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The premise of our model is
that subjective reality is illusory because perception is state dependent [see The Soul Illusion]. The discipline of inductive
and deductive reasoning are independent of local motivational states, and available only
when we are in a dispassionate, rational state. During such times it is possible to
figure things out [see Free Will Vs. Dependence].
For example: At this time I know:
The cost of a first lapse will be greater than its benefits.
I will encounter situations in which the prospect of a lapse will seem
worth the price, and yet I know that it won't be.
To overcome this problem I have to make up my mind now to refrain from
using the incentive later, even though it will seem like a good idea then.
Many people who abuse alcohol understand its terrible costs, but they do
not want to lose the benefits of intoxication. Those who are still ambivalent are
advised to continue to collect information until truly ready to commit to
action. For information that may encourage the decision to take action, see
Alcohol and Brain.
Develop a strategy
Outcome research suggests that no treatment method is universally effective - or even
effective for most people. However, for any given individual, effective treatment
strategies do exist. The best long-term outcome is achieved when treatment goals and
methodology are matched to the individual receiving it.
Matching involves many decisions:
- How intensive should the treatment be? Outcome research suggests that for most
people the least intensive treatment required to do the job is best - see
Brief Intervention.
- Should the treatment plan be based on the spiritual orientation of 12-Step programs or
on a bio-psycho-social model of addiction? See Treatment Models
for a comparison.
- Is the treatment goal abstinence or moderate drinking? It may come as a surprise,
but moderate drinking is much more difficult than complete abstinence. For many
problem drinkers moderate drinking is not a realistic goal. The payoff of being able
to achieve it is not that great, and the price of failure is enormous. Even if you
think you can be a moderate drinker, it is recommended that you start with abstinence [at
least one month, three months would be better] before attempting a moderate drinking plan.
- What is your problem solving style? Two paths to independence are offered on this
site. One will be better matched to you than the other:
- Are there other pertinent issues, such as a mood disorder, or relationship problems?
If there are it is recommended that you consult with a local clinician.
Personal consultation
with the author of these pages is available through a variety of channels including:
e-mail, instant messaging, or phone.
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If not now, when?
- the RAMBAM
"I often make permanent commitments during a state of mind I
know will change."
- M. Proust
Good judgment is the result of experience ... Experience is the result of bad
judgment.
- Fred Brooks |
