Historical Perspectives: Cocaine

Traces the history of cocaine, linking the Incas, Freud, Thomas Edison, Sherlock Holmes and Coca Cola. (880 words)

Read More ➔

Journeys – Making Recovery from Addiction Visible

Huseyin Djemil from the UK has this week launched a new podcast focused on recovery from addiction, which he describes as such:

‘A new series from Towards Recovery CIC – making recovery from addiction visible.

Huseyin Djemil speaks to people who have lived experience of recovery from addiction, people who have been affected by addiction and those working in the addiction and recovery field – in its many contexts. There is a lot of information about addiction, but people get better and their stories need to be visible to give others hope.

Recovery is not a linear path from A to B, it’s more of a winding road and we want to explore those journeys and get those stories heard, because our stories have power.’

Read More ➔

Factors Facilitating Recovery: Empowerment

Following on from my post about Hope, I include another section, this time on Empowerment, from the second last chapter, ‘Factors That Facilitate Recovery’, of my recently published eBook, Our Recovery Stories: Journeys from Drug and Alcohol Addiction.

‘As emphasised throughout this book, recovery is something done by the person with the substance use problem, not by a treatment practitioner or other person. The major sources of power driving the recovery process are the person’s own efforts, energies, strengths, interests and hope. Treatment practitioners, and others involved in the person’s recovery journey, can facilitate the recovery process by encouraging and supporting the person’s own hopes, strengths, interests, energies and efforts.

Read More ➔

Factors Facilitating Recovery: Hope

In an earlier blog, I described the nature of addiction recovery, using what was written in the second last chapter, ‘Factors That Facilitate Recovery’, of my recently published eBook, Our Recovery Stories: Journeys from Drug and Alcohol Addiction.

It  is important to emphasise that everyone’s recovery is different and deeply personal. However, whilst there are a multitude of pathways to recovery, there are a number of key factors that facilitate recovery from serious substance use problems. The importance of these factors has been illustrated in the narratives of recovering people about their journeys into and out of addiction. 

In this and future blog posts, I will describe a number these factors, illustrating their importance using primarily quotes from the Stories in my book. It should be noted that many of these factors are inter-related, so there will be some degree of repetition.

Read More ➔

A Life-Changing Time

In an earlier series of blogs starting here, I described what I initially learnt about addiction treatment at a local treatment agency in Swansea, West Glamorgan Council on Alcohol and Drug Abuse (WGCADA) in the early 2000s. Later, in 2005, I was commissioned to write a profile of the agency, which ended up being over 180 pages long and containing a number of Stories. Here’s is one such Story, of someone recovering from a serious alcohol problem:

‘I am writing about an amazing two years in my life. It has truly been a life-changing time. Not only have I stopped drinking (and that in itself I would never have believed possible!), but I’ve really begun to live life more fully and have been able to put my life back together again in a very positive way. Throughout this time, I have had great support and help from WGCADA. I can’t speak highly enough about the organisation and the staff I have been in contact with…. so please read on…

Read More ➔

Pathways from Heroin Addiction: Recovery Without Treatment, Part 4

The research conducted by Patrick Biernacki, with 101 former heroin addicts, showed some of the courses that people take in their lives when they give up using the drug without the aid of treatment. This is the last part of this series of blog posts.

When people resolve to stop using heroin, they face a variety of problems that go beyond the cravings for the drug and the temptation to use again. These additional problems are related to their attempts to fashion new identities and social involvements in worlds that are not associated with drug use.

As Biernacki pointed out, ‘The manner of termination and the course [or courses] that follow withdrawal from opiates are closely related to the degree that the addicts were involved in the world of addiction, to the exclusion of activities in other, more ordinary worlds, and to the extent that they had ruined conventional social relationships and spoiled the identities situated in them.’

Read More ➔

Pathways from Heroin Addiction: Recovery Without Treatment, Part 3

I continue my series of blog posts on Patrick Biernacki’s research from the mid-1980s focused on natural recovery from heroin addiction.

People who have been addicted to heroin report experiencing cravings for the drug long after they have given up using. Many people who have relapsed and gone back to using the drug after a period of abstinence attribute their relapse to their cravings for the drug.

A craving for heroin is used to describe a strong desire or need to take the drug.  Craving is often brought about by the appearance of a cue that is associated with the past drug use. These may be cues associated with the withdrawal from heroin, or with the pleasurable effects of the drug.

Read More ➔

Pathways from Heroin Addiction: Recovery Without Treatment, Part 2

In my last blog post, I started to look at the research of Patrick Biernacki, conducted in the US in the mid-1980s, which involved interviews with 101 people who had recovered from heroin addiction without treatment.

This research indicated that once people who have become dependent on heroin decide to stop using the drug, they are often unsure about what they should do with their lives instead. They may know what they do not want to do, but they are less certain about what they do want and how they can go about getting there.

This problem is greater for those who have immersed themselves in the world of addiction. They may have no money, no place to live, and no friends (other than other heroin users) and family to help them get out of their situation.

Read More ➔

Pathways from Heroin Addiction: Recovery Without Treatment, Part 1

Many people believe that if you try heroin, then you are on the path to ruin. They consider that addiction to heroin is inevitable, and the route to being drug-free again is extremely difficult, if not impossible. In fact, the vast majority of people who try heroin do not become addicted to the drug [1].

Many people, including treatment professionals, believe that it is essential that a person who becomes addicted to heroin has treatment to recover. However, research by Patrick Biernacki, conducted in the US in the mid-1980s, and others has revealed that many people recover from heroin addiction without treatment. In this and the following three blog posts, I describe Biernacki’s research and consider the characteristics of this recovery process. We need to learn from this research to help other people overcome heroin addiction.

Read More ➔

Drugs, Chemicals, the Brain and Behaviour

How psychoactive drugs influence chemical and electrical events in the brain, and how these changes may relate to their effects on behaviour. (1,047 words)

Read More ➔

Historical Perspectives: Opium, Morphine and Opiates (Part 3)

Concluding a brief history of the opiates by looking at the massive increase in heroin use that occurred in America and the UK during the later parts of the 20th century. (1,012 words)

Read More ➔

Historical Perspectives: Opium, Morphine and Opiates (Part 2)

Continues a brief history of the opiates, which includes describing the different responses of the United States and Britain to opiate problems in the earlier parts of the 19th century. (880 words)

Read More ➔

Historical Perspectives: Opium, Morphine and Opiates (Part 1)

Traces the history of the opiates, from use in Summarian and Assyrian civilisations through to the Opium wars between China and Britain and the cultural impact of opium smoking by Chinese in the Californian gold fields. (915 words)

Read More ➔

Psychoactive Drugs: From Absorption to Elimination

Factors that can influence indirectly the way that psychoactive drugs impact on the brain and influence behaviour. Describes examples of individual differences in drug response that can arise from these factors. (924 words)

Read More ➔

Addiction Recovery

Here is a section about the nature of addiction recovery from my new eBook, Our Recovery Stories: Journeys from Drug and Alcohol Addiction.

“There have been various definitions of recovery proposed over the years. For the purpose of this chapter, I am going to use a definition proposed by leading addiction recovery advocate William (Bill) L White [1]:

‘Recovery is the experience (a process and a sustained status) through which individuals, families, and communities impacted by severe alcohol and other drug (AOD) problems utilize internal and external resources to voluntarily resolve these problems, heal the wounds inflicted by AOD-related problems, actively manage their continued vulnerability to such problems, and develop a healthy, productive, and meaningful life.’

Read More ➔

Drug, Set and Setting

The effects that a drug has on a person are not just dependent on the drug itself, but also on factors related to the person (the set) and the physical and social setting. (838 words)

Read More ➔

Psychoactive Drugs and the Drug Problem

Introduces psychoactive drugs and describes a simple classification of drug type based on their major mode of impact on the mind. The multitude of factors that influence the way that a drug can affect a person, and ultimately can contribute to a drug problem are influenced. (999 words)

Read More ➔

‘Brad, You Haven’t Just Got a Problem with Alcohol.’

‘The most important thing that therapists can do to be helpful is to find ways of supporting, stimulating, and energizing client’s investment and involvement. The second most important thing is to stimulate and support powerful client learning and meaning-making processes.’ How Clients Make Therapy Work: The Process of Active Self-Healing by Arthur C Bohart and Karen Tallman.

I’d like to introduce to another our Storytellers, Brad Miah-Phillips. In many ways, Brad’s life couldn’t have been more different to the last Storyteller to whom I introduced you, Tim. However, they have both come back from very dark places.

I first met Brad in April 2009 when he made Mark Gilman and I breakfast at The Basement Project in Halifax, UK, or the Breakfast Club as it was known then. Mark and I were visiting Stuart Honor, the amazing man who originally set up this recovery initiative. I only met Brad in person once after that, but I came to know him well when he became a regular blogger on Wired In To Recovery. We have spent a lot of time on Skype as I have interviewed Brad about his amazing life.

Read More ➔

Learning About Addiction Treatment, Part 4

I’ve spent three blog posts, the first of which can be found here, describing my experiences and what I learnt during my initial visits to a local treatment agency, West Glamorgan Council on Alcohol and Drug Abuse (WGCADA) in Swansea. In addition, my last blog focused on an article written by my oldest daughter Annalie about a day in the life of an addiction treatment support worker at WGCADA, Dave Watkins.

Many of the clients I met at WGCADA and in other treatment services I visited over the years knew what they wanted—a valued and meaningful life. They just did not know how to achieve what they wanted, and they lacked the internal and external resources to take the journey to recovery and the life they wanted. 

My early experiences at WGCADA resonated loudly when some years later I read How Clients Make Therapy Work: The Process of Active Self-Healing, a seminal book written by Arthur C Bohart and Karen Tallman and published by the American Psychological Association. The following quotes are particularly pertinent. 

Read More ➔

‘A Day With Dave’ by Annalie Clark

In my last post, I talked about Dave Watkins and his past role at the treatment agency West Glamorgan Council on Alcohol and Drug Abuse (WGCADA) in Swansea. Here’s an article that my oldest daughter Annalie wrote in 2005, after spending a day with Dave Watkins. Annalie had just finished her first year of medical training at the University of Edinburgh. She is now a psychiatrist.

What is striking about this article is that Dave’s role resembles what I envisage a recovery support worker (or recovery coach) would be doing today. Annalie highlights Dave’s extensive contacts within, and knowledge of, the local community, which helps the lives of the people with whom he works. In the video below, you can see one of the magic tricks that Dave used to engage the people with whom he was working.

Read More ➔