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Addiction is a Choice by Schaler, 2000, Open Court

Chapter 7: Who are the Addiction Treatment Providers

Appendix: A Study of Addiction Treatment Providers

Rehab Personnel

Does anyone out there know of any formal or informalcensus concerning the background of rehab counselors?I've read that virtually all of them are either12-steppers and/or educated in some rational supportgroup treatment models. It wouldn't surprise me ifthat was the case in the U.S., given that thetreatment industry here seems to be based exclusivelyin these modalities.Any input?Ron __________________________________________________

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I have no official information. All I have is anecdotal information and

what things looked like to me. While I was never in a rehab myself, I

visited rehabs with other steppers. It did seem to me that counselors were

recovering alcoholics/addicts themselves for the most part. My partner was

one who went through rehab, and afterwards stayed on to become a counselor.

Things fell apart, though, when he questioned the steps and got into

head-butting contests over the program and coerced religion.

And don't think for one moment that all rehab counselors are sober. Some

probably are, but there are others who tell clients how to get sober and

straight, and then leave work and get stoned. While my partner was doing

his counselor training, another counselor overdosed and ended up in detox.

While he was there he spilled the beans and reported that my partner was

using also.

My partner denied it indignantly. He refused a urine test, and was so

indignant that he got away with it. Yes, the guy who reported him was

right, but my partner was able to get the supervisors to back down. It also

helped that he was aware of some sexual indiscretions that the higher ups

had been engaged in.

There was another rehab where a counselor freaked out and confessed to

continued drug use, and a bunch of other counselors got exposed.

There are some people who respond to sobriety by getting their Addictions

Counselor Certification and hanging out a shingle. I got help from the

Alcoholism Council in Ithaca NY as the significant other of the alcoholic.

A lot of the counselors working there were recovering steppers.

And I do believe there are some counselors who do stay sober and try to do

this thing right.

But it also seems to me that becoming an alcoholism counselor is a good way

to stay in the alcohol scene without having to get drunk. I made that

observation to my partner. I said, " All that is going on is that everyone

is switching places, that's all. But they're still in the scene, still

doing the same old thing. They're not drunk now, but they're hanging out

with drunks, thinking about alcohol, focusing on alcohol, making it the

center of their lives. They're just not drunk. They're counseling drunks

instead of getting drunk themselves, but they're still in the drunk scene. "

I could have gone on and gotten a counseling degree. But I did not. I did

not want to play that game, and I'm suspicious when I hear a stepper going

on about becoming an alcoholism counselor.

(Likewise, I could have responded to domestic abuse by going and getting a

Social Worker's Degree and hanging out a shingle and advertising counseling

for battered women. But I absolutely did not want to go and do that.)

Regards,

nz

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Hi

Berne wrote abt this. He said alcoholism was a multi-player

" game " which had the alcoholic, a persecutor (often the spouse), an

enabler (often the boss) and a rescuer and I think other roles that I

dont remember now. He says that often ppl just change roles, and that

AA is essentially abt turning ppl into rescuers. He also claims there

is evidence that in small towns AA meetings may collapse when they run

out of drunks to sober up, but that may be apocryphal. Perhaps he

might also have said that sponsors have often turned into

persecutors...

P.

> But it also seems to me that becoming an alcoholism counselor is a

good way

> to stay in the alcohol scene without having to get drunk. I made

that

> observation to my partner. I said, " All that is going on is that

everyone

> is switching places, that's all. But they're still in the scene,

still

> doing the same old thing. They're not drunk now, but they're

hanging out

> with drunks, thinking about alcohol, focusing on alcohol, making it

the

> center of their lives. They're just not drunk. They're counseling

drunks

> instead of getting drunk themselves, but they're still in the drunk

scene. "

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Oh, now, dammit, I'm having a senior moment here...what's the name of that

transactional analysis guy who was a disciple of Berne? Was it Claude

Something-or-other?

Pete said, " Berne wrote abt this. He said alcoholism was a

multi-player

" game " which had the alcoholic, a persecutor (often the spouse), an

enabler (often the boss) and a rescuer and I think other roles that I

dont remember now. "

Steiner. Hmm, I think that's the guy's name. He wrote about this business

of alcoholic games, wrote a whole book. " Games Alcoholics Play. "

Excuse me for a minute while I go to Amazon.com and see if I'm right....

I'm back. (These new-fangled computers with all the bells and whistle are

so handy. I can just click and to to a website and check, and come right

back.) Yup, I'm right, and he also has one called " Healing Alcoholism " ,

which is out of print, but you can get a used copy.

Anyway, he goes into the various games and permutations on games that go on

in the wonderful world of alcoholism. IIRC, he also says that the alcoholic

game can happen in a more economical form, with the wife being the enabler,

the persecutor, and the rescuer all rolled into one.

I read these books back in the '80's when I was trying to figure out what

the hell was going on, and more important, what the hell I could do about

it. I still don't have that clear an idea...

Cheers,

nz

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At 04:18 PM 5/24/01 -0700, Ron s wrote:

>Does anyone out there know of any formal or informal

>census concerning the background of rehab counselors?

>I've read that virtually all of them are either

>12-steppers and/or educated in some rational support

>group treatment models. It wouldn't surprise me if

>that was the case in the U.S., given that the

>treatment industry here seems to be based exclusively

>in these modalities.

In the centers around Atlanta I recall informally learning that the

main or only qualifications were being sober in AA for two years, and

sounding good in an interview. I understood the pay was low, because

after all they were doing it to pass on the message of AA, not for

the money.

-----

This post (except quoted portions) Copyright 2001, Ben Bradley.

http://listen.to/benbradley

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> And don't think for one moment that all rehab

> counselors are sober. Some

> probably are, but there are others who tell clients

> how to get sober and

> straight, and then leave work and get stoned.

It's hard to believe that many counselors stay sober

under the 12 step model, where double-speak like

" relapse is part of recovery " is accepted and

preached. What a great excuse to use again. Jack

Trimpey refers to this as pure Addictive Voice.

> But it also seems to me that becoming an alcoholism

> counselor is a good way

> to stay in the alcohol scene without having to get

> drunk...But they're still in the scene, still

> doing the same old thing. They're not drunk now,

> but they're hanging out with drunks, thinking about

alcohol, focusing on alcohol, making it the center of

their lives.

If you don't drink, do the next best thing:pre-occupy

your thinking with all things alcohol. This fits a

concept I've been studying in Rational Recovery, where

AA and other " Anonymous " support groups are referred

to as the embodiment of the Addictive Voice. Under

this model, as I understand it(forgive my phrasing),

such

people are still addicted because of the continual

focus on the problem.

Thanks lauranz

Ron

__________________________________________________

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? Mr. I'm ok, your ok?

--- wrote:

> Oh, now, dammit, I'm having a senior moment

> here...what's the name of that

> transactional analysis guy who was a disciple of

> Berne? Was it Claude

> Something-or-other?

>

> Pete said, " Berne wrote abt this. He said

> alcoholism was a

> multi-player

> " game " which had the alcoholic, a persecutor (often

> the spouse), an

> enabler (often the boss) and a rescuer and I think

> other roles that I

> dont remember now. "

>

> Steiner. Hmm, I think that's the guy's name. He

> wrote about this business

> of alcoholic games, wrote a whole book. " Games

> Alcoholics Play. "

>

> Excuse me for a minute while I go to Amazon.com and

> see if I'm right....

>

> I'm back. (These new-fangled computers with all the

> bells and whistle are

> so handy. I can just click and to to a website and

> check, and come right

> back.) Yup, I'm right, and he also has one called

> " Healing Alcoholism " ,

> which is out of print, but you can get a used copy.

>

> Anyway, he goes into the various games and

> permutations on games that go on

> in the wonderful world of alcoholism. IIRC, he also

> says that the alcoholic

> game can happen in a more economical form, with the

> wife being the enabler,

> the persecutor, and the rescuer all rolled into one.

>

> I read these books back in the '80's when I was

> trying to figure out what

> the hell was going on, and more important, what the

> hell I could do about

> it. I still don't have that clear an idea...

>

> Cheers,

>

> nz

>

>

__________________________________________________

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Ron asks, " ? Mr. I'm ok, your ok? "

No, the guy I was thinking of is Claude Steiner, who wrote a couple books

specifically about alcoholism. I do believe " I'm okay, you're okay " is part

of the Transactional Analysis system though, isn't it?

Games and interactions are another thing that I find interesting.

Cheers,

nz

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At 02:20 AM 5/25/01 +0000, you wrote:

>Hi

>

> Berne wrote abt this. He said alcoholism was a multi-player

> " game " which had the alcoholic, a persecutor (often the spouse), an

>enabler (often the boss) and a rescuer and I think other roles that I

>dont remember now. He says that often ppl just change roles, and that

>AA is essentially abt turning ppl into rescuers. He also claims there

>is evidence that in small towns AA meetings may collapse when they run

>out of drunks to sober up, but that may be apocryphal. Perhaps he

>might also have said that sponsors have often turned into

>persecutors...

I recall his saying that small-town AA members will often start having

relapses so that the other members can sober them up again.

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nz wrote:

I do believe " I'm

> okay, you're okay " is part

> of the Transactional Analysis system though, isn't

> it?

Yes. In fact, I think his book helped to popularize TA

in US culture.

Ron

__________________________________________________

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