Addiction and Psychological Pain: Some Reflections

During the many years I spent working in the addiction and mental health field, first as a neuroscientist and later (2000-2008) in the UK helping empower people to facilitate their recovery (healing), I rarely heard the word ‘trauma’ being used.

Few practitioners I met mentioned that the person with the substance use problem might be self-medicating to ameliorate psychological pain. And yet in society, there were plenty of people visiting their doctor and obtaining a prescription of benzodiazepines such as librium, which are highly addictive substances, or antidepressants, which also produce problems, to help them deal with unpleasant psychological states of anxiety or depression.

When I sat down and talked to people who were on their journey to recovery from substance use problems, they would sometimes mention problems in their life that pre-dated their excessive use of substances and often were the reason they started to use the substance in question. This was particularly the case with former heroin users.

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On the Nature of Healing: Judy Atkinson

As some of you know, I was inspired to work in the healing trauma field in large part by Judy Atkinson’s wonderful book Trauma Trails: Recreating Song Lines – The Transgenerational Effects of Trauma in Indigenous Australia. Here is a short bio of Judy, taken from the We Al-li website:

‘Emeritus Professor Judy Atkinson is a Jiman (central west Queensland) and Bundjalung (northern New South Wales) woman, with Anglo-Celtic and German heritage.

Her academic contributions to the understanding of trauma related issues stemming from the violence of colonisation and the healing/recovery of Indigenous peoples from such trauma has won her the Carrick Neville Bonner Award in 2006 for her curriculum development and innovative teaching practice. In 2011 she was awarded the Fritz Redlick Memorial Award for Human Rights and Mental Health from the Harvard University program for refugee trauma.

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How Trauma Flows Through the Generations

‘Our first generations were killed and imprisoned, and females sexually misused. Our second generations turned to alcohol or drugs as their cultural and spiritual identity was damaged; in our third generations we had spousal assault and societal trauma.

In our fourth generations the abuse moves from spousal abuse to child abuse or both. In the fifth generations, the cycle repeats as trauma begats violence, begats trauma. And in our sixth generations the grown children of the conquerors begin to live in fear of the grown children of the conquered.’ Judy Atkinson

The title of Judy Atkinson’s book is particularly well-chosen—trauma leaves trails across the generations. In the quote above, Judy briefly summarises the violence that has been experienced by Aboriginal people, violence that has produced trauma which has become cumulative and more complex across generations. This trauma has impacted upon individuals, families and communities.

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Healing Section of Recovery Stories

HealingThe aim of the Healing section of Recovery Stories is to take you on a journey into the fascinating field relating to the healing of intergenerational trauma, sometimes called transgenerational or historical trauma. The section ‘operates’ differently to other parts of the website. If you are new to this field and are keen to learn, I suggest you start reading my first post, entitled Indigenous Trauma and Healing. You can then access the second post by clicking the link at the bottom of the page…. and so on.

At present, there are sixteen posts, mostly relating to intergenerational trauma (rather than healing) at this stage. I will gradually add more and more posts over time. Here is the current list:

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Society is Failing to Tackle Historical Trauma

images-2‘The bureaucratic interventions of the state – the processes of law, social welfare, and health care – have not addressed the core issue of human traumatisation. These issues, in many cases, compounded the trauma by creating and increasing dependency on the state, which, while intensifying the feelings of victimisation, also enforces the beliefs of being powerless to change destructive circumstances.’ Judy Atkinson

If we are to help Indigenous people improve their health and wellbeing, we have to tackle core underlying problems such as transgenerational trauma. However, our health care systems do not address transgenerational trauma—they just manage its symptoms, e.g. by prescribing medications to ‘treat’ emotional distress.

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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.’

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