Author: Marc

  • Our salon series: Part 2 — Learning Addiction

    I’m using this blog post to advertise Part 2 of our salon series. If you were with us last month, then you know what to expect. A short presentation — 20 minutes tops — then much discussion. The discussion that emerged during Part 1 took off from a perspective Shaun and I share: that it makes little sense to view addiction as a brain disease, even if brain change is part of the picture. The talk was free-flowing and far-ranging, stretching from personal narratives of our own or our kids’ drug use to the successes and failures we’ve encountered in addiction treatment and drug policy. And the participants (25 or so last time)  included ordinary people caught off-guard by addiction as well as world leaders in drug policy reform (e.g., harm reduction) and treatment research and practice (e.g., motivational interviewing, Internal Family Systems, ACT).

    Understanding Addiction — Part Two:

     Learning Addiction

    But whether you were there or not, you won’t have a hard time catching up and catching on. If you’re reading these words, you’ve got the background needed  to listen, learn, and contribute effectively.  I’ll outline a summary version of my model of addiction as a learned habit, reinforced through repetition and shaped by developmental as well as environmental forces. Shaun will provide us with lived examples of people and groups adapting to social and economic challenges through drug use in South Africa.

    So please join us for today’s (or this evening’s) salon, today being 21 March, at 1pm Eastern (daylight savings) time — local times shown on the salon webpage. The $10 fee for attending can easily be dropped if finances are a burden. Just make a direct request when you register. Either way, you must register — in advance — as in right now! That way we’ll know whom to expect so we can be ready.

     

    Hope to see you a few hours from now!

     

    Marc Lewis & Shaun Shelly

     

     

     

     

  • Please register soon if you want to attend our salon!

    Hello again. This is a follow-up to my recent post, concerning the online salon hosted by Shaun Shelly and me, tomorrow at 1pm EST.

    I just wanted to remind anyone interested in attending to please register and get your ticket right away. The $20 cost for the first of our salons will be waived if finances are an issue. Please let me know by DM or the “contact” button on the right. Also note that all our proceeds will be donated to SMART recovery.

    There is a link for getting your ticket at the bottom of the page outlining tomorrow’s salon.

    Hope to see you there!

    Shaun and I see addiction as a path that gets easier and more tempting the more you walk it. But it’s a path you can step away from just about anywhere.

     

     

  • Salon series: talk and listen — new perspectives on addiction

    Hi all.

    Shaun Shelly (a frequent contributor to this blog) and I are co-hosting a series of four “salons” webcast (if that’s the word) by a splendid organization called Interintellect. These salons are Zoom-based meetings of people from various disciplines: IT, mental health, consciousness, culture, art and literature, drug use, philosophy, neuroscience, and science more generally. A broad array. It is a forum for discussion more than a lecture series, and the participants tend to be progressive and humanist as well as intelligent, thoughtful, and knowledgeable. The cost for participation is minimal.

    I hope you will check out other salons on Interintellect as well. Many of them are just fascinating, many are hosted by key thinkers on various topics (e.g., TED-type folks) and it’s a great way to get up to date on current thinking. It’s also an opportunity to voice your own thoughts and see how others respond to them, and to connect with individuals who may become colleagues or friends. Shaun’s and my salon series will be a vehicle for connecting with researchers, clinicians, and policy people who are up to date on current approaches to addiction and drug use.

    So please join us to listen and share perspectives on addiction and related issues: https://interintellect.com/salon/understanding-addiction-how-addiction-works/

    The first of the four salons is to be on 25 February, 1pm EST, 6pm in the UK, and 7pm in Europe.

    Best wishes,

    Marc and Shaun

  • Podcast: Gabor Maté, Richard Schwartz & Marc Lewis – Rethinking Addiction

    Podcast: Gabor Maté, Richard Schwartz & Marc Lewis – Rethinking Addiction

    This post links to a recent podcast, where I join Dick Schwartz, the founder of Internal Family Systems (IFS), and Gabor Maté, a well-known commentator on addiction and its impact on marginalized communities. As I’ve blogged about lately, I rely on IFS as a ground-breaking therapeutic tool in my psychology practice. Here in this podcast, the three of us put our heads together to examine how parts psychology and self-compassion can ease the anguish of addiction and related difficulties.

    The Weekend University disseminates progressive, evidence-based ideas and opinions about the workings of the human mind and the possibility of relieving suffering, worldwide, through sharing this knowledge in our work and our lives. This post is hosted by Niall McKeever, the founder and curator of the Weekend University podcast series. The series regularly features lectures in psychology, cognitive science, neuroscience, evolutionary studies, and mindfulness approaches, as well as new ways to conceptualize pernicious social and geopolitical issues through the lens of these disciplines.

    I was delighted when Niall invited me to share the mic (and camera) with Maté and Schwartz a few weeks ago. In a previous podcast in this series, I described how IFS enriches the reservoir of therapeutic techniques available for working with people in addiction. But this episode was a special treat for me. I’ve known Gabor Maté for some time, I often recommend his Hungry Ghosts book, and we spent a few hours walking around Vancouver and chatting years ago. But I’d never met Dick Schwartz. I’ve listened to scads of talks and interviews with him, taken online courses with him, I’ve truly immersed myself in his psychotherapeutic brainchild, but I’ve not had the pleasure to connect with him directly. Until this podcast.

    So without further ado, here’s the episode: Rethinking Addiction.

    I hope you’ll give it a listen. And before, during, or after that, take a look at the following point-form summary and relevant links posted on the podcast website:

    In this meeting of the minds discussion, we’re joined by three of the world’s leading experts on addiction: Dr Gabor Maté, Dr Richard Schwartz, and Professor Marc Lewis.

    Although their backgrounds vary widely, with Gabor initially training as a medical doctor, Richard as a family therapist, and Marc as a developmental psychologist and neuroscientist, all three of them have reached similar conclusions in their understanding of, and approach to treating addiction.

    In a lively and wide ranging discussion, we explore:

    • Why do we need to approach problems with addiction not by asking: “what’s wrong with it?”, but instead by asking, “what’s right with it?”
    • Why both the ‘self-indulgent’ and ‘disease’ models of addiction are both fundamentally flawed and harmful (from a scientific point of view)
    • The root causes
    • How the internal family systems (IFS) model can improve our understanding of the mechanisms underlying addiction
    • How Gabor Maté’s Compassionate Inquiry approach can help heal addictions by simply asking the right questions from a place of compassion and genuine curiosity
    • Why IFS therapy may be one of the most effective approaches out there for working with addictions.

    And more.

    You can learn more about each speaker’s work via the selected links from this episode.

    Selected Links from the Episode

     

    Postscript and retort:

    Please forgive me for pooping out in the middle of the podcast. We had a power outage in my region of Toronto — a very rare occurrence — so I disappeared for about ten minutes and then returned when I was able to figure out (with my wife’s help) how to use my phone as a “personal hotspot.” Ironically, perhaps, it was during my personal blackout that Gabor aired his opinion that I saw “non-physiological” addictions as mental events disconnected from brain activity. Of course, that’s not what I think at all, as my book, Memoirs of an Addicted Brain, and many subsequent articles make clear. I think the brain is intrinsically, fundamentally involved in all mental and emotional activities, certainly including addiction. What I describe as “non-physiological” addictions in the podcast are simply those that don’t unleash massive physical withdrawal symptoms — e.g., addictions to cannabis or cocaine or, for that matter, gambling and porn. In my view, all addictions are psychological. But some, as epitomized by opiate addiction, tack on the additional agony of physiological rebound reactions, while neurophysiological supplies and demands get readjusted to life without the drug.

    Gabor and I seemed to patch up our misunderstanding through a flurry of recent emails. But I’m still simmering, as you can see. Let it not be said that Lewis dismisses the brain’s role in addiction! And speaking more broadly, the notorious mind-body distinction needs to be thrown out — for once and for all — not merely recycled. Descartes has been dead for centuries.

     

     

  • Self-hatred and addiction: cognitive development turned toxic

    Self-hatred and addiction: cognitive development turned toxic

    Self-destructive thoughts and feelings grow from ripples to tidal waves in people who develop addictions. But how does self-directed aggression become entrenched in our inner worlds, and how can it be dislodged?

    Everyone who’s ever been addicted to anything is bound to know two feelings — craving and self-hatred. These feeling states essentially define addiction. They’re coordinates on the map. We more or less understand craving, biologically as well as psychologically. I’ve written about it and so have others. But we don’t understand its infamous partner in crime. How do people come to hate themselves? And why might this feeling be central to addiction?

    Self-hate isn’t exclusive to addicts. Almost anyone you talk to about their inner world will admit to a hostile self-critic who blames them, sometimes savagely, for whatever they did that was wrong or stupid. Self-directed aggression spans many cultures. The tradition of seppuku (suicide motivated by shame or guilt) grew up in the warrior classes of ancient Japan. The Catholic Church spread the idea of original sin (leading to repentance) wherever colonialism took hold. Self-nastiness seems to have quite a hold on human civilization. But how does it seed itself in young minds? How does it grow?

    Kids everywhere are notorious for one overarching concern: “I’m gonna get in trouble!” You hear it on the way home from school, when someone’s buddy suggests cutting through the construction site. Or when your friend starts opening drawers in your parents’ bedroom. Or when you lock the dog in the bathroom. There’s only one reason not to try and have some illicit fun. That if you do, and you’re caught, someone is going to get mad at you, which probably means you’re going to get punished.

    Getting in trouble turns the world from bright to grey. It replaces ease and freedom with a sense of doom. So…when your friend or your little sister gets you in trouble, you get pissed off at them. Now look what you did! If that happens repeatedly, you start to avoid them, mistrust them, and dislike them. With friends like that, who needs enemies?

    But around the age of four, little kids make several potent discoveries. They begin to understand that other people are defined not only by their behaviours but by the thoughts, feelings and intentions that generate those behaviours. They realize that other people have private and unique minds, and this discovery is called Theory of Mind. Shortly after that, kids begin to appreciate that they themselves have minds, and that their thoughts, feelings and intentions cause their own behaviours. They start to see “myself” as a human category, comparable to other selves.

    This universal advance in cognitive development makes the social world a complex place and joins it irrevocably to the internal world. If you’re the kind of person who’s impulsive or defiant, I’d better stay away from you, so I won’t get in trouble. But if I’m that kind of person…then what? I can’t reject myself…or can I?

    That’s the crux of it. We start judging and classifying others by age five or six. We start taking needed precautions so they won’t get us in trouble. And we start judging and classifying ourselves around the same age. But we can’t avoid being ourselves, being with ourselves, and we can’t avoid the feelings of desire and defiance that well up in our own minds. So…just as we reject others for being the kinds of people they are, we begin to criticize and reject ourselves for being the kinds of people we are. We can’t delete our inner states — states such as craving — but we sure don’t like it when they get us in trouble.

    There are many ways adults get in trouble — saying the wrong thing, at the wrong time, in the wrong tone, looking too long or not long enough at the wrong person. But there is no more surefire way to get in trouble than to take powerful drugs (including alcohol) against the wishes of those around us. Other people reject us when we do these things. Yet somehow some of us continue to do them. And we quickly learn that these behaviours are generated by the very mental states — craving, anxiety, defiance — that define us.

    We silently yell, Stop it! Don’t go there! I hate you for doing this to me! I hate you for getting me in trouble! The only glitch is that the person we hate happens to be ourselves. (And in case you didn’t see it coming, these are among the “parts” that IFS tries to identify and soothe.)

    Most everyone is self-critical, to a degree. But addicts raise this human pastime to some kind of art. In all my interactions with addicted clients, in my reflections on my own years of addiction, I find no more lethal volley of self-abuse than the tuned self-denigration addicts level at themselves the morning after. I did it again. I hate myself. And there’s nothing more likely to trigger renewed craving than the sense of assholeness left simmering for the rest of the day.

    So how do we overcome this dark spiral? For healers and humanists of many stripes, self-compassion is what’s needed. Self-compassion breaks through self-hatred, saying “I get what it’s like for you. You’re not so bad!” But self-compassion can feel foreign, and people often need help discovering it. It’s no coincidence that self-compassion is the main message behind many forms of psychotherapy, including ACT, EFT, IFS, and mindfulness-based approaches. Once you get the hang of it, self-compassion starts to extend itself, and that’s a lovely thing. Maybe that’s the reason former addicts often end up in better shape than those who’ve never strayed.