Showing posts with label 12-step. Show all posts
Showing posts with label 12-step. Show all posts

Saturday, January 9, 2010

Dr. Charlotte Kasl's 16 Steps of Recovery



Who does not need recovery? Anyone? We've all been traumatized, some seriously and some less seriously but no less destructively. As I search for ways to heal myself and others from the inevitable traumas life throws our way, I found myself in 2008 drawn toward the 12-Step process. Initially I sought relief from my food issues - I like chocolate a little too much, and I wanted to loosen its hold over me. I like my body at 125 pounds, but I suffer and obsess too much when my weight climbs higher.

I wanted a more expansive view. I wanted to clear the head space that thinking about my weight consumes and fill it with more nourishing self-talk. I didn't want to wake up every morning bargaining with myself over what I would eat or not eat. I wanted to exercise for fun rather than for the endless calorie calculations I used to perform. I wanted what you might call... recovery.

Many have found solace and recovery in 12-Step Programs: Overeaters Anonymous, Food Addicts Anonymous, Food Addicts, as well as the earlier generations of recovery found in Alcoholics Anonymous and Narcotics Anonymous.

As I immersed myself in 12-Step work with my doctor/healer hat as well as my addict hat, I found that it offers tremendous spiritual growth, a field guide to living a life that is "happy, joyous and free," and recovery from addictions of all kinds.

To be honest, though, my experience with 12-Step has been mixed. Mostly, I object to the patriarchal, anachronistic, and heavily dogmatic Christian vibe of the literature. There is also a lot of controversy about whether food may be actually an addiction. I'm not sure where the line exists between food addiction vs. a sticky relationship with food vs. normal eating behavior.  Are we all somewhere along a continuum from "normal" (my friends who eat one bite of chocolate cake and are satisfied) to "crazy" ("I kept slicing off small slices of that cake, and before I knew it the whole damn thing was gone!")? Science doesn't help us too much with this, but I digress.

One reason for my ambivalence is that the 12-Step main message: we are self-centered jerks before recovery, and our physical problem of being addicted to sugar (or alcohol, or sex, or debt) requires a physical, emotional and spiritual solution. So far, so good. But the path to working the 12-Steps often offends and irritates me. For instance: take ego deflation. The idea in 12-Step is that ego deflation is the only path to recovery. Here is where I see a few options. Traditional 12-Step has us perpetually catalog our character defects, accept blame for our part in any conflict we are part of, and own it. There is some risk here, especially for women who are trauma survivors and have eroded self-esteem. Dr. Charlotte Kasl, PhD shares my concerns about 12-Step and offers an alternative.

Dr. Kasl offers believes that recovery must include an awareness of the patriarchal and political systems that contribute to addiction and co-depency. She offers an alternative to the 12-Steps (listed below) that urges addicts and those of us with dependency issues to "take charge of their lives and examine beliefs, addictions and dependent behavior in the context of living in a hierarchical, patriarchal culture."

Here are her 16 Steps of Recovery....

1. We affirm we have the power to take charge of our lives and stop being dependent on substances or other people for our self-esteem and security.

Alternative:  We admit/acknowledge we are out of control with/powerless over _________ yet have the power to take charge of our lives and stop being dependent on substances or other people for our self-esteem and security.

2. We come to believe that God/Goddess/Universe/Great Spirit/Higher Power awakens the healing wisdom within us when we open ourselves to that power.

3. We make a decision to become our authentic selves and trust in the healing power of the truth.

4. We examine our beliefs, addictions, and dependent behavior in the context of living in a hierarchal, patriarchal culture.

5. We share with another human being and the Universe all those things inside of us for which we feel shame and guilt.

6. We affirm and enjoy our intelligence, strengths, and creativity, remembering not to hide those qualities from ourselves or others.

7. We become willing to let go of shame, guilt, and any behavior that keeps us from loving ourselves and others.

8. We make a list of people we have harmed and people who have harmed us, and take steps to clear out negative energy by making amends and sharing our grievances in a respectful way.

9. We express love and gratitude to others, and increasingly appreciate the wonder of life and the blessings we do have.

10. We learn to trust our reality and daily affirm that we see what we see, we know what we know, and we feel what we feel.

11. We promptly admit to mistakes and make amends when appropriate, but we do not say we are sorry for things we have not done and we do not cover-up, analyze, or take responsibility for the shortcomings of others.

12. We seek out situations, jobs, and people that affirm our intelligence, perceptions, and self-worth and avoid situations or people who are hurtful, harmful, or demeaning to us.

13. We take steps to heal our physical bodies, organize our lives, reduce stress, and have fun.

14. We seek to find our inward calling and develop the will and wisdom to follow it.

15. We accept the ups and downs of life as natural events that can be used as lessons for our growth.

16. We grow in awareness that we are sacred beings, interrelated with all living things, and we contribute to restoring peace and balance on the planet.

Sunday, February 8, 2009

Food Addiction = Disease: Stages & Consequences

I'm going to draw heavily again from Kay Sheppard's book on food addiction along with my professional and personal experience to lay out for you the stages and consequences of the disease of food addiction. It's when we look at food addiction as a bad habit that needs to be changed by sheer force of will that we get into trouble - we fail inevitably and then the roller coaster of despair, anxiety, depression, mood swings and self-loathing begins.

The conventional medical world has been slow to see the connection between food addiction and obesity, or food addiction and anorexia and/or bulemia. The link is obvious to me, although the classic criteria of food addiction have not made it into the conventional bible of such problems: Our Diagnostic and Statistical Manual of Mental Disorders. However, if you look under "Bulemia," you'll find there is tremendous overlap with food addiction.

Kay Sheppard states that the path of food addiction is one of ups, downs and many side trips. I happened to own my food addiction relatively early in the process, mostly because I had the blessing to care for many women who were food addicts who recovered through an abstinent eating plan and 12-step. I had never seen people maintain a healthy weight as these women, and it intrigued me.

Kay talks about how young food addicts have more interest in food than their peers, who can often take it or leave it. She recommends a careful assessment of past behavior and attitudes as they relate to food to reveal addiction. Below is a list of symptoms taken directly from her book.

Stage I: Preoccupation with Food
Food addicts spend an "inordinate amount of time seeking, talking about, and involving" himself or herself with food. Movies = popcorn, Holidays = special food (e.g., my mom's yummy Yorkshire Pudding for Christmas, latkes for Hannukhah) ; "the food addict sees life in relationship to the next opportunity to eat."

Other facets of Stage I: Sneaking food and/or stealing food & money; discomfort in no-food situations; keeping secrets; concern about weight; self-loathing; and eating after others stop.

Stage II: Loss of Control and Attempts to Control
Kay describes this next phase as loss of control over the amount of food consumed and over behavior. Life becomes unmanageable. This leads to many attempted diets: Weight Watchers, Jenny Craig, Fat Flush, Nutrisystem, etc.

Other features? Self-deception; making excuses; lethargy, irritability and depression.

Stage III: Final Stages -- Efforts to Control Binging Fail Repeatedly.
This includes over-exercising, use of laxatives or diuretics, and cycles of failure may become more frequent.

Eventually there is a withdrawal phase of greater isolation and "numbing out" in food - with loss of interest in family, friends and other pursuits, work and family problems, emotional , physical, moral and mental deterioration, neglect of good nutrition, food is the main source of security, panic: obsession and compulsion take over, and then, in time, complete defeat.

Medical consequences of food addiction are legion: high blood pressure, pre-diabetes or diabetes (adrenal fatigue helps hasten this regardless of weight), high cholesterol and cardiovascular disease (our #1 killer in the US), and cancer. There are also lesser known conditions such as gallbladder disease, hepatic steatosis, lung impairment, hormonal imbalances (especially estrogen dominance and adrenal fatigue), obstetric complications, gout, joint dysfunction, etc.

The emotional and psychological effects may be even worse: bulemia, depression, anxiety, guilt, poor self-esteem, shame and self-contempt.

Fortunately, there is a solution. Kay's book is a great start along with joining a 12-step program such as Overeaters Anonymous or Food Addicts. If you are suffering and want to heal, call today or show up at a meeting.

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I'm an organic gynecologist, yoga teacher + writer. I earn a living partnering with women to get them vital and self-realized again. We're born that way, but often fall off the path. Let's take your lousy mood and fatigue, and transform it into something sacred and useful.