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Pathways: from the culture of addiction to the culture of recovery : a travel guide for addiction professions PDF

986 Pages·1996·2.01 MB·English
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Pathways : From the Culture of Addiction to title: the Culture of Recovery : a Travel Guide for Addiction Professions author: White, William L. publisher: Hazelden Publishing isbn10 | asin: 1568381239 print isbn13: 9781568381237 ebook isbn13: 9780585126258 language: English Substance abuse--Treatment--Social subject aspects, Substance abuse--Social aspects. publication date: 1996 lcc: RC564.W53 1996eb ddc: 616.86 Substance abuse--Treatment--Social subject: aspects, Substance abuse--Social aspects. Page iii Pathways from the Culture of Addiction to the Culture of Recovery A Travel Guide for Addiction Professionals Second Edition William L. White HAZELDEN® Hazelden Center City, Minnesota 55012-0176 ã1990, 1996 by William L. White All rights reserved. Second edition published by Hazelden 1996 First edition published 1990 by Lighthouse Training Institute Printed in the United States of America The Self-Assessment Instrument in appendix A may be reproduced for therapeutic use No other portion of this publication may be reproduced in any manner without the written permission of the publisher 02 01 00 99 98 97 96 7 6 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data White, William L., 1947- Pathways : from the culture of addiction to the culture of recovery: a travel guide for addiction professions / William L. White.2nd ed. p. cm. Rev. ed. of: The culture of addiction / William L. White. 1990. Includes bibliographical references and index. ISBN 1-56838-123-9 1. Substance abuseTreatmentSocial aspects. 2. Substance abuse Social aspects. I. White, William L., 1947Culture of addiction. II. Title. RC564.W53 1996 96-2446 616.86dc20 CIP Editor's Note Hazelden offers a variety of information on chemical dependency and related organization. All the stories in this book are based on actual experiences. The names and details have been changed to protect the privacy of the people involved. In some cases, composites have been created. The following publishers have generously given permission to use material from copyrighted works: "When One Is Too Many" written by Peter Alsop. Song taken from the recording The following publishers have generously given permission to use material from copyrighted works: "When One Is Too Many" written by Peter Alsop. Song taken from the recording ã1985 Moose School Music (BMI), contact (800) 676-5480. Moose School Records, Box 960, Topanga, CA 90290. From Joseph Campbell's Reprinted by permission of Princeton University Press. Page v This book is dedicated to the alcoholics and addicts who have touched my life over the past twenty-eight years. To those whose discovery of freedom has brought me great joy and to those whose con- tinued self-destruction has pained me deeply, you have been my best teachers. Page vi Hazelden Publishing and Education is a division of the Hazelden Foundation, a not-for-profit organization. Since 1949, Hazelden has been a leader in promoting the dignity and treatment of people afflicted with the disease of chemical dependency. The mission of the foundation is to improve the quality of life for individuals, families, and communities by providing a national continuum of information, education, and recovery services that are widely accessible; to advance the field through research and training; and to improve our quality and effectiveness through continuous improvement and innovation. Stemming from that, the mission of the publishing division is to provide quality information and support to people wherever they may be in their personal journeyfrom education and early intervention, through treatment and recovery, to personal and spiritual growth. Although our treatment programs do not necessarily use everything Hazelden publishes, our bibliotherapeutic materials support our mission and the Twelve Step philosophy upon which it is based. We encourage your comments and feedback. The headquarters of the Hazelden Foundation is in Center City, Minnesota. Additional treatment facilities are located in Chicago, Illinois; New York, New York; Plymouth, Minnesota; St. Paul, Minnesota; and West Palm Beach, Florida. At these sites, we provide a continuum of care for men and women of all ages. Our Plymouth facility is designed specifically for youth and families. For more information on Hazelden, please call 1-800-257-7800. Or you may access our World Wide Web site on the Internet at http://www.Hazelden.org. Page vii CONTENTS Dedication v Preface xix Acknowledgments xxi Prologue xxiii Part I The Culture of Addiction Chapter 1. 3 Cultural Aspects of Addiction 1.1 Pilgrims and Pathways 3 1.2 Culture of Addiction Defined 4 1.3 The "Species" of Addiction 6 1.4 Culture as an Initiating Force 8 1.5 Culture as a Sustaining Force 9 1.6 Styles and Intensity of Cultural Involvement 10 1.7 The Acultural Addict 10 1.8 The Culturally Enmeshed Addict 12 1.9 The Bicultural Addict 14 Chapter 2. 17 Organization of the Culture of Addiction 2.1 Tribal Networks 17 2.2 Tribal Selection Based on Drug Choice 18 Celebrated Drugs 19 Tolerated Drugs 19 Instrumental Drugs 19 Prohibited Drugs 20 2.3 The Celebrated Drug Tribes 21 2.4 The Instrumental Drug Tribes 24 2.5 The Tolerated Drug Tribes 27 2.6 The Prohibited Drug Tribes 28 Quality Control 29 Drug Dosage 29 Page viii Screening Out High-Risk Users 30 Withholding Technology That Could Reduce Risks 30 2.7 Relationship to Other Deviant Cultures 32 Chapter 3. 35 The Psychosocial and Technical Functions of the Culture of Addiction 3.1 Identity and Self-Esteem 36 3.2 Transforming Stigma to Status: Identity in the Illicit 39 Drug Culture 3.3 Adolescent Needs and the Culture of Addiction 41 3.4 How to Use 44 3.5 Learning to Experience the Drug 46 3.6 Skills to Sustain Addiction 47 Chapter 4. 51 Core Elements in the Culture of Addiction 4.1 Language 51 4.2 Religion, Morality, and Values 53 4.3 Symbols 56 4.4 Rituals 57 4.5 History and Mythology 59 4.6 Institutions (Places) 60 4.7 Dress/Appearance 61 4.8 Diet/Food 62

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