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Chaplain Michael Pollitt on spiritual withdrawal in chemical dependency
Intoxication is a Form of Spirituality
Withdrawal is defined as a “positive
craving.” In this instance the word
positive is understood not as good
but rather as seeking after. It is
my belief, based on my experience in
the chemical dependency field, that
one of the major causes of relapse
is something I call a “spiritual withdrawal.”
What follows is a brief examination
of the work of five of the leading
figures in the area of addiction and
spirituality. The underlying premise
of all is that intoxicants answer spiritual
needs. For the addict and alcoholic,
intoxication is a form of spirituality,
misguided and destructive, but spirituality
just the same.
William James, MD (The Varieties
of the Religious Experience, 1902), found
striking similarities between intoxication
and the mystical state. He called this
“pathological mysticism” and “the anesthetic
revelation.” James believed that there
were two basic functions in man and
woman. He called these the “yes” function
and “no” function. There is a proper
balance between the two. When the “no”
function dominates, the individual
is looking for something to bring back
a spiritual parity. What he or she
discovers is that intoxicants become
“the great exciter of the yes function
in man.” An historical note: It was
James’ book that Ebby Thacher gave
to Bill Wilson (the founder of Alcoholics
Anonymous) in November 1934 at Towns
Hospital, New York City.
Howard Clinebell, Ph.D. (Understanding
and Counseling Persons with Alcohol
and Drug and Behavioral Addictions,
1984), maintains that “we will never
understand intoxication as a problem
until we see it as a solution.” He
also observes that the existential
and spirituality anxiety of the addict
and alcoholic is “quieted” by the “pseudo-religious
sense of oneness with themselves, others,
and the divine spirit.” The addict
and alcoholic attempt to satisfy spiritual
needs with chemical means.
Gerald May, MD (Addiction and
Grace,
1988), a layman, reminded clergy of
the major spiritual element in addiction
and calls upon them to utilize this
fact in their ministry to the addicted.
According to May, addicts and alcoholics
attach themselves to things that appear
to fill their spiritual void. Because
intoxicants produce a good feeling
they become substitutes for the spiritual.
Stephen Anthrop (Alcohol and Substance
Abuse: A Handbook for Clergy and Congregations,
1990), believes that we seek out things
with apparent spiritual potential.
When the spiritual potential is not
activated, the person sees little reason
to exist. Intoxicants become resources
with apparent spiritual value until
eventually they become value itself.
Thomas Baker, D.Min. (Understanding
the Spiritual Nature of Addiction,
1995), argues that both spirituality
and intoxication involve a search for
meaning, value, and purpose in life.
All persons desire these, but addicts
and alcoholics are uniquely afflicted
with a spiritual hunger, and traditional
forms of spirituality do not satisfy
them. He also observes that addicts
and alcoholics suffer greatly from
estrangement and intoxicants seem to
provide a sense of connectedness.
We treat physical and psychological
withdrawal but to a great extent we
have neglected the spiritual withdrawal.
The Spiritual Assessment at the Coatesville
VA Hospital seeks to find out which
spiritual and existential needs are
being met by the patient’s drug of
choice, and without that drug, i.e.
sobriety, which spiritual and existential
needs are not being met. This approach
speaks to the importance of the spiritual
and existential side of addiction,
and the belief that intoxicants are
used, in counterfeit fashion, to answer
those needs. The major problem which
addicts and alcoholics face in recovery
is not addiction but rather relapse.
It is my contention that relapse, the
return to one’s drug of choice after
a period of sobriety, is primarily
a spiritual and existential problem.
In sobriety the spiritual and existential
vacuum that the intoxicant filled is
present again. Nature hates a vacuum
and will eventually fill it. The addict
and alcoholic cannot be spiritually
and existentially passive in their
recovery.
Chaplain
Michael Pollitt, D.Min., BCC, CAC, is
chief chaplain at the Coatesville (PA)
Veterans Affairs Medical Center. He is
author of “The Spiritual and Existential
Nature of Relapse in Chemically Dependent
Patients” published in Chaplaincy
Today,
Vol. 19, No. 1, Spring/Summer 2003. He
is a certified addictions counselor and
an Episcopal priest. Correspondence may
be directed to Michael.Pollitt2@med.va.gov.
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