Tag Archives: Alcoholism

Why They Can’t Stop: How Addiction Works

It’s hard to watch a loved one self destruct, to watch them repeatedly engage in behaviors that are clearly destroying them. Addiction is perplexing to watch from the outside because the addict time and again acts in ways that are obviously destructive to everyone else who is watching, but for some reason the addict just won’t stop. It can be particularly difficult to understand why they are unable to overcome the problem behavior because tremendous pain and a sense of betrayal are often inflicted when a loved one doesn’t stop getting drunk or high. That pain makes dealing with the problem even more difficult because it tends to make careful consideration difficult. It’s hard to think through a situation that you just want to be over because it is destroying the family, because, as an addict, they cannot stop on their own power. It seems obvious that the addict just needs to stop, but the situation is seldom as simple as that. One of the first steps to coming to grips with the situation is understanding the mechanism of addiction and why the addict engages in self-destructive behavior.
In the early 20th century, Russian scientist Ivan Pavlov’s famous experiment demonstrated the principle of classical conditioning. He did this by ringing a bell every time he fed a group of dogs. The dogs would salivate in response to the bell as they anticipated their meal. After thoroughly establishing the pattern, Pavlov began to ring the bell without providing food. The dogs salivated anyaddictionway, which demonstrates that their brains learned to associate the ringing of bells with eating even when there was no food present. Human brains have the same tendency. We learn to associate stimuli with certain feelings or having needs met. As the behavior is learned, they develop ingrained patterns, which become become compulsive. Understanding classical conditioning is an important first step to grasping how addiction works in human beings.
A person doesn’t become an addict by simply gambling too much or getting drunk frequently. Addiction takes place when the stimulus response mechanism in the brain gets out of control and begins to dominate the addict’s life. This often happens to people who lack healthy coping skills. Because they don’t have the ability to deal with stressful situations, they turn to escapes as a way of dealing with stress. Perhaps they have an unpleasant home life, which they aren’t prepared to cope with properly. They do not want to feel bad, but don’t know how to feel better through healthy means. Instead, they turn to alcohol, drugs, pornography, or some other means of escaping the situation. As time goes on, their brains begin to connect unpleasant situations with intoxication and feeling better. Every time something bad happens, they “use” (engage in addiction). As the pattern becomes increasingly ingrained, the individual becomes like Pavlov’s dogs. The bell rings (unpleasant situation happens) and the dog salivates (they respond by using in order to feel better). This pattern of stimulus response reaches the point of being compulsive as the addict gets deeper into their addiction. They literally lose control and cannot restrain their behavior. I have spoken to many addicts who genuinely want tcycle.001o quit, but when they get into certain situations their stimulus-response takes over and they become like passengers in their own bodies, watching passively as they act out their learned behavior. This is because the mechanism of addiction happens in the “old brain”, where things like fight or flight take place. This is the portion of the brain that takes over when thought isn’t the best response to a situation, like with fight or flight responses. It has the ability to take over the body and force the person to behave in predetermined ways. This is the same sort of thing that soldiers train to achieve. When combat happens, thinking turns off and the training kicks in. Addicts are similar, except that their training has been unhealthy and is now destructive.
What makes this addictive pattern really problematic is that as the addict avoids dealing with negative experiences, their brains store up all of the garbage they haven’t processed through. Whenever they sober up, the old feelings begin to find their way back to the front of their feelings/thinking. This makes the addict miserable, so they respond like Pavlov’s dog responds to the ringing bell, by getting intoxicated. Addicts that have advanced in their sickness,are often miserable all the time. Withdrawal also perpetuates the situation. When the body becomes dependent on a chemical, detoxification can be unpleasant, which prompts the stimulus-response cycle to kick in. What’s worse is that even if they begin to deal with their pain and get healthy, the portion of the brain that looks for the enjoyment of intoxication begins to manufacture misery in order to get back to intoxication. This happens in the form of inexplicable depression or anxiety, which is often an overreaction to really minor issues.
Another major component of addiction that makes recovery difficult involves thinking. As an addiction becomes ingrained, the addict’s thinking patterns develop mechanisms to protect the addictive behavior. The most prominent of these thinking tendencies is denial. Denial is when an individual cannot see how bad things are getting. An addict in denial can lose major relationships, have trouble with the law, become physically ill, and never blame it on their using. Most often, problems are either blamed on others or minimized so they’re perceived as not a big deal. Otherwise, problems are just ignored or worked around. An individual in denial cannot recognize the seriousness of their situation, because denial is a mental block preventing them from seeing how bad things are. It exists to keep the addict using. There are other thinking patterns that protect the addiction, but denial is by far the most serious and the most difficult to overcome. An addict in denial can have their whole life in flames and not be able to see that it is caused by their using. It is what allows an addict to destroy themselves without seeking help.
Diagnosing addiction requires the presence of three or more of the following criteria:
  • Developing a tolerance, which results in the addict using more or stronger substances in order to get the same effect. For an alcoholic, this is drinking stronger alcohol -or more of it- in order to get drunk. For a porn addict, this is using porn or looking at harder porn in order to achieve the same effect that less would achieve.
  • Withdrawal symptoms are experienced when the drug is not available. Withdrawal can be physical illness, headaches, shaking, sweats, or other physiological changes. It can also be psychological with the addict becoming irritable, depressed, anxious, or restless.
  • Continued use, despite harm that comes from using. Harm can be financial, damaged relationships, health problems, etc. An addict who loses his loved ones, home, and employment will continue to use even though his addiction is destroying his life.
  • Using the drug in larger amounts or for longer periods than they intended. An addict loses control once they start using. They generally have no idea how much or for how long using episodes will last. A pornography addict will set out to look for only a few minutes, only to look up and discover that they have been looking at porn for hours or more.
  • Attempts to control use that have failed. As the behavior gets out of control, an addict may decide that they need to cut back. Attempts may have limited success, but ultimately fail because they are not truly in control of their behavior.
  • Significant time spent thinking about using or seeking the drug takes place when an addict spends huge amounts of time seeking their drug or thinking about nothing else.
  • Reduced involvement in family, work, or social obligations happens because these activities get in the way of using behaviors. They may avoid family because they do not want to be condemned for using or because they do not wish to share. They experience difficulty fulfilling work obligations because they cannot stop their using behavior.
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What You See When You Look in the Mirror

A friend of mine, who will likely be a regular contributor, emailed me this essay. I was pretty impressed by it and it relates well to the current sermon series (and this week’s sermon in particular), so I decided to add it. He has asked to remain anonymous. I am planning on respecting that request.– Erik

Through Alcoholics Anonymous, God has taught me some difficult lessons that I desperately needed to learn. One of the most important happemirror.image_ned without me realizing it. I started out as a balled up fist of anger, bitterness, and pain. In the name of my addiction, I had hurt those around me and acted despicably. Over time, I got healthier. Then one day I was sitting in a meeting listening to another person talk. I don’t even remember what they were talking about, but I remember hearing them say words that I had said to myself on many occasions. I nearly jumped out of my skin. It was as if I was listening to myself talk about my own addiction. Over the years, I have listened to others in recovery talk about the destruction they brought to those around them, stealing, degrading themselves, and almost every other conceivable sin. I don’t feel sickened by their sins. I feel empathy and I see myself. I hear my own thoughts. I see my own loneliness. I hear the lies I tell myself. Sometimes that’s in the past and other times its today. It is difficult to look at sometimes, but seeing my own sickness in the mirror that is others who are struggling for freedom from the slavery of addiction reminds me of what I am capable of. Remembering where I came from helps keep me free. A friend of mine often tells me that the darker the darkness of the world, the brighter the light of the cross of Jesus. 

The 12th step is spending the rest of your life helping others get out of the living hell of addiction. One of the best reasons I’ve found for doing this, beyond helping other addicts and serving God, is that the more time I spend with addicts the more I am able to see the junk I don’t want to go back to. I need to remember my powerlessness and flee to His strength. This is not to say that I am judging them. Rather, all I ever see is myself, like in a mirror. Perhaps the biggest blessings that came from finding “the bottom”, and I don’t say this lightly because it wasn’t pleasant, is that it becomes difficult to judge others for their sins. It’s hard to be the pharisee bragging before God and pointing to the tax collector for contrast, when you were the guy the tax collector probably looked down on. Looking in the mirror reminds me that I can always go back if I stop leaning on God to keep me out of sin. Any believer that is blessed enough to come to grips with the depth of their own crumminess has a treasure beyond words. I see it in Paul when he talks about himself being the least of apostles, literally referring to himself as a spiritual abortion. This is a blessing that allows you to brag about God’s greatness because you know how wicked you are. Every time you encounter those who don’t know Christ and are still mired in their sin, you get a chance to see your own sin and reflect on the marvel that is grace. 

The other bit of good news that comes to bear after realizing that your fellow man acts as a mirror to help keep you clean, is that God provides an even better mirror to gaze into. In the book of James, we are told that believers are to look into The Word, like gazing into a mirror. Afterward, we are to change based on the reflection we see. For the sinner who recognizes the amazingness of grace, The Word provides an image of what we ought to look like. In the person of Christ, we see perfect sacrificial love, obedience unto death, holiness in the midst of terrible challenges, and our model for all attitudes and behaviors. We are directed by Paul to imitate Christ in our pursuit of holiness. The mirror that The Word provides shows us what we can be as the Spirit sanctifies us. The danger in this is seen when we gaze into the mirror without stark and painful awareness of our sin. We can be tempted to see ourselves in the good parts and our neighbor in the bad. It is easy to become the pharisee proclaiming the goodness of our work and judging the tax collector. Usually, we have such a large plank in our eye at this point that we cannot see any different. None is so blind as those who refuse to see. I have lived there. It is awful believing that your own goodness will carry you, needing to rage at anyone who defies this opinion. In Christ, I was freed. 

When we look at the lost and feel only contempt, failing to see our own fallen selves and refusing to see the amazing depth of the well that is God’s grace for sinners, we stand in the temple and boast that we are better than sinners. The scripture is our mirror. It is never our club to beat others with. 

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