A Compassionate Approach to Addiction

Gabor Maté argues for a compassionate approach to addiction in his book, In the Realm of Hungry Ghosts: Close Encounters with Addiction.   He points out that Portugal has successfully decriminalised the personal use of drugs that were previously illicit with the result that they have seen “a reduction in drug habits, less criminality, and more people in treatment”.

However, he maintains that a key success factor in this decriminalised approach is the development of effective rehabilitation processes and comprehensive resources to support them.   Such rehabilitation approaches need to be viewed as ongoing and long-term as well as “patiently pursued and compassionately conducted”.  Gabor claims too that Portugal’s success in decriminalisation of personal drug use is influencing the development  of a more compassionate approach in Norway and Canada.

Gabor contends that addictions. no matter what their form or manifestation, in very many cases have their origins in the pain resulting from adverse childhood experiences.   For example, in his book he explains that the self-harm (lacerations) employed by “Arlene” creates pain that obliterates, however briefly, “the pain of a larger hurt deep in the psyche” – a deep pain resulting from sexual exploitation when she was young.

Parents reaction to addiction suffered by their adult child or children often involves hurt or anger, instead of understanding and compassion.  This censorious stance is underpinned by self-blame and a lack of self-awareness.

Gabor maintains that parents should not be blamed for their children’s addictive behaviour – they have most likely experienced intergenerational trauma and “unwittingly bequeathed” to their children their “own unresolved or unconscious trauma”.  They have tried to cope with their own pain by what Johann Hari describes as “disconnection from childhood trauma” in his book, Lost Connections: Uncovering the Real Causes of Depression.  

Adopting a holistic approach

Gabor also argues that a holistic approach to addiction in all its forms requires teaching people ways of self-care including meditation and other mindfulness practices as well as what he describes as “body-work” which covers practices such as yoga and Tai Chi and other forms of martial arts.  Included in self-care approaches would be training in nutrition and overall stress management approaches such as reconnection to nature.

While Gabor acknowledges the benefits of 12-step approaches like that adopted by Alcoholics Anonymous (AA) and GROW, he asserts that these approaches are not for everyone and other methods may be more appropriate for some people.  He argues for an approach that he calls “compassionate inquiry” which is based on trauma-informed understanding and a depth of inquiry that pursues causal factors rather than just seeks alleviation of symptoms. 

The aim of compassionate inquiry is to help the person suffering addiction to identify the trauma/traumas that they have experienced early in life, to isolate the resultant negative self-messaging and to ultimately confront and name the underlying pain they are seeking to alleviate through their ineffectual addictive behaviour.

Reflection

Underpinning Gabor’s compassionate approach is his unshakeable belief, informed by research and decades of field work, that addiction “arises from thwarted love” and that it is “one of the commonest and most human manifestations of torment”.  He maintains that the addicted person is constantly seeking external solutions for their internal “insatiable yearning for relief and fulfillment” – a state he describes as the Realm of Hungry Ghosts.

As we grow in mindfulness through reflection, meditation and body-work practices such as Tai Chi we can enhance our self-awareness, reduce self-blame and increase our understanding and compassion towards ourselves and others who are addicted.

___________________________________

Image by Gisela Merkuur from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Integrating Gratitude with Loving Kindness Meditation

Diana Winston, Director of Mindfulness Education at the Mindful Awareness Research Center (MARC) UCLA offered a guided meditation podcast integrating gratitude and loving kindness.  Her guided meditation, Extending Loving Kindness & Gratitude Practice, is designed to use the energy and warmth of gratitude practice to extend our loving kindness beyond ourselves to others in our life to whom we are truly grateful. 

Diana’s meditation is one of the weekly meditation podcasts offered by MARC with a view to helping participants grow in self-awareness, develop emotion regulation and attain an overall sense of wellbeing and ease.  The approach of the MARC meditations is to enable us to focus fully on  “present moment experience” while adopting an open and curious perspective and accepting “what is”.

Guided meditation incorporating gratitude and loving kindness

At the outset, Diana encourages us to adopt a comfortable position, whether sitting on a chair, lying down or adopting a cross-legged siting posture.  She makes the valid point that is difficult to extend loving kindness to others when we are not physically comfortable.  She suggests that we begin with a few deep breaths to ease some of the tension in our bodies and to ground us in the moment.  Associated with this is the encouragement to be with what is – to acknowledge and accept our mental state, our feelings of reluctance or enthusiasm for the meditation or our agitation about something external to the present moment.

The anchor for this meditation is initially focusing on something that we are really grateful for – whatever that might be in the physical, intellectual, emotional, relational  or financial realms of our lives.  Because so many of my friends and family lack physical mobility at the moment (owing to illness and/or aging), I focused with gratitude and appreciation on my ability to walk, run on a tennis court, and play tennis well.  I began to appreciate that I had been coached in tennis very well at an early age and that I now had a range of tennis strokes and strategies that I can use to really enjoy my social tennis.  I thought of how much playing tennis had become a positive, grounding part of my life through fixtures, competitions and social tennis groups (both intimate and broad).

The next phase of the meditation focuses on someone in our life we really appreciate – a partner, child, friend, colleague, mentor or anyone else who is a positive influence in our life and a source of joy.  I focused on my life partner of forty years and expressed appreciation for her sustained love, kindness and warmth;  her intellectual and problem-solving capacity; her generosity towards others in need; her courage and resilience in the face of difficult situations; her willingness and ability to listen for understanding; and her desire and ability to be a very strong support for our two adult children. 

Diana encourages us to allow the feelings of gratitude to flow through our body – to capture the embodiment of our appreciation in the moment.  These feelings can then energise our desire to express loving kindness towards our chosen person.  The loving kindness can be expressed in many ways but often includes a desire for the person to be protected and to be safe from harm of all kinds (both internal and external); to realise a state of happiness and contentment; to achieve improved physical and mental health; and to experience a deep and abiding send of ease (a rare occurrence in these challenging times). 

As we extend loving kindness to the person we have been focusing on, we can begin to imagine this loving kindness being reciprocated – we can envisage ourselves as the recipient of loving kindness being extending to us.  We might mentally revisit a recent experience where the person has shown love and warmth towards us (e.g. by placing their arms around us, holding hands or offering a hug of appreciation or empathy).   Again ,we can focus on our embodiment of these reciprocated feelings – how do they make us feel in our body in the present moment?  What is that the other person sees in us and what else should we be grateful for?

Diana asks us to think of another person to whom we are grateful and begin to identify what it is about them that we are grateful for.  It may be that they nurtured us in a time of challenge, came to our rescue when we were in need, or became the person to offer “a shoulder to cry on” when we were suffering and/or experiencing grief.  At this stage of the meditation, I thought of my colleague of 15 years.  I expressed appreciation for her wisdom and calmness; her flexibility and understanding; her courage and willingness to meet challenges head on; her work ethic and persistence; her active commitment to fairness and equity; her genuine care and concern for our clients; and her kindness and generosity to anyone in need (often at great personal expense).

The reflection made me realise how lucky I am to have such a colleague and to know that in any situation we encounter I can rely on her for her considered and apt response.  Diana suggests that after this experience of appreciation and gratitude, we again express loving kindness towards them in our own words as befit the individual involved.

The final stage of this guided meditation is to focus on people who might be suffering – experiencing chronic illness or fatigue, addiction, the COVID19 virus, or the extreme challenges of war/refugee experience. We can extend loving kindness to our chosen group of people – wishing that their suffering be alleviated; that amidst the pain they can have moments of peace; that they are able to meet their challenges with acceptance, resilience and courage; and that they are eventually free from their suffering so that they can experience wellness and ease.

Reflection

There will be times when we cannot feel loving kindness – particularly to those who have hurt us or whose words and actions are continually challenging.  In these situations, instead of indulging in self-denigrating thoughts and feelings, we can extend loving kindness to ourselves

We can also explore an internal form of compassionate curiosity – whereby we envisage what traumas a person with an addiction has experienced in their lives and what might be the messages they are giving themselves about their “worth”.  Gabor Maté explains this approach in his book, In the Realm of Hungry Ghosts: Close Encounters with Addiction.

As we grow in mindfulness, through gratitude and loving kindness mediation, we can begin to appreciate the many people and things we take for granted in our lives, grow in kindness towards others and ourself, and move beyond a self-referential and self-centred world to engage in compassionate action.  Loving kindness meditation helps us to appreciate what is good in others as well as in ourselves.

_________________________________

Image by John Hain from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.