: TimEnc@aol.com
ENCOURAGEMENT EXCHANGES
will be starting up again!!!
October 2nd, at
The
Social Committee will be arranging to hold this gathering at the Tampa Bay
Brewing Company located at
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NASAP Experiences by Randy Gainforth
I had the honor of representing the Florida Adlerian Society on the Council of Representatives (COR) in
NASAP 2004 by Anthony Miller
What
a wonderful and satisfying experience it was to attend by first ever NASAP
Convention. There were some moments when
I felt like a starry-eyed kid in a huge toy store as I met and talked with
authors of some of the books and articles I consider personal treasures. The
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CALL FOR PROPOSALS
for the 10TH
Full Day
75
Minutes,
Proposal
Guidelines:
Proposals
are invited for one day workshops to be offered Thursday, February 10; and for 75 minute
presentations to be offered
1. Title of Program:
2. Proposal description (60 Words or less). This will appear in the Conference Program:
3. Goal of workshop (One or Two Sentences):
4. Professional Learning Objectives. List
5. Give name(s), highest degree, and work
setting for each presenter:
6. Briefly state your experiences for doing this
workshop, such as other workshops you have conducted or work experiences.
7. Attach a professional vita for each
presenter.
8. Please give the Name, Mailing Address, day
and evening phone number of main presenter or contact person.
9. List your Audio Visual Requirements.
Send your
proposal to: Florida Adlerian Society,
CALENDAR
OF SOCIAL EVENTS
July
21 Choice
Theory Group (held
every other week)
July
31 Family
Enrichment Workshops (held the last
Saturday of the month)
July
25 – August International Adlerian Summer School (ICASSI)
7th,
2004
Or
go to www.ICASSI.net
October
2nd Encouragement
Exchange