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The 2006
LifeRing Congress Saturday Workshops in Review
by Katie
Frohmberg
Keynote: What
Really Works in Treatment and Why Lifering is Destined
for Success.
Keynote
Speaker Catherine Trestrail, CDP, MSW, ACSW is Founder and
Director of A Positive Alternative which opened in 1990
under the name “Women’s Recovery Center” in Seattle.
Catherine’s work in the mental health and addictions field has
consistently been on the leading edge in the Northwest. She has
pioneered the integration of psychological research on
addictions with the clinical format of a State Certified
Outpatient Program. For over twenty years, Catherine has
advocated gender specific treatment; providing a structured,
skills- and insight-based approach to recovery from addictions.
Her approach has been consistently to focus on client strengths
and individuality in a practical, hopeful, compassionate, and
positive manner.
Catherine
hosts a Lifering meeting in Seattle and uses the Workbook
Recovery by Choice in her program. The men’s program is
called the Men’s Recovery Program. The women’s is called
Women’s Recovery Center. Both are non-12 step in approach.
Over the
years, Catherine has always tried to focus on “What makes
treatment work?”. Treatment is hard to implement on a large
scale. People need to be treated as individuals with words that
match their life experience. A small program encourages a sense
of empowerment and involvement. She started with a women-only
group because research in the 1970’s showed that women always
do better in women-only groups no matter what the context. Men
also do well in separate meetings.
She likes
Lifering because it is open-ended and non-dogmatic. Lifering
says that you are in charge of your own life and recovery. You
are the expert and you need to be the problem solver. Treatment
professionals can help immensely to get the process started.
Frequently
treatment program staff only have experience in a 12-step
program and can only speak from that experience. A well-trained
staff has learned techniques in undergraduate and graduate
school – methods of emotional regulation, methods of cognitive
therapy. This education teaches the staff how to think
differently instead of falling back on their own experience.
Research shows
that patients need choice, whatever methodology is chosen.
Choice gives a higher probability of success. Addicts hate to
be told what to do and are frequently suspicious of authority
and “the system”. This attitude has been labeled as
‘resistance’ in the treatment field. There is no one and only
way to recovery whether in addiction or cancer.
Lifering has
no assumptions that you did something wrong or you need to be
ashamed of. Lifering provides a forum where you can talk about
what’s going on in your own life. The group consists of
intelligent, creative and courageous people who will discuss
your life and problems with you. Lifering teaches that you’ll
come up with your own solutions and they will work.
Many treatment
programs begin their first day by saying “out of 100, only 4
will remain sober after this program”. What a welcome to
treatment and what a way to discourage patients!! This sad
statement is not true, the vast majority of people who are in
recovery do it by themselves, do it without any treatment at
all. They are using common sense, problem solving skills and
presenting themselves to the world as a non-drinker and users,
same as Lifering. Her program doesn’t think there’s any
advantage in labeling yourself “alcoholic” or “addict” unless
the patient feels they need to do so.
When someone
stops using, he/she needs to make it a mission to find things
that have meaning in their life and to practice those things
every day. Some times it’s contra dancing, sometimes it’s
volunteering. Some people have no idea what to do but the
program encourages them to start somewhere. You need to focus
on making your life satisfying as a non-drinker. If you don’t,
it creates the kind of thoughts that lead to relapse.
How Lifering Works,
the Chalk Talk.
Marty
N., Lifering CEO, gave his famous Chalk Talk about the healing
process at work in the Lifering meeting format. He coached
Congress participants in learning and adapting this presentation
for their own audiences. A DVD of this presentation will be
available from the Lifering web site when ready.
As he
approached recovery, Marty explained that he had an image in his
head. There were two Marty’s at war with each other, the Sober
person and the Addicted person. When he quit, the addicted
person was in charge and the sober person was pushed down in
some out of the way place. The longer he was sober, the longer
the sober person had to become dominant and push down the
addicted person. When addicted, the interactions of addicted
persons to addicted persons reinforces the addicted behavior.
When sober, the interactions of sober people to sober people
reinforces the sober behavior. This process is depicted as a
circle with an Addicted A larger than the Sober S. In recovery,
the Sober S is larger than the Addicted A. This process has
become one of the major slogans of Lifering – Empower Your Sober
Self.
Quality Time: What
Makes a Good Lifering Meeting?
Panelists
included Deanna H. (Vallejo), Linda G. (Pleasanton), Mark L.
(Walnut Creek), Henry C. (San Francisco), and Chet G. (Oakland),
Moderator. All are experienced Lifering convenors who shared
their experiences and philosophies about making a Lifering hour
a quality recovery experience for all participants.
Discussion
threads included:
. Time
Management. As convenor, be sure that every person in the room
has a chance to speak, even if they decide to pass.
. When
meetings get too large. Any meeting with more than 12-14 people
tends to be too big for everyone to have a chance to speak and
for good conversation to take place. The optimum solution is to
have an extra room with an extra convenor so that the meeting
can be split in two. Henry moderates a meeting which can have
as many as 50 people with no extra convenor to split the
meeting. He has decided to make that large meeting a place
where participants feel they are moving on to a better part of
their life and that the meeting experience should involve
laughter and happiness. He wants participants to know that they
can relapse and come back to his meeting without feeling
discouraged or ashamed.
. How to
get participants to focus on other attendees and not on the
convenor?
Chet pointed
out that it is natural for participants to want to address the
person “in charge” at the meeting. He finds that more
meaningful cross-talk takes place when the speaker is focusing
on other attendees, not the convenor. The intention is not
one-on-one connections, but many-to-many. Chet accomplishes
this by not giving eye contact to the speaker. Eventually, the
speaker will focus on another set of eyes and cross-talk starts
to happen.
. “I”
statements instead of “should” statements.
An important
part of Lifering meeting culture is to avoid dogmatic
prescriptions about how to do it right. The only requirement
for coming to a Lifering meeting is a desire to be clean and
sober. Therefore, participants do not tell other participants
that they “should” do something to stay clean, but rather say
what worked for them in the form of “I” statements. This allows
the door to stay open to all kinds of recovery strategies.
Deanna
discussed how to involve newcomers in the meeting. She makes
sure that the newcomer receives a set of brochures and
especially a schedule before they leave. She gives them a 5
minute introduction to Lifering so they know what the basic
philosophies are, or she asks another attendee to do so. Most
importantly, she emphasizes that other group members are there
to listen. In early recovery, this can be terribly important.
She also points out that once a participant has gotten what they
need for their recovery, it’s time for them to pay back by
offering themselves for other people in early recovery, by
helping Lifering as a convenor or in other ways.
Mark L. ended
the session with the comment that there’s a remarkable culture
which arises in Lifering meetings. The meetings are
-
Thoughtful
-
Non-dogmatic
-
Goal oriented
These
qualities are passed on from meeting to meeting and from person
to person in a self-propagating manner.
Starting a New
Lifering Meeting.
Panelists
included Tim M. (Los Angeles), Ken (Martinez), Jack M.
(Vancouver BC), and Katie F. (Berkeley), moderator. Convenors
with experience starting new meetings tell how they did it.
Tim
M. started a meeting in Hollywood, CA when he moved there from
San Francisco. First, he wanted a meeting space where 12-step
meetings and recovery is provided. He found it at the
Lesbian/Gay/Bisexual/Transgender center in Los Angeles called
The Village. His room is right near the bathroom and a chair is
just outside his room with a stack of brochures on it. People
who come and go to the bathrooms can’t fail to see the
brochures. They are listed in the LGBT newsletter and most come
through word of mouth or their therapist. At his time slot he
is competing with NA, AA and CA. He has received lots of good
support from the Service Center. They did 6 mailings to all
therapists and treatment centers in the Los Angeles County
area. This has raised the attendance. He is planning on a
second Lifering meeting at Kaiser. He feels that by the time
there is a second or third meeting in the area, they begin to
feed off of each other and continue to grow. One audience
participant suggested a Public Relations campaign to demystify
the secular approach.
Jack M. from
Vancouver, BC reported that he started to question AA after
attending for about 10 years. He later read books which were
highly critical of AA. Eventually he found Lifering on the
computer. For his last 15 years before retirement, he was in
charge of alcohol recovery meetings for the Canadian Railroad.
To start his
meeting(s), he got a small bit of startup money. This enabled
him to pay rent for a room and to run an ad in the paper.
Having a couple of allies is also very important. He wanted to
concentrate on the metropolitan Vancouver area and the ad cost
him $500 per month. Since he didn’t have any experienced
convenors, he had to do it all himself; you have to work on
being independent.
Jack feels
that it is important to continue to get the word out. In his
experience, Lifering is the best alternative by far.
Ken in
Martinez, CA started his new meeting 4 months ago. He had been
attending the Vallejo meeting and after four meetings, he
started thinking about starting a meeting on his own. Kaiser’s
Chemical Dependency Recovery Program develops closeness among
attendees but the end is abrupt and those in recovery need to
maintain contact.
The Martinez
meeting supports a rotating convenorship, this is a great
training ground for new convenors. Further, co-convenorship is
a great help and avoids the feeling that the meeting is
“yours”. Fortunately, convening is not a lifelong commitment.
You can turn it over to someone else after 6 months and move to
start another new meeting.
Online Recovery: A
Cinderella Story?
Lifering
participants who have found their recovery support only or
mainly via the Internet, and experienced Lifering chat hosts,
email participants, and other online activists discuss the why
and how of online recovery. Presenters included Dan K
(Illinois), Marty N. (Oakland CA), and Craig W (Seattle),
LSRsafe listmeister and moderator.
The
moderator said he has used online support as of 2001, he wanted
an alternative to AA. He had looked at the Big Book and didn’t
like it. He lives in a small town and there’s no anonymity. He
joined LSRMail while he was still drinking, he faded away for a
while but kept in touch with a few people. He rejoined after a
year and succeeded in quitting completely.
How do email
lists work? The server (in this case groups.yahoo.com)
maintains a list of those wishing to participate. One email
sent to the server gets broadcast to all list members who then
have a chance to respond or post their own message. LSRMail can
have 30-40 messages per day, a time investment equivalent to one
face-to-face meeting.
Craig feels
that you can be much more expressive and honest with a keyboard
than you can in a face-to-face meeting. You can carefully
choose your words. He is someone who gets overwhelmed by too
much information in a face-to-face meeting. The level of
discourse is higher because people are thinking about what they
say. Yes, you lose the warmth of a human voice, but there are
compensations. Messages which are dominating and off-topic can
be skipped, your sober self can seek out other sober selves.
You can contact people off list and pursue their friendships.
In an email list, shy and isolated people can be released of
their social phobia. Mail can be read any time of the day or
night or when feeling a craving. Even those reading messages
without participating can benefit.
Craig says he
is thinking of setting up a pre-quitter’s group.
Dan K. is the
LifeRing Chat Coordinator. His vision is to give people lots of
recovery choices. He’d like to see chats organized by state and
then create local groups which have a face-to-face component.
These, then, become online feeders into face-to-face meetings.
There was a
recent column in Newsweek by Anna Quinlan discussing
online groups. She points out that face-to-face meetings have a
deterrent to bad behavior, the fact that you are facing each
other. It is easy in an online relationship to be mean without
consequences.
Marty
commented that there is a continual tension between face-to-face
and online, but that both groups are good for each other.
Ideally people should participate in both types of meetings.
The two formats cater to “whatever works for you”, and
accommodates different learning styles. In a chat, you get to
know people from around the world and can follow that up with
meeting them in person.
A very good
source book to review is: Online Counseling: A
Handbook for Mental Health Professionals (Practical Resources
for the Mental Health Professional) by
Ron Kraus, Jason Zack and George Stricker. 2006, Elsevier
Publishing.
Note: we hope to publish video
of the Saturday program, or at least highlights, in the near
future. |