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Recovery Stories Blog

Pathways from Heroin Addiction: Recovery Without Treatment, Part 3

April 30, 2021 by

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.

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Pathways from Heroin Addiction: Recovery Without Treatment, Part 2

April 29, 2021 by

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.

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Pathways from Heroin Addiction: Recovery Without Treatment, Part 1

April 28, 2021 by

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.

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Addiction Recovery

April 27, 2021 by

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.’

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

April 26, 2021 by

‘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.

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Learning About Addiction Treatment, Part 4

April 24, 2021 by

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. 

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‘A Day With Dave’ by Annalie Clark

April 23, 2021 by

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.

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Learning About Addiction Treatment, Part 3

April 22, 2021 by

I continue describing my experiences at the local treatment agency West Glamorgan Council on Alcohol and Drug Abuse (WGCADA) and what I learnt about how treatment facilitates recovery from addiction. You can read the earlier parts here and here.

‘Dave Watkins was a Community Support Worker for WGCADA. He was originally an engineer, but changed career after a member of his family suffered a substance use problem. In simple terms, Dave helped clients with every aspect of their lives that could interfere with their progress on their recovery journey. This included helping put a roof over their heads, getting their social security benefits, dealing with legal problems… and sometimes involved painting walls or cleaning up vomit! Dave immersed himself in his clients’ lives. He worked with some of the most chaotic substance users you would ever meet.

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Learning About Addiction Treatment, Part 2

April 21, 2021 by

In this post, I continue the description of what I learnt about addiction treatment by talking with practitioners at a local treatment agency in Swansea, West Glamorgan Council on Alcohol and Drug Abuse (WGCADA). You can read my previous post here.

The Primary Treatment programme at WGCADA used key principles of AA and the 12-Step Minnesota model. It was based on the disease concept and on the belief that the illness of addiction is physical, mental and spiritual. A holistic approach was used to help the person recover from addiction, and clients underwent considerable self-examination during the treatment process. Clients could not be drinking or using illegal drugs when they entered the Primary Treatment programme.

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Learning About Addiction Treatment, Part 1

April 20, 2021 by

In my last blog posts, I described how after nearly 25 years as a neuroscientist I decided to close my research laboratory in the Department of Psychology at Swansea University at the start of the new millennium. I wanted to learn more about the nature of addiction and how people overcame their substance use problem.

I spent a good deal of time at a treatment agency in Swansea, talking with both practitioners and people who attended the agency for help with their problem. In addition, I was travelling around Wales visiting treatment agencies, in my capacity as lead on a two-year national evaluation of projects supported by the Drug and Alcohol Treatment Fund. This fund was created by the National Assembly for Wales, or Senedd Cymru (Welsh Parliament) as it is now known.

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Brain Chemicals to Human Connection, Part 2

April 19, 2021 by

In an earlier blog, I described how I spent nearly 25 years working as a neuroscientist in academia. In 2000, I made the decision to close my neuroscience laboratory and focus on working in the addiction field with humans (rather than laboratory rats). I set up an initiative called WIRED (later to become Wired In) and a charity Wired International Ltd. I continued by job as a Professor of Psychology, but when I wasn’t teaching I was engaged in a range of activities in the addiction field. The following section is taken from the last chapter of my new eBook Our Recovery Stories: Journeys from Drug and Alcohol Addiction.

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Healing Section of Recovery Stories

April 17, 2021 by

In more recent years, my work has in large part been focused around the healing of trauma. I set up the educational initiative Sharing Culture in 2014, which focused on the healing of intergenerational trauma amongst Indigenous peoples. [The website is still live, but I have not updated my blog for some time.]

Late in 2018, I launched a storytelling, education and healing online resource, The Carrolup Story, with Social Anthropologist John Stanton and our webmaster Ash Whitney (he built the Recovery Stories website as well). I published the eBook Connection: Aboriginal Child Artists Captivate Europe in June 2020.

This book, along with the website, plunges us into a world where traumatised Aboriginal children of Western Australia show resilience in the face of great adversity. Their achievements challenge the very foundation of a government’s racist and dehumanising policies. Their beautiful landscape art inspires four generations of artists… and takes a 50-year journey, encircling the world before returning home.

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It’s Not Just About the Drug, Part 3

April 16, 2021 by

I continue my series of blog posts focused on drug, set (the person) and setting (the social context) [Part 1 is here]. Drug, set and setting is not only of relevance to addiction, but also to overcoming addiction.

The path into and out of addiction
The ‘person’ and ‘social context’ factors influence early substance use and the likelihood that a person will develop problematic use and addiction. In general, individuals are less likely to develop substance use problems if they have fewer complicating life problems, more resources (social, personal, educational, economic), and opportunities for alternative sources of reward.

One explanation is that these individuals develop a weaker attachment to the substance in that for them substance use does not serve as many emotional, psychological or social needs.

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It’s Not Just About the Drug, Part 2

April 15, 2021 by

In my last blog, I introduced the idea that drug effects at a personal and community level are not just dependent on their biochemical actions—they depend on drug, set (the person) and setting (social context).

The Vietnam experience
The most dramatic illustration of the role of ‘social context’ centres around heroin addiction and the widespread use by American soldiers of heroin and opium during the Vietnam War. It involved one of the most ambitious and interesting research studies ever undertaken on the use of psychoactive drugs.

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It’s Not Just About the Drug, Part 1

April 14, 2021 by

In a previous blog, I’ve described how the National Institute of Drug Abuse (NIDA) in the USA has described addiction as a brain disorder. They have frequently described drugs as ‘hijacking’ the brain. I pointed out that drugs do not have the power in themselves to ‘hijack’ anything.

Many of society’s reactions to the so-called ‘drug problem’ are based on the premise that the problems faced by individuals and communities are caused by the drug. However, contrary to what is commonly assumed, psychoactive drugs do not produce fixed and predictable psychological effects that are dependent purely on their chemical properties. Moreover, drugs themselves do not produce societal problems.

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Welcome Home, Adam

April 13, 2021 by

As I write this, my good friend Adam Brookes, he of Adam’s Story, is just two hours away from arriving back in Australia. I will post this blog after I hear that he has landed in Darwin, en route for a two-week stay in Howard Springs Quarantine Facility. Then he’s heading back home to Dapto in New South Wales.

For those of us who know Adam, his arrival will be the most wonderful news. In fact, I was absolutely over-the-moon with joy when I heard he had passed through into the departure lounge at Heathrow Airport yesterday afternoon my time here in Perth. Why, you might ask?

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Some Magical Words About Recovery: Tim

April 12, 2021 by

I’d like you to ‘meet’ Tim, a medical doctor who found recovery from addiction. He is one of the Storytellers in my new book Our Recovery Stories: Journeys from Drug and Alcohol Addiction. In the seven-year update to his original Story, ‘Doctor in Recovery’, Tim wrote some magical words about recovery that I include below. But first, a brief summary of Tim’s original story, using some of his sentences.

‘Growing up in an alcoholic home is a challenge for any child and I was no different. I found school a haven from the unpredictability of my home life. I started to drink to deal with the stresses of work after medical school. Over time, my drinking became worse and worse.’

One morning, as I took the cornflakes and a bottle of whiskey off a shelf together, I thought, ‘This isn’t quite right.’ My first experience of treatment was medical-based—it had prescriptions, but lacked hope! I experienced terrible anxiety and cravings. After relapsing, I made the ‘discovery’ that opiates abolish craving for alcohol… and developed an opiate addiction as well.

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Michael’s 43rd (Sober) Anniversary

April 10, 2021 by

My good friend Michael (Mike) Scott last had a drink 43 years (15,695 days) ago today. Tonight, we will celebrate his 43rd Sober Birthday. This morning, I’m going to celebrate his achievement with a blog post focused on some of Mike’s experiences and reflections.

Mike first contacted me about our Daily Dose website back in 2002. He loved our drug and alcohol news portal that I had launched with Ash Whitney early in 2001. Mike met Ash for the first time (on Skype) a few weeks ago and the pair were mutually pleased to have their first chat.

I gave Mike a big shock when I called him one day back in 2009 and suggested that we have lunch together. He replied, ‘How can we do that? You live on the opposite side of the world.’ I told him that I had moved to Perth on Christmas Day 2008.

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60th Birthday Greeting to a Remarkable Man: Kevan Martin

April 9, 2021 by

Kevan Martin is sixty today. Coincidentally, the day that I launch my eBook Our Recovery Stories: Journeys from Drug and Alcohol Addiction. Kevan’s Story, ‘He’s a Loser and Will Never Be Any Good‘ is one of 15 stories in the book. It’s an impressive and moving story about the overcoming of adversity… and a commitment to helping other people overcome addiction.

Kevan is one of the most remarkable people I have met. Actually, I better change that. I’ve never met Kevan in person, only on Skype. And yet I feel as if I have known Kevan for years. It feels as if we are best mates.

I want to celebrate Kevan’s birthday by relating a summary of his original Story written in 2013, just to highlight what he has come through.

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‘Our Recovery Stories’ eBook Available Tomorrow

April 8, 2021 by

‘Learn from the True Experts’

Recovery from addiction comes from the person with the problem. They do the work in overcoming their substance use and related problems, getting well, and getting their life (back) on track. Recovery is a process of self-healing. Practitioners, peer supporters and others may facilitate recovery, but they do so by catalysing and supporting natural processes of recovery in the individual. 

Our Recovery Stories: Journeys from Drug and Alcohol Addiction comes out tomorrow as a self-published eBook (170,000 words). It can be purchased from Apple, Amazon or Kobo. It is available via Apple, Amazon or Kobo (price: £4.99, A$8.99, US$6.99, €5.99). Please note, that you must purchase and download the book from the supplier’s store in your country or region. Just search for the book using the words of the main title. The Amazon and Kobo links above are for the UK stores. There is no link for Apple, as their system works differently through the Apple Books app. Further information about purchasing can be found at the bottom of this page.

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