Drug Rehab Center

Geoff Thompson, Program Director for Sunshine Coast Health Centre, talks about the importance of addressing what some perceive as the “benefits” of drug use and finding these same benefits in sober recovery.

Geoff Thompson, MA, CCC

Geoff Thompson, Program Director for the Sunshine Coast Health Centre, discusses the need for some people to feel connected to something larger and the theory that this can lead some people to drug use.

By Geoff Thompson – MA, CCC
Program Director
Sunshine Coast Health Center

Recently, I had a discussion with the clients at our residential treatment center about work. Some fellows said they were at work only because it gave them a paycheque. They didn’t like the job, but they had kids to put through school and a mortgage to pay. Others said that they were near retirement and were just counting down the years: “I’ve got seven years left to retirement, so I just have to suck it up and hang in for a few years more.” Others said they were unhappy at their jobs and so just quit.

Many of the clients who spoke seemed to think they were doomed, victims of their jobs. Many seemed resigned to the “fact” that they just had to suck it up and survive. But making sense of work like this is not very helpful in recovery—or in life, for that matter. There are ways to make work more interesting and satisfying, if you decide to take action.

Sunshine Coast Health Center is sponsoring a major international conference this month in Vancouver on finding meaning in the workplace. The official title of the conference is “Creating a Psychologically Healthy Workplace: Meaning, Spirituality and Engagement in the 21st Century” (visit www.meaning.ca for more information). What this means is that we now have very good research on how to turn a dull job into an interesting one.

Some of the world’s foremost experts will be letting us in on the secrets of transforming your working life, and, if you are a manager, how to create a workplace that will inspire your employees. It’s especially important right now because many people are simply surviving at work. There seems to be a general feeling that we are just hanging in because of layoffs and the downturn in the economy. And lots of our alumni tell us that they are working at jobs simply because of the paycheque and not because they are excited about work.

At Sunshine Coast Health Center, we stress the importance of working at a fulfilling job or of doing something that will allow our clients to reach this job, such as getting training. Each of us spends an enormous amount of time at work, so it’s important that it be a major source of fulfillment and significance.

Why all this is important for your recovery is obvious. Alcoholics Anonymous says that a key to recovery is “To thine own self be true.” And Viktor Frankl, the guru of leading a meaningful life, said that addiction is one response for those whose lives are unfulfilling and unsatisfying, including their working lives.

In this article we’ll take a look at some of the ways to make work more meaningful. As always, remember that you are the author of your life, so finding meaning at work is your job.

Part One – The Job as Meaningful vs Intense

Some clients tell us that they love their job. They go to work everyday, happy to be there. But when we talk to these clients, we discover some very interesting things about this job they love.

A common example is a job that is filled with pressure, such as managing a multimillion dollar project. Or perhaps it is in the financial world, where the client invests millions of dollars each day. Or perhaps it’s a job in at some remote industrial plant where the client has to do some welding while tethered to a safety harness 100 meters above the ground. Or perhaps it’s a job that changes every day and has no real routine.

When we ask our clients what the appeal of the job is, they often tell us, “It’s a rush.” Exciting. Risky. High stakes. Or, as we phrase it at Sunshine Coast, it’s filled with intensity. And addicts love intensity. Counsellors find it interesting that the job itself is often not that appealing—it’s the rush, not the job itself, the client likes. As one client said, who flies around the world first-class on business trips and gets invited to all the best parties, “I could care less whether I’m doing what I do now or whether I’m selling eggs. As long as I get to be a rock star!”

If you recall from previous articles, I talk a lot about the appeal of intensity for addicts. Our main point is that addicts substitute living intensely for living meaningfully. This is one of the most important dynamics to understand addiction. But the key to recovery is to live a life that fills you up, that matches what you truly want out of life. The intense jobs don’t seem to accomplish this goal; but they are intense.

Psychologist Mike Csikszentmihalyi studied people who thrived at work and discovered that the key factor was they loved the work itself (not the paycheque or perks, but the work). This was true of artists and scientists and business people. Pursuing a job because one loves the job itself is a key to finding fulfillment in work. Many artists are content holding down a minimum-wage job so as to ensure they have enough time to work on their craft. Many people donate time in the community to help out organizations or to help their company become a good corporate citizen.

Part Two – The Job as Part of Life, Not the Whole

A few years back, ABC News featured a documentary on the addicted actor Daniel Baldwin. This is the one where ABC News follows Baldwin during his stay at a residential treatment center in California.

In one segment, his psychologist suggests that being a Hollywood actor may not be the best job for Baldwin because it is a life through which Baldwin has used drugs regularly. The ABC interviewer asks Baldwin if he would be willing to change careers, and he replied, without hesitating, that he would never even entertain the idea.

It is interesting that he refused to spend even five seconds thinking about it a career change. Why? The documentary makes it clear that Daniel Baldwin may have no life without his acting. Perhaps the reason Baldwin cannot conceive of having another career is that any sense of who he is hinges on the career. He talks in that segment that he could be a lawyer or real estate agent if he wanted to (which is very true), but it seems obvious that these jobs would be far too dull for him. No limelight. No excitement. No showing up at the Academy Awards. Being successful according to his own standards of wealth and fame is how he judges a job. He does not talk about being a lawyer because he loves the law and wants to help people. He does not talk about being a real estate agent because the job has intrinsic meaning. He is only interested in winning cases or in making money.

One wonders what would happen to Baldwin if he suffered the same fate as the actor Christopher Reeve, who had to give up acting after breaking his spine. Could Baldwin gain success as Reeve did? Who is Baldwin if he were not famous or wealthy or the life of the party? Perhaps it is the job that allows him to survive, that provides him with his identity, with a sense of who he is as a person. Not a very balanced life.

Part Three – Changing Jobs

According to some research, most heart attacks happen on Monday morning, right after the days off and just before going back to the grind. This should give you some idea of how important work is for your health.

O, Oprah’s magazine, often contains articles on how people transformed their lives by changing jobs. Of course changing jobs is not realistic for everyone. But the articles in Oprah’s magazine are about those who are capable of changing jobs. The only think that prevented them was fear.

One woman wrote about her experience of overcoming fear. She and her husband made six-figure salaries, and both were regarded at work and in their communities as very successful. But what they truly wanted to do was to get out of the business world, buy a sailboat, and sail around the world. No more worries about appointments and the high pace.

But to do this obviously meant quitting their jobs. It meant selling their house to pay for a sailboat. It meant giving up their upper middle-class lifestyle. Their neighbors and colleagues at work thought they were a bit nuts. But sailing around the world was what they truly wanted.

The woman said that it was scary, but she said it was the best thing they had ever done. They realized they didn’t need six-figure salaries to be happy. They didn’t need a big, expensive house to be happy. All they needed to be happy was to be true to themselves (and realistic, of course).

Their willingness to act in spite of fear is a good lesson for those in recovery. Remember that Bill W. and AA tell you, “To thine own self be true.” And, of course, Viktor Frankl would not be the least bit surprised to learn that the couple were much happier sailing about the world.

Part Four — Examples of Meaningful Work

In this article we’ve been examining the ideas of finding meaningful (not intense) work, not allowing work to become your identity, and facing fear of changing careers. Eric Clapton’s autobiography provides a good example of someone who transformed his work into something that provided meaning and purpose. He didn’t change jobs, but he did transform his job into something personally meaningful.

As you know, Clapton suffered from addiction. In active addiction, he became a famous and highly respected musician. He describes this time of his life in his book. There was the joy of music, but equally there was the distraction of drugs, party girls, soap opera life, photographs and television, audiences of screaming fans, hanging out with other famous rock stars, money, and so on. And he describes it as a rather narrow life and also that despite the fact that he was surrounded by people, he didn’t feel all that close to others.

Then, after two stays at a residential treatment center, he found recovery. He now has his work in perspective. It is there, but his family and friends are equally important. What is really remarkable is the way he describes his work (music). Now, clean and sober, he describes the power of his music is to heal those who are suffering. This is a long way from the rock musician in active addiction.

Bill W. offers an example of a different route. He did change jobs. In active addiction, he was a business man. In recovery, he spent his time getting AA on its feet. He was the coach, guru, diplomat, and promoter of AA. He turned from a self-centered alcoholic businessman to a man who followed his passion to help other suffering alcoholics and their families.

In both cases, there are several common factors. Each had to take action. Each had to be creative. Each had to follow his bliss, that is, be true to himself. Each had to look at work as something of substance, rather than as simply a way to money (or in Clapton’s case, fame).

Geoff Thompson, MA, CCC

Geoff Thompson, Program Director for the Sunshine Coast Health Centre, discusses the disease model and the controversial theory of addiction as a disease with a biological basis.

Geoff Thompson, MA, CCC

Geoff Thompson, Program Director for Sunshine Coast Health Centre, discusses Viktor Frankl’s theory that happiness is the by-product of a personally meaningful life, and that addiction is a response to a life that is not personally meaningful.

By Geoff Thompson, MA RCC
Program Director
Sunshine Coast Health Center

The main thing about alcohol and drugs is that they alter our states of consciousness. As obvious as this is, it is amazing that few people bother even talking about it.

What we read and hear about is that people use because of depression, anger, problems in the family, problems at work, trauma, and so on. In reality, there are many ways of dealing with these problems. The vast majority people don’t turn to drugs for relief. In fact, they cannot imagine that getting drunk or loaded regularly is even a reasonable possibility.

When we do addiction research, we discover that addicts use drugs when then are sad…but they also use drugs when they are happy. They use drugs when they are angry…but they also use when they are not angry. They use drugs when they are depressed…but they also use drugs when they are not depressed. And so on. Lots of people who suffer from addiction grew up in a chaotic family, and lots of people who suffer from addiction grew up in a stable family. We also know from research that those with addiction problems struggle with boredom and loneliness and the feeling that life just isn’t all that interesting or exciting without the substance and the lifestyle that goes with it.

We seem to talk about everything except the obvious: some people take substances because they like the feeling they get from being intoxicated. Whatever this feeling is, it is more appealing than being clean and sober.

Most addiction treatment programs do not talk about the drug experience. They argue that talking about the high promotes drug use. Others don’t talk about it because, frankly, they are not familiar with what the experts have reported. Still others think that it is just plain deviant. But at Sunshine Coast Health Center, we believe that it provides a clue into why intoxication is so appealing for the addict. It offers a clue to the drug’s power, beyond just calling it a disease. 

So what is this altered state of consciousness? What makes it appealing? This month we’ll have a look at what the experts and addicts tell us about the experience of intoxication.

This is very important information for recovery. Understanding the appeal of intoxication helps us understand what recovery is all about.

Part One — William James and Making Sense of Mysteries

Alumni of Sunshine Coast Health Center may recall workshops discussion on William James’ book, The Varieties of Religious Experience, which had a profound influence on Bill Wilson, the driving force behind the creation of Alcoholics Anonymous. 

James was one of the most influential thinkers in the last one hundred years. He was fascinated by how the human mind works, including different states of consciousness. He even studied various drug-induced altered states, convinced that such knowledge would help us understand what it meant to be human. 

Intoxication by sniffing nitrous oxide (laughing gas) provided James with one example of why drugs are so powerful. When someone is high on laughing gas, says James, the person gets a “tremendously exciting sense of an intense metaphysical experience.” What he means by this is that the person seems to find answers to the mysteries of life, the big complicated questions. How do we explain good and evil? What is the meaning of my life? Intoxicated, the person with spontaneity and ease sees “depth beneath depth” of insight. “Normal consciousness offers no parallel.” In fact as the high goes away, the person “is left staring vacantly.”

About alcohol, he talks of a sense of “reconciliation [of seeming opposites]…which seems silly to lookers-on” but which is a key part of its temptation. He describes, what he calls, this reconciliation of opposites from personal experience. While intoxicated, James says that he wrote down opposites—God and devil, good and evil, life and death, ecstasy and horror. He said that they came together with “infinite rationality,” that he could see the logic that unified them.

Twenty years later, James would write that the power of alcohol is its power to make the imbiber feel that he has touched a higher reality. Grass is greener, jokes are funnier, and even total strangers can be instant friends.

James was fully aware that sober people would dismiss any idea that a drunk could find any profound meaning while intoxicated. But James was serious about this idea. The altered state of consciousness allowed the drunk to be conscious of a reality that sober people were blind to.

James had no doubt why nitrous oxide and alcohol had such great appeal. Imagine the feeling of firmly understanding some of the mysteries of the universe, of seeing some of the hidden ways in which you, me, and the world are connected. Sobriety, in comparison, can be rather lifeless and boring.

Part Two — Freedom to be Yourself

Here are some things that addicts said to researchers about what it’s like to be high on crack cocaine:

“I felt like Superman. I got to move mountains.”

“It was the feeling that I had been searching for.”

“It’s not like the personal joy of climbing a mountain…and you finally make it to the top. It’s not like finishing a…marathon…you got that super high, that rush or whatever. The high from crack is higher, more intense than those feelings.”

“It’s like the world world, life is beautiful. I feel great. I have a lot of ideas. My mind just opens tremendously. My mind is like really fast and I think better. I feel good. I feel life is wonderful. I can do anything.”

These are quite amazing statements. The researcher, Joaquin Trujillo from the US Department of State, was interested in understanding what the appeal of a crack cocaine high is. He concluded that crack gave the user the feeling that he or she could be human.

What he meant by this is that the addict had the freedom to be him/herself. They described this feeling of being free from shame, free from the pressures of responsibility. Some described this freedom of being “numb” to negative and uncomfortable feelings.

At Sunshine Coast we often talk about being true to the self (so does Alcoholics Anonymous). This freedom to be oneself, to feel comfortable in your own skin, to feel comfortable in the world, is what many people tell us is the appeal of drugs. 

Part Three — Connecting with the Universe

Feeling at one with the universe—this sounds like some bad Hollywood movie about the 1960s, with everyone talking about cosmic consciousness.

Psychologist Jonathan Diamond describes our desire for drugs this way: it is “not only to escape pain that humanity turns to drugs, it is for communion with God.” And this idea was, of course, Bill Wilson’s brilliant insight into why alcoholics drank — and became the baseline for Alcoholics Anonymous.

And it is also the conclusion that the Government of Canada arrived at in its famous 1971 Royal Commission on the Use of Non-Medical Drugs in Canada. Here’s a paragraph from the interim report:

“Modern drug use would definitely seem to be related…to the collapse of religious values…. [T]here is definitely the sense of identification with something larger, something to which one belongs as part of the human race.”

Even if this statement did not come from the federal government, it’s a remarkable conclusion on why people use drugs.

Furthermore, former clients of Sunshine Coast know from their time with us that this is one of the key conclusions that the Nobel-Prize winning addict-playwright, Eugene O’Neill, also came to.

Being at one with the universe means that you feel connected. You don’t feel as if you are an outcast. You have that wonderful feeling of belonging. And if you have the feeling that you belong, then you must also have the feeling that you are important because this is where you are meant to be.

Part Four — Sunshine Coast Clients

in this article we’ve been examining how scholars have looked at the experience of being intoxicated. Each example provided in this article showed that addiction is powerful because of the positive feelings that drugs provide.

At some point during treatment at Sunshine Coast, clients are asked to recall a time when they were high or drunk. Then clients are asked what they got from the drug experience. Of course, a typical answer was, “nothing!”, however, staff learned to be skeptical of such a response because one of the truths about human beings is that everyone does everything for a reason.

When we talk deeply to clients about the drug experience, we always find that drug use was not merely escaping pain. There was some big payoff. Some typical things we hear from clients are:

“This is the way I was meant to feel.”

“It gave me a break from always having to do things for other people. Got rid of all the stress and worry, so I could do what I wanted.”

“I could think about things that fascinated me.”

“I loved how fast I could think…I could make sense of things.”

“I loved listening to music stoned. It filled me up.”

Conclusion

One of the keys to recovery is to have these experiences that make life worth living, but without the drugs. And that takes time and practice. There can be no sitting back, expecting that life will somehow magically come alive; people in recovery have to work at it.

The thing for people in recovery to remember is that all this is and was inside you from the start. You just needed the drugs to bring it out. Now, in recovery, you have to find a more natural way. But, as people with good recovery will tell you, it gets better.