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The Psyche The Study of Paths Drugs Alcohol Food Biology Notes

 

Pathology and the Study of Paths


 

Perversely, some people follow a path that they know will produce more costs than benefits, because following the path of greatest advantage sets up a conflict.   On one side there is the autonomous behavior that leads to immediate gratification.   Against this is pitted the person’s decision to move in the direction of greatest advantage.   The conflict plays out in real time: choices are made, outcomes are experienced, and so the course of one's life is defined.  

Following the path of greatest advantage is not a trivial task; one must over-ride two attributes of the psyche that favor relapse despite good intentions:

 

  • The Problem of Immediate Gratification [the PIG]: Motivation to approach or avoid is much more sensitive to the immediacy than to the magnitude of the payoff.   The PIG causes people to choose a small now at the expense of a much a larger but delayed reward.   Likewise, some people avoid a small punishment now and pay the price of a big punishment later.

  • The Karma of Practice:  The more well worn is a path the easier it is to follow.   Habit strengthens with exercise; performance requires progressively less conscious guidance.  With sufficient practice a behavioral sequence becomes autonomous, and now requires conscious effort to over-ride. 

Commitment

The path of greatest advantage begins with the decision to over-ride the PIG and the karma of bad habits .   Note that the word: "decide" is derived from the root "cide" as in sui-cide, homi-cide, insecti-cide, and means: to kill.  When, for example, an alcoholic makes the decision to quit drinking it is understood that [s]he means to kill, for once and for all, the option to drink alcohol, and thereby lock out drinking in the future.

Nearby stimuli influence motivation much more than distant stimuli [see Myopia]:  bad mood or luck now can have a greater influence on behavior than a commitment made last month.   In some situations the alcoholic wants to drink, in others s/he wants to quit drinking forever.   Commitment is required precisely because motivation is fluid, and changes with local conditions.  

The decision to act marks the transition from fluid motivation to frozen commitment.  Incentive use will no longer be controlled by local conditions, but by the commitment one makes at this moment of decision.

A commitment is a promise to perform in a specified way at a future time. The ability to deliver on this promise - despite the pull of local conditions - can be strengthened or weakened.   Making a commitment is like making a wager - a bet that you will do what you committed to do.   Winning the bet increases will power   - the power to adhere to future commitments.   Failing to adhere to the commitment loses the bet, and with it some amount of future will-power.1   Addiction is the consequence of losing this bet too many times. 

Don't Be Reasonable!

When you make a commitment you are giving odds - one loss overcomes many victories. You must do exactly what you committed to do.   A well formed commitment is developed with the no-exceptions requirement in mind, and so requires a clear specification.  It may be stated as an "I will" intention, e.g.,  "I will remain clean and sober in all circumstances - no exceptions."   Note: coding the intention as a negative, e.g., "I will not drink alcohol" is poor form [see The Imp of the Perverse].

Motivation changes with local conditions.  In the beginning, addicted individuals are highly motivated to adhere to their decision to change.  Naturally, they expect to always feel this way [see The Soul Illusion], but they will not. 

As the crisis that motivated the commitment recedes into the past and one becomes involved in the  continuous stream of events that play out in real time, the commitment decays.  Local motivation becomes more a function of local circumstances than the distant commitment.   The PIG  which at first supported the commitment - when the addict wanted immediate gratification of the desire to be free of the addition - must be over-ridden when the addict is faced with immediate temptation.    The motivation to maintain abstinence is greater during the contrite state following an unfortunate drinking episode, than during a high risk situation some months later.  

Motivation is an abstract construct, but action changes the world.  Will s/he drink or not drink during that high risk situation?   Whatever happens at the moment becomes part of the performer's biography.  What had been merely a possibility is promoted to a reality; the alternative options vanish into oblivion.2   Once performed, the behavior [either drinking or not drinking] becomes part of world history, and can never be undone.



I am a psychologist, and people generally seek my services because they have relapsed - regained the weight they lost, gone back to drinking or drug using, etc.  During the first session, I almost always ask the obvious questions:  "What caused the first lapse?" and  "What was the sequence of events that led up to it?"  Oddly, they don’t know.  They don't remember the details of the the crucial early moments of the lapse.  Recall of a sequence of events requires that the sequences was originally coded into long term memory - a process that requires attention.  During the early phases of a lapse the addict does not seem to be attending to the unfolding sequence of relapse - a sequence that we all know will be viewed as a calamity in hindsight. Why are they blind at the crucial moment?

The decision to kill off a rewarding incentive sets up a conflict.   On one side there is the autonomous behavior that leads to immediate gratification.   Against this is pitted the person’s rational decision to move in the direction of greatest advantage.   For more about this conflict:


If there are problems with Depression, Anxiety, Anger, or other Mood Disorders, please visit the following pages:


  • There are as many ways out of addiction as into it, and different models of the psyche produce different treatment strategies.   By far the most popular treatment orientation is the 12-steps of Alcoholics Anonymous - for those interested a comparison with the bio-psycho-social model presented here is available at, Models of Addiction.  
     

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Footnotes:

1. Ainslie, George, Specious reward: A behavioral theory of impulsiveness and impulse control. Psychological Bulletin. 1975 Jul Vol 82(4) 463-496

2. Frankl, Victor E. Basic concepts of logotherapy. Confinia Psychiatrica. 1961 4 99-109

3. Tiffany, Stephen T. A cognitive model of drug urges and drug-use behavior: Role of automatic and nonautomatic processes. Psychological Review. 1990 Apr Vol 97(2) 147-168

 

 

We don't receive wisdom; we must discover it for ourselves after a journey that no one can take for us, nor spare us.

- Marcel Proust

 

 

 

 

 

 

 

 

 

 

Concerning all acts of initiative and creation, there is one elemental truth - the ignorance of which kills countless ideas and splendid plans: that the moment one definitely commits oneself, the Providence moves, too.

- Goethe

 

 

 

 

 

 

 

 

 

Integrity has no need of rules.

- A. Camus

 

 

 

 

 

 

 

 

 

 

In theory, there is no difference between theory and practice. But, in practice, there is.

- Jan van de Snepscheut

 

 

 

 

 

 

 

 

A path is only a path, and there is no affront, to oneself or to others, in dropping it if that is what your heart tells you. Look at every path closely and deliberately. Try it as many times as you think necessary. Then ask yourself alone, one question. Does this path have a heart? If it does, the path is good; if it doesn't it is of no use.

- Carlos Castaneda

 

 

 

 

 

 

 

 

If we do not change our direction, we are likely to end up where we are headed.

- Chinese Proverb

 

 

 

Matching Treatment The Impeccable Path The OPEN Path 2 Part Therapy