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Tough Love is a Joke - Let's Start Enabling Drug Addicts Everywhere

Posted: 10/10/11 01:00 BST

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.

 
 
 

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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...
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...
 
 
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HUFFPOST SUPER USER
selene26
09:30 PM on 11/07/2011
Wow. Great post. It is very difficult to know how to help a person dealing with an addiction. I know this from personal experience. If it will help the person to stay on the recovery road, or to even want to get on the recovery wagon,then we should help. If it just helps them stay comfortable in their addiction--I.e., giving money that you know is going to go for drugs or drink--then I remain opposed to it. Like I said, it is hard to make these decisions.best to learn as much as you can about the disease and get support to help make the best decisions
Richard Britton
British Socialist Global Realist
01:53 AM on 10/13/2011
I was unemployed for a year and desperately poor but I always managed to get money to buy cigarettes and would often go without all kinds of essentials to make sure

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
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Peter Ferentzy
PhD Crackhead
02:59 AM on 10/13/2011
I'm glad you're doing well. Thanks for sharing a story that tells it like it is.
Peter
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HUFFPOST SUPER USER
Welshish
The sadder but wiser girl for me.
03:25 PM on 10/12/2011
My son feel victim to heroin. He is very bright and so was able to hide it well until he was stealing and lying. He was so ashamed! He went to treatment programs and would do well there but would still feel the urge and tried to hide his weakness when it came to that drug. He 'ran away' to out west here in the US. We ended up paying for a cheap apt just to keep him from living on the streets with no protection from criminal acts against him. That way he could also wash and sleep and his body wouldn't be broken down. I also thought that if we completely abandoned him he would think of himself as hopeless and could turn to suicide. I found a local support group. When I told them what I was doing and why - without advocating for it, just describing my own reasons - I was angrily attacked. Tough Love was the only acceptable response, I guess.
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HUFFPOST SUPER USER
Welshish
The sadder but wiser girl for me.
03:25 PM on 10/12/2011
(cont) In the end, honestly, a judge put him in the county jail for a year! I think his brain had time to recover over that length of time. He has been clean and sober for 2 years now and we have our son back. But, he confirmed that if we had totally abandoned him he would have gone down the drain for lack of hope and caring.
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.
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Peter Ferentzy
PhD Crackhead
09:12 PM on 10/13/2011
I am glad your son got through it. I'm sure it must have been hard for you. Good that you stood by him.
Cheers
Peter
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HUFFPOST SUPER USER
Welshish
The sadder but wiser girl for me.
09:42 PM on 10/13/2011
Thanks, 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!
This user has chosen to opt out of the Badges program
11:32 AM on 10/12/2011
Thank-you for confirming what i had been questioning over and over for the past weeks. I have a foster son since 2006 who is now 19 and still living with me and struggling with a heroin and crack addiction that was established when he was just 12 years old. He had finally gotten off all substances and went cold turkey after a prescription period since august this year after 7 years of addiction. lieing and decieving. He had to come to terms with who he had been and who ihe is, and he hates the person he had become. Many powerful emotions emerge at this point, but im here to listen to him and encourage him. Everyday he thinks or using, everyday, but he does not want to go back to the lies and cheating so he asks me after 45 days clean to lend him the money (which i know i will get back) to buy a £40 hit, because he is close to throwing everything away, his place with me, his college and support agency, everything just so he can close his eyes and use. He is obsessing you see, adding anxiety, guilt, shame, frustration on top of his desire to use, and causing him to feel so self destructive.
This user has chosen to opt out of the Badges program
11:31 AM on 10/12/2011
The whole experience has been extremely tough for me, but i realize i made it tougher by thinking that i had to make him feel bad for what he had done, when in actual reality I need to make him feel ok about who he is, and his choices, as that actually makes it easier for him to let addiction go, from a perspective of ...dare i say it...self love.
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.
This user has chosen to opt out of the Badges program
11:31 AM on 10/12/2011
continued....It felt like going up against everything i believed but instinctively i know it was right. I did lend him the money, and he went and used. After years of lying stealing cheating, he was finally able to use with my approval, and his own. He used about 10 times all with my support and somehow enabling him, and now he is back clean again, still living with me, still with the support agency and still at college, and more motivated to stay clean than before. He has renewed self-esteem, perhaps through my approval, and his own. He is becoming able to view the addiction on its own terms without the additional traumas. emotions and pressures. Its hard wired into his system and brain so of course he not going to able to just stop. It is hard, but tough love makes it harder, cos it hurts, and pain is dealt with by drugs in the mind of an addict. They often don't have the capacity or ability to dealing with powerful emotions especially if using through childhood, so trauma encourages drug use to deal with the pain. He knows he is loved and supported and he knows he wants to be a nonuser, but he needs to find his way in his own time, with love and support, and without judging, guilt and shame. continued...
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Peter Ferentzy
PhD Crackhead
08:56 PM on 10/12/2011
Hi Mark
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
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Peter Ferentzy
PhD Crackhead
02:48 PM on 10/13/2011
Hi Mark
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
09:31 PM on 10/11/2011
So would you apply the same advice to wife-beaters and child abusers? I highly doubt it. Any responsible practitioner will tell you that tough love is generally reserved for addicts who've been harming and victimizing their loved ones. When the addict crosses that line, as many serious addicts do, then the idea of further enabling them is foolish and self-destructive. Tough love is not an attempt to force someone to change- it is simply a personal commitment to yourself, that you will no longer allow yourself to be victimized by an abuser- financially, physically, emotionally. It does not matter what causes them to abuse you(drug addiction, abuse history, unresolved anger, etc.), the abuse is not acceptable.
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Peter Ferentzy
PhD Crackhead
10:38 PM on 10/11/2011
I wasn't talking about abusers and beaters. If an addict does that it's a separate issue (non-addicts do that as well). Of course it's unacceptable. Please note, however, that in my column I even address that issue (though not directly):

"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.
05:39 PM on 10/12/2011
Actually- it has everything to do with protecting yourself from an abuser- it simply diminishes your argument to acknowledge that. The only people who get to the point of employing "touhg love" are the ones who've been abused or mistreated. All addicts inflict emotional abuse on their loved ones, leaving the family members traumitized and the family unit broken, often beyond repair. It's extremely abusive to expect your loved ones to have to watch you risk your life and destroy your body. You should be ashamed for trying to make people feel guilty for not enabling their loved ones in this destructive process.
06:15 PM on 10/14/2011
Co-signed Dr.P. A little bit of pigeon hole pie being served up here from kacklelackle. I guess we all look for reasons why someone has bad behaviour. If they are taking drugs then you already have yourself a simple ready made answer. Good honest hardworking sufferers of addiction face this stigma daily though and its through sheer pigeon-holeing and ignorance that is fed mainly from the media. So I would try to look at the bigger picture here kacklelackle. But life is far from simple and some of the loveliest people I have met have been addicts or recovering addicts. I guess you have a bad time from somebody that is just abusive. Addiction may fuel them but the problem is in them as abusive people who find it hard managing or controlling their abusive or bad behavior. Peace to all. Loving your posts Dr.P. from John
01:38 PM on 10/11/2011
I subscribe to the principles regarding tough love as laid out in this article. My advice to parents and others close to someone with an addiction is to apply the Red Cross lifesaving principles, which are that you do everything you can to rescue someone who is dying or going under, but if you find they are pulling you under and you are in danger of dying with them then it is time to kick yourself free. You may have to let them go under at that point. This is probably the toughest decision anyone will ever have to make, but I agree it has to be made honestly on the basis of self preservation and not that we let them drown because we loved them and felt it was best for them. I think the Red Cross probably put a lot of thought into these principles of live saving before they published them, and I believe they are excellent guides. One such guide is don’t jump into the water to save someone unless you are sure you are an excellent swimmer and can handle the water.

Jerry Costley, LCSW

Jerry
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Peter Ferentzy
PhD Crackhead
02:08 PM on 10/11/2011
Now that is a VERY thoughtful contribution! Thanks Jerry.
All Best
P
08:28 AM on 10/11/2011
continued.....So if the powers that be can get their ish together and stop the drug traffickers and the police can actually go into the woods and arrest the dealers and not just limit their efforts to arresting the kids coming out of the woods with their dose, that would be a step in the right direction.
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.
08:27 AM on 10/11/2011
Trouble is that most people who are dealing with an addict don't understand how to help and feel that enabling is contributing to their problem and maybe that stopping enabling them will force them to rethink their life style and adopt a less self destructive behaviour for themselves and their family.
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...
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Peter Ferentzy
PhD Crackhead
11:12 AM on 10/11/2011
Thanks for your thoughts, schwing schwing. I did make a clear distinction between putting someone out of your life because you have to for your own sake, and saying that it's good for them. Sometimes it has to be done. But if the economy really is going to the dogs, then we could save a lot just by legalizing the drugs. Tax the sales, and earn revenue. Save money on prisons and enforcement, put the gangsters on the dole ...
Cheers
P
04:49 AM on 10/11/2011
Here's an idea: The government takes over production of hard drugs, and opens up "stores" where these hard drugs are sold, at a price that undercuts street price. The drugs are only sold in personal use quantities, and only to people who are over a certain age and have a preexisting addiction. This would hurt the organized drug traffickers more than the war on drugs ever could. There will be supply as long as there is demand, and if the government controls most of the supply in a highly regulated way, the demand for drugs from organized crime will drop dramatically. Combined with safe injection sites this could prove very effective at reducing addiction rates, reducing death, reducing organized crime and reducing teenage use of hard drugs.
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Peter Ferentzy
PhD Crackhead
11:03 AM on 10/11/2011
That's a good idea.
P
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PoetPeter
Better known as Peter Reynolds, leader of CLEAR
07:26 PM on 10/10/2011
You touch on the issue that is really driving me hard at the moment.

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.
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Peter Ferentzy
PhD Crackhead
08:33 PM on 10/10/2011
Thank you! For too long, the drug warriors have had a near monopoly on playing hardball. About a year ago, I decided to start hitting back. It really is something when a stupid bag of weed is taken more seriously than human trafficking.
Best to you,
Peter
07:26 PM on 10/10/2011
Too much emphasis on getting the user through the recovery system and not enough emphasis on what the user wants out of treatment. This would never happen in any other health department. I guess its o.k to push recovering addicts around. UK Drug Treatment as done a 180 degree turn back to the 19th century. Maybe workhouses are next on the recovery initiatives menu.
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Peter Ferentzy
PhD Crackhead
10:14 AM on 10/14/2011
In the US, "boot camp" treatment is still used on adolescents. In our dealings with addiction, we still have one foot in the Dark Ages.
P
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HUFFPOST BLOGGER
Jason Reed
06:20 PM on 10/10/2011
Great piece, I couldn't agree more. Thank you.

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.
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Peter Ferentzy
PhD Crackhead
06:37 PM on 10/10/2011
And thanks for the kind words Jason. I have a column in the works wherein I argue that opponents of drug legalization and harm reduction should not be incarcerated. They need compassion and therapy.
Cheers
Peter