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The Historical Essence of Addiction Counseling

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What distinguishes the profession of addiction counseling from other ... Awareness of the high stakes involved in our work brings unique rewards and burdens ... – PowerPoint PPT presentation

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Title: The Historical Essence of Addiction Counseling


1
The Historical Essence of Addiction Counseling
  • William L. White
  • Chestnut Health Systems

2
Presentation Goals
  • What distinguishes the profession of addiction
    counseling from other helping professions?
  • Kinetic ideas regarding AOD problems
  • Use of Self
  • Relationships with Clients
  • Professional Peer Relationships
  • Relationships to Community

3
Theoretical Foundation
  • Five kinetic ideas
  • 1. Severe and Persistent AOD problems constitute
    a PRIMARY disorder
  • 2. The multiple problems experienced by those
    with this disorder are best resolved through a
    framework of recovery initiation and maintenance

4
Kinetic Ideas
  • 3. Addiction counseling for individuals with high
    problem severity/complexity and low recovery
    capital increases the prognosis for long-term
    recovery.
  • 4. That treatment is best provided by individuals
    with knowledge expertise in facilitating the
    physical, psychological, cultural and spiritual
    journey from addiction to recovery.

5
Kinetic Ideas
  • 5. Is the addicted person viewed as Dr. Jekyll or
    Mr. Hyde?
  • --Mr. Hyde Real person revealed by
    intoxication and disinhibition addiction is the
    revelation of badness
  • --Dr. Jekyll Real person is the sober self
    addiction is about goodness corrupted by sickness

6
Use of Self
  • Wounded Healer Tradition
  • They were not alcoholic, but they did have
    something in common each in his or her own
    way...had been emptied out.Each had encountered
    and survived tragedy. --Kurtz, 1996
  • Openness to calling

7
Use of Self
  • Use of our Whole Person
  • --greater appreciation of mutual vulnerability
  • --greater use of self-disclosure, e.g., Baylors
    reciprocal confidentiality
  • --combined with expectation for detachment
    objectivity

8
Use of Self
  • Hope
  • --a dimension of all helping professions
  • --Addiction counseling unique in use of self as
    living proof of such hope and/or ability to
    link clients to communities of recovering
    people.

9
Use of Self
  • Capacity to absorb loss
  • --Use of losses to heighten understanding of
    addiction
  • --Use of losses as opportunities for
    re-commitment
  • --Awareness of the high stakes involved in our
    work brings unique rewards and burdens

10
Relationship with Clients
  • A history of contempt from other professions
  • Empathic identification alliance
  • --Being with rather than doing to or for
  • Moral equality emotional authenticity

11
Relationships with Clients
  • Respect for Transformative Change
  • Respect for the power of catalytic metaphors
  • Teaching recovery self-management
  • --students versus patients

12
Professional Peer Relationships
  • Inter-professional Collaboration
  • --Francis Chambers (1935) Dr. Edward Strecker
  • --Principles of collaboration
  • --Boundaries of competence
  • --Mutual respect
  • Intra-professional Collaboration
  • --Baylors model of mentoring

13
Relationship to Community
  • Matt Rose
  • --OEO National Association of Alcoholism
    Counselors and Trainers (1972)
  • Recovery and Community
  • Lost Rediscovered Activism

14
Future of Addiction Counseling
  • Threats to Addiction Treatment Field to Role of
    Addiction Counselor
  • --restigmatization, demedicalization,
    recriminalization
  • --Colonization and loss of core values core
    clinical technology
  • --New role of recovery coach

15
Future of Addiction Counseling
  • Aging of Field
  • Age as vulnerability (problems of leadership
    development/succession
  • Age is opportunity (power of a volunteer force)
  • In search of a new generation of addiction
    counselors

16
The Future of Addiction Counseling
  • Opportunities
  • --Renewal movement
  • --New breakthroughs in knowledge technology
  • Sacredness of our role
  • Essence worth cherishing protecting

17
Closing
  • What we are responsible for is creating a milieu
    of opportunity, choice and hope. What happens
    with that opportunity is up to those we serve.
    We can own neither the addiction nor the
    recovery, only the clarity of the presented
    choice, the best clinical technology we can
    muster, and our faith in the potential for human
    rebirth. White, 1998
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