My Journey: 7. Early Reflections on Addiction Treatment

In the early 2000s, I saw how different addiction treatment services operated in Wales. Here, I outline the approach adopted by the government-led addiction treatment system, which was heavily influenced by the 1998 UK Drug Strategy, and describe some of its shortcomings. I discuss what I saw at West Glamorgan Council on Alcohol and Drug Abuse (WGCADA) in Swansea in relation to ideas related to self-healing and the therapeutic process. (2,962 words)


In the last six parts of My Journey I have described various community activities in which I was engaged, both at a local and national level, in the few years after I left the neuroscience field in the year 2000. In this chapter, I reflect on various aspects of these activities and on the environment in which I now worked.

1. Early Reflections on Addiction Treatment
‘Step by step that change is happening and Britain is becoming a better place to live in. But it could be so much better if we could break once and for all the vicious cycle of drugs and crime which wrecks lives and threatens communities.’ Prime Minister Tony Blair, 1998

What was happening in the addiction treatment field was heavily influenced by the UK government’s 1998 drugs strategy, Tackling Drugs to Build a Better Britain, which classed the drug problem as a criminal justice issue, rather than a health/social issue. The UK Government’s priority for drug treatment was to provide methadone, a long-lasting heroin substitute, to people who were addicted to heroin, believing that this would reduce the crime that they perceived was caused by heroin addicts. 

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Relationships, Connection and Healing from Trauma: Bruce Perry & Maia Szalavitz

For anyone interested in the healing of childhood trauma, I strongly recommend you read, The Boy Who Was Raised as a Dog: And other Stories From a Child Psychiatrists Notebook by Bruce Perry and Maia Szalavitz. Here is a description of the book from the back cover:

‘What happens when a child is traumatized? How does terror affect a child’s mind—and how can that mind recover? Child psychiatrist Bruce Perry has treated children faced with unimaginable horror: genocide survivors, witnesses to their own parents’ murders, children raised in closets and cages, the Branch Davidian children, and victims of family violence.

In The Boy Who Was Raised as a Dog, he tells their stories of trauma and transformation. Dr. Perry clearly explains what happens to the brain when children are exposed to extreme stress. He reveals his innovative methods for helping ease their pain, allowing them to become healthy adults. This deeply informed and moving book dramatically demonstrates that only when we understand the science of the mind can we hope to heal the spirit of even the most wounded child.’

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Reflections on Healing: A Canadian Aboriginal Perspective

I’ve been reading a fascinating article from the Aboriginal Healing Foundation in Canada entitled Aboriginal Healing in Canada: Studies in Therapeutic Practice and Meaning. What of course is said in this article is relevant to recovery in the western world. Here are some interesting thoughts about healing:

‘The first thing that emerges from our work is that healing is a concept that is difficult to articulate, in part, because most [people participating in the research – DC] seem to feel that there is no need to articulate it and/or simply have never been asked to.

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Trauma and Recovery

511+Nl1uNdL._BO2,204,203,200_PIsitb-sticker-arrow-click,TopRight,35,-76_AA300_SH20_OU01_My good friend Christina found a photocopy of a chapter of Judith Herman’s book Trauma and Recovery: The aftermath of violence – from domestic abuse to political terror which had the following in:

‘The core experiences of psychological trauma are disempowerment and disconnection from others. Recovery, therefore, is based upon the empowerment of the survivor and the creation of new connections.

Recovery can take place only within then context of relationships; it cannot occur in isolation. In her renewed connection with other people, the survivor re-creates the psychological facilities that were damaged or deformed by the traumatic experience.These faculties include the basic operations of trust, autonomy, initiative, competence, identity, and intimacy.

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Knowing what to do to support recovery

rsz_41nvcjhwrwl_bo2204203200_pisitb-sticker-arrow-clicktopright35-76_sx342_sy445_cr00342445_sh20_ou02_Here’s an excellent description of ‘tasks’ for treatment workers, recovery coaches or peer supporters. This quote is taken from Stephanie Brown’s excellent book The Alcoholic Family in Recovery: A Developmental Model.

‘Being in recovery is a normal process, with clearly defined, predictable tasks and stages.  It is absolutely vital for therapists to know what is normal over time in the process of recovery or they may inadvertently try to treat, stop, or fix what is normal and necessary to growth.

It is the therapists job to stay out of the way of the natural healing process, to monitor progress, and to recognize past or current roadblocks that might interfere with people’s ability to remain abstinent and engaged in recovery.

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