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The authors have worked in the addiction recovery field for over
twenty years.
In the books introduction, the authors experience shows
five common factors among people who relapse:
1) People relapsed for different reasons
2) Although relapse could occur at any time in recovery, it was
particularly common in the first year of recovery
3) They, (the authors), came to believe that relapse was rooted less
in emotional instability than in attitude and behavior
4) The most common causes of relapse could be grouped into twelve
broad categories
5) Relapse isnt confined to addiction. By thinking of relapse
as a human and medical problem rather than a sign of psychological abnormality; the addict
and alcoholic arent any different than anyone else with a chronic illness such as
cancer, diabetes, etc.
While the books authors are definitely pro-AA and 12 step
oriented, the book can be useful for someone who approached sobriety from a secular
viewpoint.
In Part One, entitled The Anatomy of Recovery, the authors discuss
what is relapse and how people fail.
They introduce what they consider three keys to the door of
recovery:
- 1. Develop a feedback system
- 2. Use the 12 steps of AA
- (Note: The authors have written a guide to the steps called "On
Your Own Power - A secular guide to the 12 steps, which Ill be reviewing at a later
date)
- 3. Understanding the meaning of unconditional abstinence from drugs
and alcohol.
The final part of the first section discusses the problems of
emotions and craving, and assessing the attitudes that we bring into recovery.
The second section of the book deals with the Twelve Traps of
Relapse. Rogers and McMillin talk about four tasks that must be completed for the
addict\alcoholic to establish and maintain stable abstinence from drugs and alcohol:
- 1. You learn about the disease
- 2. You self-diagnose that you have the disease
- 3, You become involved in recovery groups
- 4. You assume personal responsibility for your own recovery
The relapse traps can be broken down into four major categories:
1.) Treatment Failures - Not following directions
- Failure to self-diagnose
- Experimenting with control
2.) Problems Of Being Human - Maintaining a high-risk lifestyle
- Stress
- Complacency
3) Living With A Chronic Disease - Medical problems during recovery
- Psychiatric Illness
- Complications of normal recovery
- 4) Problems of Addiction - Switching to Other Drugs
- Relapse by Intent
- Family Feud
Chandler and Rogers discuss each trap in detail - showing how people
relapse and the steps preceding the relapse. They then discuss how to avoid the trap, and
how "co-dependence" frequently enters into the person relapsing. There are many
exercise throughout the book, and lists of "red flags" that can reveal that we
are about to slide into relapse.
There is a glossary and suggested reading list at the end of the
book.
Overall, I enjoyed the book. While there is a heavy bias towards AA
in the book, there are many useful pieces of information. For myself, I found the third
section very helpful as I have chronic health problems besides alcoholism, and knowing how
to avoid relapse while being treated for the other problems was a great help.
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