On September 26, I posted a piece on tough love. It generated many remarks along with some discussion of enabling, to which tough love is apparently the remedy. The tough love culture manifests itself through criminal sanctions against drug use, and also plays out in kitchens and living rooms. Yet no matter how tough the law has been, and no matter how tough people get (partly from copying what they see on TV), the approach has not served us well. Here, I offer a remedy for tough love: enabling.
You've probably heard that alcoholics and drug addicts should not be "enabled". By now, most people have heard it so often that it isn't questioned. The issue is simply addressed like so: whether a certain form of assistance qualifies as enabling, and hence as misguided and harmful. Never is it suggested that enabling could be the right move.
Yet when we enable youngsters to go to college, or people in poor countries to eat decent food or drink clean water, few would accuse us of having done wrong. So, apparently, enabling is a good thing, as long as it does not benefit someone with a substance addiction.
The reasoning behind it all is that, somehow, an addict or alcoholic must hit bottom - and that hence enabling inhibits one's motivation to recover. This is untrue, and I will soon get to that. First, I will point out that even the provision of clean needles can qualify as enabling. Anything that makes a using addict's life more "manageable" can qualify. Hence the staunch resistance even to initiatives that have clearly saved many (addicts and non-addicts) from deadly infection. No matter how strange some may find the opposition to needle exchange, it was very controversial only a few years back, and those who still oppose it are simply more consistent than most in adherence to the proscription against enabling.
Think about it: even mending a broken leg could enable someone to get high more often. Here is a metaphor to consider: one approach involves mending bones despite the potential increase in drug use; another might involve breaking bones, or at the very least refusing to mend them.
What really happens when addicts are enabled? Well, some continue as before - not much difference aside from an increased quality of life (perish the thought). Others react positively to opportunity, and quit or begin to reduce substantially. It is myopic to believe that good fortune is conducive to substance abuse. Of course it can happen, but cases that are statistically minor simply detract from the larger (and obvious) reality: while the rich and famous often struggle, the poor and marginalized are far more likely to go overboard with booze, drugs, or both. It's just like that: bad situations increase the likelihood of bad behaviors. A funny thing about the human condition: when people are degraded, they are strongly tempted to degrade themselves further. So while the bottom rarely works, a helping hand just might.
Here is an example I often use: smoking - an addiction that far more people know, so they can trust their own judgment (rather than that of the monstrous recovery culture that still governs the West). If a tobacco smoker seems unwilling or unable to quit, will ruining that person's marriage and getting him or her fired at work do the trick? Of course not. This person would now be far less likely to quit than before (every decent study conducted can vindicate that). But why? We have just pushed so-and-so closer to a bottom. Not only that, but we have deprived the individual of money, so smoking is now harder to afford. Well, what if the poor sap now foregoes a sandwich in order to by smokes, or simply picks used butts off the sidewalk as many unfortunates do?
Hey, at least we tried.
No! There is no excuse for treating a human being - in this case a cigarette smoker - that way. It's much the same with other addictions. Look around, the down and out are far more likely to smoke, not just cigarettes but also crack, and more likely to shoot up or get drunk. So why is pushing someone toward a bad situation considered a solution to addiction, whereas alleviating that situation is derided as "enabling"? Simple: we inherited this nonsense from the twentieth century. As I've said many times: the twentieth century was wrong!
Recap: so-and-so will not smoke more cigarettes because we found her a job, or helped him with housing and a welfare check. Such initiatives are more likely to alleviate an addiction - no guarantees, of course, but treating someone kindly is still the best strategy.
I will add that if having someone in your life is too much to bear, letting that person go might be necessary. Best, though, to come clean and admit that you are doing it for yourself (or maybe for your children). All this nonsense about throwing people to the dogs for their own good is starting to wear thin.
As the fates would have it, while writing this blog I stumbled across a communication that uses the term enable properly: "mentally ill problem substance users in the USA were enabled to find competitive employment in the open labour market ..."
Good thing someone enabled them. The world needs more enablers, and fewer preachers.
The sixth chapter of my new book is titled: "Don't enable the addict"--why not? It's really the only solution.
I mean it: tough love is a joke.
Follow Dr. Peter Ferentzy on Twitter: www.twitter.com/PeterFerentzy
Since getting back to work and raising my income I have managed to quit and am now 9 months smoke free
If I were still unemployed I would still be smoking
Peter
You know, here in some cities, there are hundred's of thousands of young people who live on the street and who have no chance to rejoin the mainstream culture. They view themselves as 'thrown away'. The Tough Love only leaves them to a life of crime and hopelessness.
Thank heavens my son lived through this.
I say "Firebomb the Poppy Fields" (it's the most environmentally friendly way to get rid of them).
That drug is a worldwide scourge!
Peace and Strength to all who are going through this.
Cheers
Peter
I'm not sure why the first half of my comment is still 'pending' - it wasn't anything that should be hung up.
Yes, it was horrible and I'm not sure therapists understand the torturous nature of the situation. It's like the proverbial Chinese water torture - the drip, drip, drip, never knowing what the next ring of the phone will bring.
Best to you!
I have told him many times that as long as he is honest and tells me the truth I can manage to continue to support him, but he knows that if he drains me and takes from me more than i can give then he will have to move out, but i wont stop caring or loving him, that's unconditional.
I admire the way you've dealt with your struggles. There are no easy answers. I sincerely wish you and your foster son all the best.
Peter
You've certainly had to make some tough decisions. I really believe that, in most cases, trusting one's heart is a good tactic.
I really hope that you and you foster son do well.
Best Wishes
Peter
"I will add that if having someone in your life is too much to bear, letting that person go might be necessary. Best, though, to come clean and admit that you are doing it for yourself (or maybe for your children). All this nonsense about throwing people to the dogs for their own good is starting to wear thin."
That's all I'm talking about. When people say that an addict needs to hit bottom, there's a claim to be helping that addict (often with abuse -- just check some of the boot-camp treatment centers). Protecting oneself from an abuser is self-defense. It has nothing to do with what I was writing about.
Jerry Costley, LCSW
Jerry
All Best
P
Well anyway thanks to Govt and Banks we'll all be in the gutter soon no one will have any disposable income to buy drugs and ppl will have to start living to stay alive.
I am happy to accept, as you say, that it is a victory if you can stop an addict shooting up 10 times a day by looking after them so they maybe only do it 5 times a day.It still feels wrong tho', you use your resourses (emotional and financial) to support them whilst they use all of theirs to pursue their addiction and destroy themselves
It seems to me that there are 2 situations going on here, the addict who is down and out in the gutter who will not be "helped" by throwing them in jail or denying them methadone and the addict who is cared for and uses their situation of cared for addict to do their addiction full time, but maybe thanks to that care won't end up in the gutter with AIDS...
Cheers
P
P
The establishment, the judiciary, the tabloids and the nasty politicians have had to give up on blacks, gays and the disabled. Instead, they have turned their abuse, prejudice and discrimination on people who use drugs.
The hatred behind the DEA's moves against medical marijuana in the past week. Canada's introduction of sentences that mean growing cannabis is treated more severely than child rape. Here in Britain in the past six months, Judge Richard Bray, Judge Nigel Thorne, Judge Alan Goldsack and Judge Christopher Plunkett have all vented their bile and distortion of science in deeply spiteful attacks against a minority that they they can bully and abuse without compunction.
In Teeside Crown Court recently, where thousands of child porn images or grooming of schoolgirls goes virtually unpunished, just a handful of plants gets you locked up straightaway.
If you are trafficked here and forced to work as a gardener by organised crime there will be no mercy from our courts. Growing a few plants in Britain is regarded as more serious than slavery.
Appalling prejudice and discrimination is being perpetrated against people who choose some drugs as opposed to others which, though more harmful, are arbitrarily deemed to be acceptable.
It is time for us to get angry about these attitudes. We have been polite and reasonable for too long and to no effect.
Best to you,
Peter
P
When you look at addiction, and the various activities that are subject to addiction, it soon becomes senseless that we deem it appropriate to threaten & lock up some drug users. We can certainly see the merits of not incarcerating alcoholics, gambling addicts; or those with food abuse problems, but drug policy is still based on reprisal. Like you say Dr Peter, one day we will look back at current drug policy with hindsight. Thank you once more.
Cheers
Peter