Drug Addiction Treatment in the U.S.

Treatment for drug abuse and addiction is delivered in many different settings, using a variety of behavioral and pharmacological approaches.

Comprehensive information on treatment for drug abuse and addiction, including behavioral and pharmacological approaches.Drug addiction is a complex disorder that can involve virtually every aspect of an individual's functioning in the family, at work, and in the community. Because of addiction's complexity and pervasive consequences, drug addiction treatment typically must involve many components. Some of those components focus directly on the individual's drug use. Others, like employment training, focus on restoring the addicted individual to productive membership in the family and society.

Treatment for drug abuse and addiction is delivered in many different settings, using a variety of behavioral and pharmacological approaches. In the United States, more than 11,000 specialized drug treatment facilities provide rehabilitation, counseling, behavioral therapy, medication, case management, and other types of services to persons with drug use disorders.

Because drug abuse and addiction are major public health problems, a large portion of drug treatment is funded by local, State, and Federal governments. Private and employer-subsidized health plans also may provide coverage for treatment of drug addiction and its medical consequences.

Drug abuse and addiction are treated in specialized treatment facilities and mental health clinics by a variety of providers, including certified drug abuse counselors, physicians, psychologists, nurses, and social workers. Treatment is delivered in outpatient, inpatient, and residential settings. Although specific treatment approaches often are associated with particular treatment settings, a variety of therapeutic interventions or services can be included in any given setting.

Sources:

  • National Institute of Drug Abuse, "Principles of Drug Addiction Treatment: A Research Based Guide."

next: General Categories of Drug Treatment Programs
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APA Reference
Staff, H. (2008, December 16). Drug Addiction Treatment in the U.S., HealthyPlace. Retrieved on 2024, September 21 from https://www.healthyplace.com/addictions/articles/drug-addiction-treatment-in-united-states

Last Updated: April 26, 2019

Did You Know...?

sexual fantasies

India men ranked highest in a global survey which determined whether they knew their wives' sexual fantasies even. The question, "Do you know the sexual fantasies of your spouse" was answered in the affirmative by two-third of Indian men, with responses drawn from 32 countries.

Less than a third of US men said they knew their spouses' sexual fantasies and were ranked third from bottom. Americans were the most likely to say, "I love you," with nearly three quarters of them saying it at least once a day.

The findings come from a poll conducted on the internet based on responses of more than 93,000 people around the world.

 


 


next: Sexual Fantasies of Child Molesters

APA Reference
Staff, H. (2008, December 16). Did You Know...?, HealthyPlace. Retrieved on 2024, September 21 from https://www.healthyplace.com/sex/psychology-of-sex/did-you-know

Last Updated: April 9, 2016

To the Wives

Note: Written in 1939, when there were few women in A.A., this chapter assumes that the alcoholic in the home is likely to be the husband. But many of the suggestions given here may be adapted to help the person who lives with a woman alcoholic whether she is still drinking or is recovering in A.A. A further source of help is noted on page 121 of the Big Book.

With few exceptions, our book thus far has spoken of men. But what we have said applies as much to women. Our activities in behalf of women who drink are on the increase. There is evidence that women regain their health as readily as men if they try our suggestions.

But for every man who drinks others are involved the wife who trembles in fear of the next debauch; the mother and father who see their son wasting away.

Among us are wives, relatives, and friends whose problem has been solved, as well as some who have not yet found a happy solution. We want the wives of Alcoholics Anonymous to address the wives of men of drink too much. What they way will apply to nearly everyone bound by the ties of blood or affection to an alcoholic.

Women who are Alcoholics, For sufferers, survivors of alcoholism, drug abuse, substance abuse, gambling, other addictions. Expert information, addictions support groups, chat, journals, and support lists.As wives of Alcoholics Anonymous, we would like you to feel that we understand as perhaps few can. We want to analyze mistakes we have made. We want to leave you with the feeling that no situation is too difficult and no unhappiness too great to be overcome.

We have traveled a rocky road, there is no mistake about that. We have had long rendezvous with hurt pride, frustration, self pity, misunderstanding and fear. These are not pleasant companions. We have been driven to maudlin sympathy, to bitter resentment. Some of us veered from extreme to extreme, ever hoping that one day our loved ones would be themselves once more.

Our loyalty and the desire that our husbands hold up their heads and be like other men have begotten all sorts of predicaments. We have been unselfish and self-sacrificing. We have told innumerable lies to protect our pride and our husbands' reputations. We have prayed, we have begged, we have been patient. We have struck out viciously. WE have run away. We have been hysterical. We have been terror stricken. We have sought sympathy., We have had retaliatory love affairs with other men.

Our homes have been battlegrounds many an evening. In the morning we have kissed and made up. Our friends have counseled chucking the men and we have done so with finality, only to be back in a little while hoping, always hoping. Our men have sworn great solemn oaths that they were through drinking forever. We have believed them when no one else could or would. Then, in days, weeks, or months a fresh outburst.

We seldom had friends at our homes, never knowing how or when the men of the house would appear. We could make few social engagements. We came to live almost alone. When we were invited out, our husbands sneaked so many drinks that they spoiled the occasion. If, on the other hand, they took nothing, their self pity made them killjoys.

There was never financial security. Positions were always in jeopardy or gone. An armored car could have brought the pay envelopes home. The checking account melted like snow in June.

Sometimes there were other women. How heartbreaking was this discovery; how cruel to be told they understood our men as we did not!

The bill collectors, the sheriffs, the angry taxi drivers, the policemen, the bums, the pals, and even the ladies they sometimes brought home our husbands thought we were so inhospitable. "Joy killer, nag, wet blanket" that's what they said. Next day they would be themselves again and we would forgive them and try to forget.

We have tried to hold the love of our children for their father. We have told small tots that father was sick, which was much nearer the truth than we realized. They struck the children, kicked out door panels, smashed treasured crockery and ripped the keys out of pianos. In the midst of such pandemonium they may have rushed out threatening to live with the other woman forever. In desperation, we have even got tight ourselves the drunk to end all drunks. The unexpected result was that our husbands seemed to like it.

Perhaps at this point we got a divorce and took the children home to father and mother. Then we were severely criticized by our husband's parents for desertion. Usually we did not leave. We stayed on and on. We finally sought employment as destitution faced us and our families.

We began to ask medical advice as the sprees got closer together. The alarming physical and mental symptoms, the deepening pall of remorse, depression and inferiority that settled down on our loved ones these things terrified and distracted us. As animals on a treadmill, we have patiently and wearily climbed, falling back in exhaustion after each futile effort to reach solid ground. Most of us have entered the final stage with its commitment to health resorts, sanitariums, hospitals, and jails. Sometimes there were screaming delirium and insanity. Death was often near.

Under these conditions we naturally made mistakes. Some of them rose out of ignorance or alcoholism. Sometimes we sensed dimly that we were dealing with sick men. Had we fully understood the nature of the alcoholic illness, we might have behaved differently.


How could men who loved their wives and children be so unthinking, so callous, so cruel? There could be no love in such persons, we thought. And just as we were being convinced of their heartlessness, they would surprise us with fresh resolves and new attentions. For a while they would be their old sweet selves, only to dash the new structure of affection to pieces once more. Asked why they commenced to drink again, they would reply with some silly excuse, or none. It was so baffling, so heartbreaking. Could we have been so mistaken in the men we married? When drinking, they were strangers. Sometimes they were so inaccessible that it seemed as though a great wall have been built around them.

And even if they did not love their families, how could they be so blind about themselves? What had become of their judgment, their common sense, their will power? Why could then not see that drink meant ruin to them? Why was it, when these dangers were pointed out they agreed, and then got drunk again immediately?

These are some of the questions which race through the mind of every woman who has an alcoholic husband. We hope this book has answered some of them. Perhaps your husband has been living in that strange world of alcoholism where everything is distorted and exaggerated. You can see that he really does love you with his better self. Of course there is such a thing as incompatibility, but in nearly every instance the alcoholic only seems to be unloving and inconsiderate; it is usually because he is warped and sickened that he says and does these appalling things. Today most of our men are better husbands and fathers than ever before.

Try not to condemn your alcoholic husband no matter what he says or does. He is just another very sick, unreasonable person. Treat him, when you can, as though he has pneumonia. When he angers you, remember that he is very ill.

There is an important exception to the foregoing. We realize that some men are thoroughly bad intentioned, that no amount of patience will every make any difference. An alcoholic of this temperament may be quick to use this chapter as a club over your head. Don't let him get away with it. If you are positive he is one of this type you may feel you had better leave. Is it right to let him ruin your life and the lives of your children? Especially when he has before him a way to stop his drinking and abuse if he really wants to pay the price.

The problem with which you struggle usually falls within one of four categories:

One: Your husband may be only a heavy drinker. His drinking may be constant or it may be heavy only on certain occasions. Perhaps he spends too much money for liquor. It may be slowing him up mentally and physically, but he does not see it. Sometimes he is a source of embarrassment to you and his friends. He is positive he can handle his liquor, that it does him no harm, that his drinking is necessary to his business. He would probably be insulted if he were called an alcoholic. This world is full of people like him. Some will moderate or stop altogether, and some will not. Of those who keep on, a good number will become true alcoholics after a while.

Two: Your husband is showing lack of control, for he is unable to stay on the water wagon even when he wants to. He often gets entirely out of hand when drinking. He admits this is true, but is positive that he will do better. He has begun to try, with or without your cooperation, various means of moderating or staying dry. Maybe he is beginning to lose his friends. His business may suffer somewhat. He is worried at times, and is becoming aware that he cannot drink like other people. He sometimes drinks in the morning and through the day also, to hold his nervousness in check. He is remorseful after serious drinking bouts and tells you he wants to stop. But when he gets over the spree, he begins to think once more how he can drink moderately next time. We think this person is in danger. These are earmarks of a real alcoholic. Perhaps he can still tend to business fairly well. He has by no means ruined everything. As we say among ourselves, "He wants to want to stop."

Three: This husband has gone much further than husband number two. Though once like number two he became worse. His friends have slipped away, his home is a near wreck and he cannot hold a position. Maybe the doctor has been called in, and the weary round of sanitariums and hospitals has begun. He admits he cannot drink like other people, but does not see why. He clings to the notion that he will yet find a way to do so. He may have come to the point where he desperately wants to stop but cannot. His case presents additional questions which we shall try to answer for you. You can be quite hopeful of a situation like this.

Four: You may have a husband of whom you completely despair. He has been placed in one institution after another. He is violent, or appears definitely insane when drunk. Sometimes he drinks on the way home from the hospital. Perhaps he has delirium tremens. Doctors may shake their heads and advise you to have him committed. Maybe you have already been obliged to put him away. This picture may not be as dark as it looks. Many of our husbands were just as far gone. Yet they got well.

Let's now go back to husband number one. Oddly enough, he is often difficult to deal with. He enjoys drinking. It stirs his imagination. His friends feel closer over a highball. Perhaps you enjoy drinking with him too when he doesn't go too far. You have passed happy evenings together chatting and drinking before your fire. Perhaps you both like the parties which would be dull without liquor. We have enjoyed such evenings ourselves; we had a good time. We know all about liquor as a social lubricant. Some, but not all of us, think it has its advantages when reasonably used. The first principle of success is that you should never be angry. Even though your husband becomes unbearable and you have to leave him temporarily, you should, if you can, go without rancor. Patience and good temper are most necessary.


Our next thought is that you should never tell him what he must do about his drinking. If he gets the idea that you are a nag or a killjoy, your chance of accomplishing anything may be zero. He will use that as an excuse to drink more. He will tell you he is misunderstood. This may lead to lonely evenings for you. He may seek someone else to console him not always another man.

Be determined that your husband's drinking is not going to spoil your relations with your children or your friends. They need your companionship and your help. It is possible to have a full and useful life, though your husband continues to drink. We know women who are unafraid, even happy under these conditions. Do not set your heart on reforming your husband. You may be unable to do so, no matter how hard you try.

We know these suggestions are sometimes difficult to follow, but you will save many a heartbreak if you come to appreciate your reasonableness and patience. This may lay the groundwork for a friendly talk about his alcoholic problem. Try to have him bring about his alcoholic problem. Try to have him bring up the subject himself. Be sure you are not critical during such a discussion. Attempt instead, to put yourself in his place. Let him see that you want to be helpful rather than critical.

When a discussion does arise, you might suggest he read this book or at least the chapter on alcoholism. Tell him that you have been worried, though perhaps needlessly. You think he ought to know the subject better, as everyone should have a clear understanding of the risk he takes if he drinks too much. Show him you have confidence in his power to stop or moderate. Say you do not want to be a wet blanket that you only want him to take care of his health. Thus you may succeed in interesting him in alcoholism.

He probably has several alcoholics among his own acquaintances. You might suggest that you both take an interest in them. Drinkers like to help other drinkers. Your husband may be willing to talk to one of them.

If this kind of approach does not catch your husband's interest, it may be best to drop the subject, but after a friendly talk your husband will usually revive the topic himself. This may take patient waiting, but it will be worth it. Meanwhile you might try to help the wife of another serious drinker. If you act upon these principles, your husband my stop or moderate.

Suppose, however, that your husband fits the description of number two. The same principles which apply to husband number one should be practiced. But after his next binge, ask him if he would really like to get over drinking for good. Do not ask him to do it for anyone else. Just would he like to?

The chances are he would. Show him your copy of this book and tell him what you have found out about alcoholism. Show him that as alcoholics, the writers of the book understand. Tell him some of the interesting stories you have read. If you think he will be shy of a spiritual remedy, ask him to look at the chapter on alcoholism. Then perhaps he will be interested enough to continue.

If he is enthusiastic your cooperation will mean a great deal. If he is lukewarm or thinks he is not an alcoholic, we suggest you leave him alone. Avoid urging him to follow our program. The seed has been planted in his mind. He knows that thousands of men, much like himself, have recovered. But don't remind of this after he has been drinking, for he may be angry. Sooner or later, you are likely to find him reading the book once more. Wait until repeated stumbling convinces him he must act, for the more you hurry him the longer his recovery may be delayed.

If you have a number three husband, you may be in luck. Being certain he wants to stop, you can go to him with this volume as joyfully as though you had struck oil. He may not share your enthusiasm, but he is practically sure to read the book and he may go for the program at once. If he does not, you will probably not have long to wait. Again, you should not crowd him. Let him decide for himself. Cheerfully see him through more sprees. Talk about his condition or this book only when he raises the issue. In some cases it may be better to let someone outside the family present the book. They can urge action without arousing hostility. If your husband is otherwise a normal individual, your chances are good at this stage.

You would suppose that men in the fourth classification would be quite hopeless, but that is not so. Many of Alcoholics Anonymous were like that. Everybody had given them up. Defeat seemed certain. Yet often such men had spectacular and powerful recoveries.

There are exceptions. Some men have been so impaired by alcohol that they cannot stop. Sometimes there are cases where alcoholism is complicated by other disorders. A good doctor or psychiatrist can tell you whether these complications are serious. In any event, try and have your husband read this book. His reaction may be one of enthusiasm. If he is already committed to an institution, but can convince you and your doctor that he means business, give him a chance to try our method, unless the doctor thinks his mental condition too abnormal or dangerous. We make this recommendation with some confidence. For years we have been working wit alcoholics committed to institutions. Since this book was published, A.A. has released thousands of alcoholics from asylums and hospitals of every kind. The majority have never returned. The power of God goes deep!


You may have the reverse situation on your hands. Perhaps you have a husband who is at large, but who should be committed. Some men cannot or will not get over alcoholism. When they become too dangerous, we think the kind thing to do is to lock them up, but of course a good doctor should always be consulted. The wives and children of such men suffer horribly, but not more than the men themselves.

But sometimes you must start life anew. We know women who have done it. If such women adopt a spiritual way of life, their road will be smoother.

If your husband is a drinker, you probably worry over what other people are thinking and you hate to meet your friends. You draw more and more into yourself and you think everyone is talking about conditions at your home. You avoid the subject of drinking, even with your own parents. You do not know what to tell the children. When your husband is bad, you become a trembling recluse, wishing the telephone had never been invented.

We find that most of this embarrassment is unnecessary. While you need not discuss your husband at length, you can quietly let your friends know the nature of his illness. But you must be on guard not to embarrass or harm your husband.

When you have carefully explained to such people that he is a sick person, you will have created a new atmosphere. Barriers which have sprung up between you and your friends will disappear with the growth of sympathetic understanding. You will no longer be self-conscious or feel that you must apologize as though your husband were a weak character. He may be anything but that. Your new courage, good nature and lack of self-consciousness will do wonders for you socially.

The same principle applies in dealing with he children. Unless they actually need protection from their father, it is best not to take sides in any argument he has with them while drinking. Use your energies to promote a better understanding all around. Then that terrible tension which grips the home of every problem drinker will be lessened.

Frequently, you have felt obliged to tell your husband's employer and his friends that he was sick, when as a matter of fact he was drunk. Avoid answering these inquiries as much as you can. Whenever possible, let your husband explain. Your desire to protect him should not cause you to lie to people when they have a right to know where he is and what he is doing. Discuss this with him when he is sober and in good spirits. Ask him what you should do if he places you in such a position again. But be careful not to be resentful about the last time he did so.

There is another paralyzing fear. You may be afraid your husband will lose his position; you are thinking of the disgrace and hard times which will befall you and the children. This experience may come to you. Or you may already have had it several times. Should it will happen again, regard it in a different light. Maybe it will prove a blessing! It may convince your husband he wants to stop drinking forever. And now you know that he can if he will. Time after time, this apparent calamity has been a boon to us, for it has opened up a path which led to the discovery of God.

We have elsewhere remarked how much better life is when lived on a spiritual plane. If God can solve the age-old riddle of alcoholism, He can solve your problems too. We wives found that, like everyone else, we were effected with pride, vanity, and all the things which go to make up the self-centered person; and we were not above selfishness or dishonesty. As our husbands began to apply spiritual principles in their lives, we began to see the desirability of doing so too.

At first, some of us did not believe we needed this help. We thought, on the whole, we were pretty good women, capable of being nicer if our husbands stopped drinking. But it was a silly idea that we were too good to need God. Now we try to put spiritual principles to work in every department of our lives. When we do that, we find it solves our problems too; the ensuing lack of fear, worry, and hurt feelings is a wonderful thing. We urge you to try our program, for nothing will be so helpful; to your husband as the radically changed attitude towards him which God will show you how to have. Go along with your husband if you possibly can.

If you and your husband find a solution for the pressing problem of drink you are, of course, going to be very happy. But all problems will not be solved at once. Seed has started to sprout in a new soil, but growth has only begun. In spite of your new found happiness, there will be ups and downs. Many of the old problems will still be with you. This is as it should be.

The faith and sincerity of both you and your husband will be put to the test. These workouts should be regarded as part of your education, for thus you will be learning to live. You will make mistakes, but if you are in earnest they will not drag you down. Instead, you will capitalize them. A better way of life will emerge when they are overcome.

Some of the snags you will encounter are irritation, hurt feelings and resentments., Your husband will sometimes be unreasonable and you will want to criticize. Starting from a speck on the domestic horizon, great thunderclouds of dispute may gather.. These family dissensions are very dangerous, especially to your husband. Often you must carry the burden of avoiding them or keeping them under control. Never forget that resentment is a deadly hazard to an alcoholic. We do not mean that you have to agree with your husband whenever there is an honest difference of opinion. Just be careful not to disagree in a resentful or critical spirit.


You and your husband will find you can dispose of serious problems easier than you can the trivial ones. Next time you and he have a heated discussion, no matter what the subject, it should be the privilege of either to smile and say, "This is getting serious. I'm sorry I got disturbed. Lets talk about it later." If your husband is trying to live on a spiritual basis, he will also be doing everything in his power to avoid disagreement or contention.

Your husband knows he owes you more than sobriety. He wants to make good. Yet you must not expect too much. His ways of thinking and doing are the habits of years. Patience, tolerance, understanding and love are the watchwords. Show him these things in yourself and they will be reflected back to you from him. Live and let live is the rule. If you both show a willingness to remedy your own defects, there will be little need to criticize each other.

We women carry with us a picture of the ideal man, the sort of chap we would like our husbands to be. It is the most natural thing in the world, once his liquor problem is solved, to feel that he will now measure up to that cherished vision. The chances are he will not for, like yourself, he is just beginning his development. Be patient.

Another feeling that we are very likely to entertain is one of resentment that love and loyalty could not cure our husbands of alcoholism. We do not like the thought that the contents of a book or the work of another alcoholic has accomplished in a few weeks that for which we struggled for years. At such moments we forget that alcoholism is an illness over which we could not possibly have had any power. Your husband will be the first to say it was your devotion and care which brought him to the point where he could have a spiritual experience. Without you he would have gone to pieces long ago. When resentful thoughts come, try to pause and count your blessings. After all, your family is reunited, alcohol is no longer a problem and you and your husband are working together toward an undreamed of future.

Still another difficulty is that you may become jealous of the attention he bestows on other people, especially alcoholics. You have been starving for his companionship, yet he spends long hours helping other men and their families. You feel he should now be yours. The fact is that he should work with other people to maintain his own sobriety. Sometimes he will be so interested that he becomes really neglectful. Your house is filled with strangers. You may not like some of them. He gets stirred up about their troubles, but not at all about yours. It will do little good if you point that out and urge more attention on for yourself. WE find it a real mistake to dampen his enthusiasm for alcoholic work. You should join in his efforts as much as you possibly can. We suggest that you direct some of your thoughts to the wives of his new alcoholic friends. They need the counsel and love of a woman who has gone through what you have.

It is probably true that you and your husband have been living too much alone, for drinking many times isolates the wife of an alcoholic. Therefore, you probably need fresh interests and a great cause to live for as much as your husband. If you cooperate, rather than complain, you will find that his excess enthusiasm will tone down. Both of you will awaken to a new sense of responsibility for others. You, as well as your husband, ought to think of what you can put into life instead of what you can take out. Inevitably your lives will be fuller for doing so. You will lose the old life to find one much better.

Perhaps your husband will make a fair start on the new basis, but just as things are going beautifully he dismays you by coming home drunk. If you are satisfied that he really wants to get over drinking, you need not be alarmed. Though it is infinitely better to that he have no relapse at all, as has been true with many of our men, it is by no means a bad thing in some cases. Your husband will see at once that he must redouble his spiritual activities if he expects to survive. You need not remind him of his spiritual deficiency he will know of it. Cheer him up and ask him how you can be more helpful.

The slightest sign of fear or intolerance may lessen your husband's chance of recovery. In a weak moment he may take your dislike of his high stepping friends as one of those insanely trivial excuses to drink.

We never, never try to arrange a man's life so as to shield him from temptation. The slightest disposition on your part to guide his appointments or his affairs so he will not be tempted will be noticed. Make him absolutely free to come and go as he likes. This is important. If he gets drunk, don't blame yourself. God has either removed your husband's liquor problem or He has not. If not, it had better be found out right away. Then you and your husband can get right down to fundamentals. If a repetition is to be prevented, place the problem, along with everything else, in God's hands.

We realize that we have been giving you much direction and advice. We may have seemed to lecture. If that is so, we are sorry, for we ourselves don't always care for people who lecture us. But what we have related is based upon experience, some of it painful. We had to learn these things the hard way. That is why we are anxious that you understand, and that you avoid these unnecessary difficulties.

So to you out there who may soon be with us we say "Good luck and God bless you!"

NOTE TO CHAPTER 8 The fellowship of AlAnon Family Groups was formed about thirteen years after this chapter was written. Though it is entirely separate from Alcoholics Anonymous, it uses the general principles of the A. A. program as a guide for husbands, wives, relatives, friends and others close to alcoholics. The foregoing pages (though addressed only to wives) indicate the problems such people may face. Alateen, for teenaged children of alcoholics is a part of AlAnon.

If there is no AlAnon listing in your local telephone book, you may obtain further information on AlAnon Family Groups by writing to its World Service Office: Box 862, Midtown Station, New York, NY 100180862.

next: The Family Afterward
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APA Reference
Staff, H. (2008, December 16). To the Wives, HealthyPlace. Retrieved on 2024, September 21 from https://www.healthyplace.com/addictions/articles/to-the-wives

Last Updated: April 26, 2019

Thinking About Sexual Fantasies Lessens Pain

sexual fantasies

New York Times Syndicate - December 30, 1999

I know that some of the visitors to HealthyPlace.com suffer from chronic pain. I thought this might be interesting.

Thinking about a favorite sexual fantasy may increase one's pain tolerance, according to new research.

Researchers led by Dr. Peter Staats, director of the division of pain medicine at the Johns Hopkins University School of Medicine in Baltimore, studied the effects of a positive emotional response on pain. Forty college students were asked to put one of their hands in ice water, keeping it there until they could no longer stand the pain.

The students were then randomly assigned to four groups. They were either told to think about a preferred sexual fantasy with their favorite partner, a non-preferred sexual fantasy, or a neutral fantasy, such as people walking. The fourth group was not given any specific instructions. All of the students then placed their hands in ice water for a second time. The researchers measured mood, worry and pain during both immersions.

The scientists found that the students in the preferred-sexual-fantasy group were able to keep their hands in the ice water over twice as long as those in the other groups (three minutes compared to a little over one minute).

"Whether patients think positive thoughts themselves or whether you say positive things to them, it will have an impact on their response to pain," Staats said.

The results of the study were presented at the 18th Annual Scientific Meeting of the American Pain Society (www.ampainsoc.org), held in Fort Lauderdale, Fla., on October 23.


 


Because students in the preferred fantasy group were able to tolerate pain better than the non-preferred fantasy group, the researchers concluded that respecting patients' choice and preference while designing pain intervention programs may reduce pain.

"What this study points out is the power of emotion in treating patients," Staats said. Staats's father, Arthur, emeritus professor of psychology at the University of Hawaii at Manoa and a coauthor of the study, also performed research on the relationship between emotion and behavior in the past.

This new study supports the contention that if someone in pain is exposed to other causes of negative emotion, the pain will feel worse. Conversely, if pain is coupled with things that cause positive feelings, the pain will seem to be decreased.

"Before 1950, physicians used the power of suggestion as a major mode of treatment," Staats said. "Now we're so pressed for time that we don't always have a chance to really converse with patients, to listen to their fears and anxieties. The beside manner what is said to the patient is important."

(The Medical Tribune Web site is at http://medicaltribune.net/) c. 1999 Medical PressCorps News Service

next: Exercises to Rekindle Sexual Desire

APA Reference
Staff, H. (2008, December 16). Thinking About Sexual Fantasies Lessens Pain, HealthyPlace. Retrieved on 2024, September 21 from https://www.healthyplace.com/sex/psychology-of-sex/sexual-fantasy-thoughts-lessen-pain

Last Updated: April 9, 2016

Parent-Child Internet Addiction Test

How do you know if your child may be addicted to the Internet? Many parents at least ask their children how much time they're spending on the Internet. Trouble is, most kids are apt to lie, especially if they're already addicted. If the computer is in their room, you have no way of knowing the truth. The following test may help you determine if you are dealing with Internet addiction in your home. It will be helpful to only consider the time your child uses the Internet for non-academic related purposes when answering.

Please answer the following questions using this scale:

1 = Not Applicable or Rarely.
2 = Occasionally.
3 = Frequently.
4 = Often.
5 = Always.

1. How often does your child disobey time limits you set for on-line use?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

2. How often does your child neglect household chores to spend more time on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

3. How often does your child prefer to spend time on-line rather than with the rest of your family?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

4. How often does your child form new relationships with fellow on-line users?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

5. How often do you complain about the amount of time your child spends on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

6. How often do your child's grades suffer because of the amount of time he or she spends on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

7. How often does your child check his or her e-mail before doing something else?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always




8. How often does your child seem withdrawn from others since discovering the Internet?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

9. How often does your child become defensive or secretive when asked what he or she does on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

10. How often have you caught your child sneaking on-line against your wishes?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

11. How often does your child spend time alone in his or her room playing on the computer?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

12. How often does your child receive strange phone calls from new "on-line" friends?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

13. How often does your child snap, yell, or act annoyed if bothered while on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

14. How often does your child seem more tired and fatigued than he or she did before the Internet came along?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

15. How often does your child seem preoccupied with being back on-line when off-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always




16. How often does your child throw tantrums with your interference about how long he or she spends on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

17. How often has your child choose to spend time on-line rather than doing once enjoyed hobbies and/or outside interests?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

18. How often does your child become angry or belligerent when you place time limits on how much time he or she is allowed to spend on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

19. How often does your child choose to spend more time on-line than going out with friends?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

20. How often does your child feel depressed, moody, or nervous when off-line which seems to goes away once back on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

Your Score:

After you've answered all the questions, add the numbers you selected for each response to obtain a final score. The higher the score, the greater the level of your child's Internet addiction. Here's a general scale to help measure the score:

20 - 49 points: Your child is an average on-line user. He or she may surf the Web a bit too long at times, but seems to have control of their usage.

50 - 79 points: Your child seems to be experiencing occasional to frequent problems because of the Internet. You should consider the full impact of the Internet on your child's life and how this has impacted the rest of your family.

80 - 100 points: Internet usage is causing significant problems in your child's life and most likely your family. You need to address these problems now.

If your child has scored too high for your comfort, please refer to:

Caught in the Net - to learn effective ways that parents can cope with on-line pedophiles, cyberporn, and Internet addiction.

Our Virtual Clinic - for immediate consultation on how to help your situation.



next: Test for Spouses/Partners of Internet Addicts
~ all center for online addiction articles
~ all articles on addictions

APA Reference
Staff, H. (2008, December 16). Parent-Child Internet Addiction Test, HealthyPlace. Retrieved on 2024, September 21 from https://www.healthyplace.com/addictions/center-for-internet-addiction-recovery/parent-child-internet-addiction-test

Last Updated: June 24, 2016

More About Alcoholism

Learning to admit your alcoholism, For sufferers, survivors of alcoholism, drug abuse, substance abuse, gambling, other addictions. Expert information, addictions support groups, chat, journals, and support lists.Most of us have been unwilling to admit we were real alcoholics. No person likes to think he is bodily and mentally different from his fellows. Therefore, it is not surprising that our drinking careers have been characterized by countless vain attempts to prove we could drink like other people. The idea that somehow, someday he would control and enjoy his drinking is the greatest obsession of every abnormal drinker. There persistence of this illusion is astonishing. Many pursue it into the gates of insanity or death.

We learned that we had to fully concede to our innermost selves that were alcoholics. This is the first step in recovery. The delusion that we are like other people, or presently may be, has to be smashed.

We alcoholics are men and women who have lost the ability to control our drinking. We know that no real alcoholic ever recovers control. All of us felt at times that we were regaining control, but such intervals usually brief were inevitably followed by still less control, which led in time to pitiful and incomprehensible demoralization. We are convinced to a man that alcoholics of our type are in the grip of a progressive illness. Over any considerable period we get worse, never better.

We are like men who have lost their legs; they never grow new ones. Neither does there appear to be any kind of treatment which will make alcoholics of our kind like other men. We have tried every imaginable remedy. In some instances there has been brief recovery, followed always by a still worse relapse. Physicians who are familiar with alcoholism agree there is no such thing as making a normal drinker out of an alcoholic. Science may one day accomplish this, but it hasn't done so yet.

Despite all we can say, many who are real alcoholics are not going to believe they are in that class. By every form of self deception and experimentation, they will try to prove themselves exceptions to the rule, therefore nonalcoholic. If anyone who is showing inability to control his drinking can do the right about face and drink like a gentleman, our hats are off to him. Heaven knows we have tried hard enough and long enough to drink like other people!

Here are some of the methods we have tried: Drinking beer only, limiting the number of drinks, never drinking alone, never drinking in the morning, drinking only at home, never having it in the house, never drinking during business hours, drinking only at parties, switching from scotch to brandy, drinking only natural wines, agreeing to resign if ever drunk on the job, taking a trip, not taking a trip, swearing off forever (with and without a solemn oath), taking more physical exercise, reading inspirational books, going to health farms and sanitariums, accepting voluntary commitment to asylums we could increase the list infinitum.

We do not like to pronounce any individual as alcoholic, but you can quickly diagnose yourself. Step over to the nearest barroom and try some controlled drinking. Try to drink and stop abruptly. Try it more than once. It will not take long for you to decide, if you are honest with yourself about it. It may be worth a bad case of jitters if you get full knowledge of your condition.

Though there is no way of proving it, we believe that early in our drinking careers most of us could have stopped drinking. But the difficulty is that few alcoholics have enough desire to stop while there is yet time. We have heard of a few instances where people, who showed definite signs of alcoholism, were able to stop for a long period because of an overpowering desire to do so. Here is one.

A man of thirty was doing a great deal of spree drinking. He was very nervous in the morning after these bouts and he quieted himself with more liquor. He was ambitious to succeed in business, but saw that he would get nowhere if he drank at all. Once he started, he had no control whatever. He made up his mind that until he had been successful in business and had retired, he would not touch another drop. An exceptional man, he remained bone dry for twenty-five years and retired at the age of fifty five, after a successful and happy business career. Then he fell victim to a belief which practically every alcoholic has that his long period of sobriety and self-discipline had qualified him to drink as other men. Out came his carpet slippers and a bottle. In two months he was in a hospital, puzzled and humiliated. He tried to regulate his drinking for a while, making several trips to the hospital meantime. Then, gathering all his forces, he attempted to stop altogether and found he could not. Every means of solving his problem which money could buy was at his disposal. Every attempt failed. Though a robust man at retirement, he went to pieces quickly and was dead within four years.

This case contains a powerful lesson. Most of us have believed that if we remained sober for a long stretch, we could thereafter drink normally. But here is a man who at fifty-five years found he was just where he had left off at thirty. We have seen the truth demonstrated again and again: "Once an alcoholic, always an alcoholic." Commencing to drink after a period sobriety, we are in a short time as bad as ever. If we are planning to stop drinking, there must be no reservation of any kind, nor any lurking notion that someday we will be immune to alcohol.

Young people may be encouraged by this man's experience to think that they can stop, as he did, on their own will power. We doubt if many of them can do it, because none will really want to stop, and hardly one of them, because of the peculiar mental twist already acquired, will find he can win out. Several of our crowd, men of thirty or less, had been drinking only a few years, but they found themselves as helpless as those who had been drinking twenty years.


To be gravely affected, one does not necessarily have to drink for a long time nor take the quantities some of us have. This is particularly true of women. Potential female alcoholics often turn into the real thing and are gone beyond recall in a few years. Certain drinking, who would be greatly insulted if called alcoholics, are astonished at their inability to stop. We who are familiar with the symptoms, see large numbers of potential alcoholics among young people everywhere. But try and get them to see it! (*) (*) True when this book was first published. But a 1983 U. S. / Canada membership survey showed about one fifth of A.A.'s were 30 and under.

As we look back, we feel we had gone on drinking many years beyond the point where we could quit on our own will power. If anyone questions whether he has entered this dangerous area, let him try leaving liquor alone for one year. If he is a real alcoholic and very far advanced, there is scant chance of success. In the early days of our drinking we occasionally remained sober for a year or more, becoming serious drinkers again later. Though you may be able to stop for a considerable period, you may yet be a potential alcoholic. We think few, to whom this book will appeal, can stay dry anything like a year. Some with be drunk the day after making their resolutions; most of them within a few weeks.

For those who are unable to drink moderately the question is how to stop altogether. We are assuming, of course, that the reader desires to stop. Whether such a person can quit upon a non-spiritual basis depends upon the extent to which he has already lost the power to choose whether he will drink or not. Many of us felt that we had plenty of character. There was a tremendous urge to cease forever. Yet we found it impossible. This is the baffling feature of alcoholism as we know it this utter inability to leave it alone, no matter how great the necessity of the wish.

How then shall we hell our readers determine, to their own satisfaction, whether they are one of us? The experiment of quitting for a period of time will be helpful, but we think we can render an even greater service to alcoholic sufferers and perhaps to the medical fraternity. So we shall describe some of the mental states that precede a relapse into drinking, for obviously this is the crux of the problem.

What sort of thinking dominates an alcoholic who repeats time after time the desperate experiment of the first drink? Friends have reasoned with him after a spree which has brought him to the point of divorce or bankruptcy are mystified when he walks directly into a saloon. Why does he? Of what is he thinking?

Our first example is a friend we shall call Jim. This man has a charming wife and family. He inherited a lucrative automobile agency. He had a commendable World War record. He is a good salesman. Everyone likes him. He is an intelligent man, normal so far as we can see, except for a nervous disposition. He did no drinking until he was thirty-five. In a few years he became so violent when intoxicated that he had to be committed. On leaving the asylum, he came into contact with us.

We told him what we knew of alcoholism and the answer we had found. He made a beginning. His family was reassembled, and he began to work as a salesman for the business he had lost through drinking. All went well for a time, but he failed to enlarge his spiritual life. To his consternation, he found himself drunk half a dozen times in rapid succession. On each of these occasions we worked with him, reviewing carefully what had happened. He agreed he was a real alcoholic and in serious condition. He knew he faced another trip to the asylum if he kept on. Moreover, he would lose his family for whom he had a deep affection.

Yet he got drunk again. We asked him to tell us exactly how it happened. This is his story: "I came to work on Tuesday morning. I remember I felt irritated that I had to be a salesman for a concern I once owned. I had a few words with the boss, but nothing serious. Then I decided to drive into the country and see one of my prospects for a car. On the way I felt hungry so I stopped at a roadside place where they have a bar. I had no intention of drinking. I just thought I'd get a sandwich. I also had the notion that I might find a customer for a car at this place, which was familiar for I had been going to it for years. I had eaten there many times during the months I was sober. I sat down at a table and ordered a sandwich and a glad of milk. Still no thought of drinking. I ordered another sandwich and decided to have another glass of milk.

"Suddenly the thought crossed my mind that if I were to put an ounce of whiskey in my milk, it couldn't hurt me on a full stomach. I ordered a whiskey and poured it into the mild. I vaguely sensed I was not being any too smart, but felt reassured as I was taking the whiskey on a full stomach. The experiment went so well, I ordered another whiskey and poured it into more milk. That didn't seem to bother me so I tried another."

Thus started one more journey to the asylum for Jim. Here was the threat of commitment, the loss of family and position, to say nothing of that intense mental and physical suffering which drinking always caused him. He had much knowledge about himself as an alcoholic. Yet all reasons for not drinking were easily pushed aside in favor of the foolish idea that he could take whiskey if only he mixed it with milk!

Whatever the precise definition of the word may be, we call this plain insanity. How can such a lack of proportion, of the ability to think straight, be called anything else?


You may think this an extreme case. To us it is not far fetched, for this kind of thinking has been characteristic of every single one of us. We have sometimes reflected more than Jim did upon the consequences. But there was always the curious mental phenomenon that parallel with our sound reasoning there inevitable ran some insanely trivial excuse for taking the first drink. Our sound reasoning failed to hold us in check. The insane idea won out. Next day we would ask ourselves, in all earnestness and sincerity, how it could have happened.

In some circumstances we have gone out deliberately to get drunk, feeling ourselves justified by the nervousness, anger, worry, depression, jealousy or the like. But even in this type of beginning we are obliged to admit that our justification for a spree was insanely insufficient in the light of what always happened. We now see that when we begin to drink deliberately, instead of casually, there was little serious or effective thought during the period of premeditation of what the terrific consequences might be.

Our behavior is as absurd and incomprehensible with respect to the first drink as that of an individual with a passion, say, for jaywalking. He gets a thrill out of skipping in front of fast-moving vehicles. He enjoys himself for a few years in spite of friendly warnings. Up to this point you could label him as a foolish chap having queer ideas of fun. Luck then deserts him and he is slightly injured several times in succession. You would expect him, if he were normal, to cut it out. Presently he is hit again and this time has a fractured skull. Within a week after leaving the hospital a fast moving trolley car breaks his arm. He tells you he has decided to stop jaywalking for good, but in a few weeks he breaks both legs.

On through the years this conduct continues, accompanied by his continual promises to be careful to keep off the streets altogether. Finally, he can no longer work, his wife gets a divorce and he is help up to ridicule. He tries every known means to get the jaywalking idea out of his head. He shuts himself up in an asylum, hoping to mend his ways. But the day he comes out he races in front of a fire engine which breaks his back. Such a man would be crazy, wouldn't he?

You may think our illustration is too ridiculous. But is it? We, who have been through the wringer, have to admit if we substituted alcoholism for jaywalking, the illustration would fit us exactly. However intelligent we may have been in other respects, where alcohol has been involved, we have been strangely insane. Its strong language but isn't it true?

Some of you are thinking: "Yes, what you tell us is true, but it doesn't fully apply. We admit we have some of these symptoms, but we have not gone to the extremes you fellows did, nor are we likely to, for we understand ourselves so well after what you have told us that such things cannot happen again. We have not lost everything in life through drinking and we certainly do not intend to. Thanks for the information."

That may be true of certain nonalcoholic people who, through drinking foolishly and heavily at the present time, are able to stop or moderate, because their brains and bodies have not been damaged as ours were. But the actual or potential alcoholic, with hardly an expectation, will be absolutely unable to stop drinking on the basis of self-knowledge. This is a point we wish to emphasize and reemphasize, to smash home upon our alcoholic readers as it has been revealed to us out of bitter experience. Let us take another illustration.

Fred is a partner in a well known accounting firm. His income is good, he has a fine home, is happily married and the father of promising children of college age. He has so attractive a personality that he makes friends with everyone, If ever there was a successful businessman, it is Fred. To all appearance he is a stable, well balanced individual. Yet he is an alcoholic. We first saw Fred about a year ago in a hospital where he had gone to recover from a bad case of jitters. It was his first experience of this kind, and he was much ashamed of it. Far from admitting he was an alcoholic, he told himself he came to the hospital to rest his nerves. The doctor intimated strongly that he might be worse than he realized. For a few days he was depressed about his condition. He made up his mind to quit drinking altogether. It never occurred to him that perhaps he could not do so, in spite of his character and standing. Fred would not believe himself an alcoholic, much less accept a spiritual remedy for his problem. We told him what we knew about alcoholism. He was interested and conceded that he had some of the symptoms, but he was a long way from admitting that he could do nothing about it himself. He was positive that this humiliating experience, plus the knowledge he had acquired, would keep him sober the rest of his life. Self knowledge would fix it.

You may think our illustration is too ridiculous. But is it? We, who have been through the wringer, have to admit if we substituted alcoholism for jaywalking, the illustration would fit us exactly. However intelligent we may have been in other respects, where alcohol has been involved, we have been strangely insane. Its strong language but isn't it true?

Some of you are thinking: "Yes, what you tell us is true, but it doesn't fully apply. We admit we have some of these symptoms, but we have not gone to the extremes you fellows did, nor are we likely to, for we understand ourselves so well after what you have told us that such things cannot happen again. We have not lost everything in life through drinking and we certainly do not intend to. Thanks for the information."


That may be true of certain nonalcoholic people who, through drinking foolishly and heavily at the present time, are able to stop or moderate, because their brains and bodies have not been damaged as ours were. But the actual or potential alcoholic, with hardly an expectation, will be absolutely unable to stop drinking on the basis of self-knowledge. This is a point we wish to emphasize and reemphasize, to smash home upon our alcoholic readers as it has been revealed to us out of bitter experience. Let us take another illustration.

Fred is a partner in a well known accounting firm. His income is good, he has a fine home, is happily married and the father of promising children of college age. He has so attractive a personality that he makes friends with everyone, If ever there was a successful businessman, it is Fred. To all appearance he is a stable, well balanced individual. Yet he is an alcoholic. We first saw Fred about a year ago in a hospital where he had gone to recover from a bad case of jitters. It was his first experience of this kind, and he was much ashamed of it. Far from admitting he was an alcoholic, he told himself he came to the hospital to rest his nerves. The doctor intimated strongly that he might be worse than he realized. For a few days he was depressed about his condition. He made up his mind to quit drinking altogether. It never occurred to him that perhaps he could not do so, in spite of his character and standing. Fred would not believe himself an alcoholic, much less accept a spiritual remedy for his problem. We told him what we knew about alcoholism. He was interested and conceded that he had some of the symptoms, but he was a long way from admitting that he could do nothing about it himself. He was positive that this humiliating experience, plus the knowledge he had acquired, would keep him sober the rest of his life. Self knowledge would fix it.

"Two of the members of Alcoholics Anonymous came to see me. They grinned, which I didn't like so much, and then asked me if I thought myself alcoholic and if I were really licked this time. I had to concede both propositions. They piled on me heaps of evidence to the effect that an alcoholic mentality, such as I had exhibited in Washington, was a hopeless condition. They cited cases out of their own experience by the dozen. This process snuffed out the last flicker of conviction that I could do the job myself.

"Then they outlined the spiritual answer and program of action which a hundred of them had followed successfully. Though I had been only a nominal churchman, their proposals were not, intellectually, hard to swallow. But the program of action, though entirely sensible, was pretty drastic. It meant I would have to throw several lifelong conceptions out the window. That was not easy. But the moment I made up my mind to go though with the process, I had the curious feeling that my alcoholic condition was relieved, as in fact it proved to be.

"Quite as important was the discovery that spiritual principles would solve all my problems. I have since been brought into a way of living infinitely more satisfying and, I hope, more useful than the life I lived before. My old manner of life was by no means a bad one, but I would not exchange its best moments for the worst I have now. I would not go back to it even if I could."

Fred's story speaks for itself. We hope it strikes home to thousands like him. He had felt only the first nip of the wringer. Most alcoholics have to be pretty badly mangled before they really commence to solve their problems.

Many doctors and psychiatrists agree with our conclusions. One of these men, staff member of a world renowned hospital, recently made this statement to some of us: "What you say about the general hopelessness of the average alcoholic's plight is, in my opinion, correct. As to two of you men, whose stories I have heard, there is no doubt in my mind that you were 100% hopeless, apart from divine help. Had you offered yourselves as patients at this hospital, I would not have taken you, if I had been able to avoid it. People like you are too heartbreaking. Though not a religious person, I have profound respect for the spiritual approach in such cases as yours. For most cases, there is virtually no other solution."

Once more: The alcoholic at certain times has no effective mental defense against the first drink. Except in a few rare cases, neither he nor any other human being can provide such a defense. His defense much come from a Higher Power.

next: We Agnostics
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APA Reference
Staff, H. (2008, December 16). More About Alcoholism, HealthyPlace. Retrieved on 2024, September 21 from https://www.healthyplace.com/addictions/articles/more-about-alcoholism

Last Updated: April 26, 2019

Internet Addiction Test

How do you know if you're already addicted to the Internet or rapidly tumbling toward trouble? Everyone's situation is different, and it's not simply a matter of time spent online. Some people indicate they are addicted with only twenty hours of Internet use, while others who spent forty hours on-line insist it is not a problem to them. It's more important to measure the damage your Internet use causes in your life. What conflicts have emerged in family, relationships, work, or school?

Let's find out. Parts of the following guide are contained in my book, Caught in the Net. This is a simple exercise to help you in two ways: (1) If you already know or strongly believe you are addicted to the Internet, this guide will assist you in identifying the areas in your life most impacted by your excessive Net use; and (2) If you're not sure whether you're addicted or not, this will help determine the answer and begin to assess the damage done. Remember when answering, only consider the time you spent on-line for non-academic or non-job related purposes.

To assess your level of addiction, answer the following questions using this scale:

1 = Not Applicable or Rarely.
2 = Occasionally.
3 = Frequently.
4 = Often.
5 = Always.

1. How often do you find that you stay on-line longer than you intended?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

2. How often do you neglect household chores to spend more time on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

3. How often do you prefer the excitement of the Internet to intimacy with your partner?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

4. How often do you form new relationships with fellow online users?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

5. How often do others in your life complain to you about the amount of time you spend online?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

6. How often do your grades or school work suffer because of the amount of time you spend on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always




7. How often do you check your e-mail before something else that you need to do?

1 = Rarely
2 = Occasionally
3 =Frequently
4 = Often
5 = Always

8. How often does your job performance or productivity suffer because of the Internet?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

9. How often do you become defensive or secretive when anyone asks you what you do on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

10. How often do you block out disturbing thoughts about your life with soothing thoughts of the Internet?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

11. How often do you find yourself anticipating when you will go on-line again?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

12. How often do you fear that life without the Internet would be boring, empty, and joyless?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

13. How often do you snap, yell, or act annoyed if someone bothers you while you are on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

14. How often do you lose sleep due to late-night log-ins?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

15. How often do you feel preoccupied with the Internet when off-line, or fantasize about being on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always




16. How often do you find yourself saying "just a few more minutes" when on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

17. How often do you try to cut down the amount of time you spend on-line and fail?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

18. How often do you try to hide how long you've been on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

19. How often do you choose to spend more time on-line over going out with others?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

20. How often do you feel depressed, moody, or nervous when you are off-line, which goes away once you are back on-line?

1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always

Your Score:

After you've answered all the questions, add the numbers you selected for each response to obtain a final score. The higher your score, the greater your level of Internet addiction and the problems your Internet usage causes. Here's a general scale to help measure your score:

20 - 49 points: You are an average on-line user. You may surf the Web a bit too long at times, but you have control over your usage.

50 -79 points: You are experiencing occasional or frequent problems because of the Internet. You should consider their full impact on your life.

80 - 100 points: Your Internet usage is causing significant problems in your life. You should evaluate the impact of the Internet on your life and address the problems directly caused by your Internet usage. (more about internet addiction and treatment of internet addiction)

After you have identified the category that fits your total score, look back at those questions for which your scored a 4 or 5. Did you realize this was a significant problem for you? For example, if you answered 4 (often) to Question #2 regarding your neglect of household chores, were you aware of just how often your dirty laundry piles up or how empty the refrigerator gets?

Say you answered 5 (always) to Question #14 about lost sleep due to late-night log-ins. Have you ever stopped to think about how hard it has become to drag yourself out of bed every morning? Do you feel exhausted at work? Has this pattern begun to take its toll on your body and your overall health?

Caught in the Net, the first and only recovery book on Internet addiction to help rebuild your relationshipHas your relationship been hurt because of Internet addiction or a cyberaffair? Then read our exclusive new booklet, Infidelity Online: An Effective Guide to Rebuild your Relationship after a Cyberaffair.

Caught in the Net to find the help you need. This book outlines the trauma of being a cyberwidow and shows you proven strategies on how to communicate with your partner to save your relationship.

Visit our Virtual Clinic which provides direct and affordable on-line counseling. For less than the cost of one therapy session, you can receive compassionate, knowledgeable, and high quality service to treat Internet addiction. Click here to order the book, Caught in the Net



next: Are You an Obsessive Online Trader?
~ all center for online addiction articles
~ all articles on addictions

APA Reference
Staff, H. (2008, December 16). Internet Addiction Test, HealthyPlace. Retrieved on 2024, September 21 from https://www.healthyplace.com/other-info/psychological-tests/internet-addiction-test

Last Updated: February 8, 2017

Narcissists Enjoy Other People's Pain

Most narcissists enjoy an irrational and brief burst of relief after having suffered emotionally ("narcissistic injury") or after having sustained a loss. It is a sense of freedom, which comes with being unshackled. Having lost everything, the narcissist often feels that he has found himself, that he has been re-born, that he has been charged with natal energy, able to take on new challenges and to explore new territories. This elation is so addictive, that the narcissist often seeks pain, humiliation, punishment, scorn, and contempt - as long as they are public and involve the attention of peers and superiors. Being punished accords with the tormenting inner voices of the narcissist which keep telling him that he is bad, corrupt, and worthy of penalty.

This is the masochistic streak in the narcissist. But the narcissist is also a sadist - albeit an unusual one.

The narcissist inflicts pain and abuse on others. He devalues sources of supply, callously and off-handedly abandons them, and discards people, places, partnerships, and friendships unhesitatingly. Some narcissists - though by no means the majority - actually ENJOY abusing, taunting, tormenting, and freakishly controlling others ("gaslighting"). But most of them do these things absentmindedly, automatically, and, often, even without good reason.

What is unusual about the narcissist's sadistic behaviours - premeditated acts of tormenting others while enjoying their anguished reactions - is that they are goal orientated. "Pure" sadists have no goal in mind except the pursuit of pleasure - pain as an art form (remember the Marquis de Sade?). The narcissist, on the other hand, haunts and hunts his victims for a reason - he wants them to reflect his inner state. It is all part of a mechanism called "Projective Identification".

When the narcissist is angry, unhappy, disappointed, injured, or hurt - he feels unable to express his emotions sincerely and openly since to do so would be to admit his frailty, his neediness, and his weaknesses. He deplores his own humanity - his emotions, his vulnerability, his susceptibility, his gullibility, his inadequacies, and his failures. So, he makes use of other people to express his pain and his frustration, his pent up anger and his aggression. He achieves this by mentally torturing other people to the point of madness, by driving them to violence, by reducing them to scar tissue in search of outlet, closure, and, sometimes, revenge. He forces people to lose their own character traits - and adopt his own instead. In reaction to his constant and well-targeted abuse, they become abusive, vengeful, ruthless, lacking empathy, obsessed, and aggressive. They mirror him faithfully and thus relieve him of the need to express himself directly.

 

Having constructed this writhing hall of human mirrors, the narcissist withdraws. The goal achieved, he lets go. As opposed to the sadist, he is no in it, indefinitely, for the pleasure of it. He abuses and traumatizes, humiliates and abandons, discards and ignores, insults and provokes - only for the purpose of purging his inner demons. By possessing others, he purifies himself, cathartically, and exorcises his demented self.

This accomplished, he acts almost with remorse. An episode of extreme abuse is followed by an act of great care and by mellifluous apologies. The narcissistic pendulum swings between the extremes of torturing others and empathically soothing the resulting pain. This incongruous behaviour, these "sudden" shifts between sadism and altruism, abuse and "love", ignoring and caring, abandoning and clinging, viciousness and remorse, the harsh and the tender - are, perhaps, the most difficult to comprehend and to accept. These swings produce in people around the narcissist emotional insecurity, an eroded sense of self worth, fear, stress, and anxiety ("walking on eggshells"). Gradually, emotional paralysis ensues and they come to occupy the same emotional wasteland inhabited by the narcissist, his prisoners and hostages in more ways than one - and even when he is long out of their life

 


 

next: The Weapon of Language

APA Reference
Vaknin, S. (2008, December 16). Narcissists Enjoy Other People's Pain, HealthyPlace. Retrieved on 2024, September 21 from https://www.healthyplace.com/personality-disorders/malignant-self-love/narcissists-enjoy-other-peoples-pain

Last Updated: July 2, 2018

Being There

I am often shocked when presented with incontrovertible evidence to an event in my past, something I said, or did, a person I knew, a sentence I have written. I do not remember having done, said, or written what is attributed to me. I do not recall having met the person, having felt anything, having been there. It is not that it looks alien to me, as though it happened to someone else. I simply have no recollection whatsoever, I draw a blank. Hence my enormous and recurrent and terrifyingly helpless state of surprise. These cognitive distortions, these lapses of memory are as close as I ever get to losing control.

My terror is mixed with voyeuristic fascination. Through the writings, through the reconstructed utterances, through a careful study of what that other, previous, "Sam" has done, or said, or written - I come to learn myself. I meet myself on numerous occasions, reflections in the shattered mirrors of my dysfunctional, selective memory. These frequent occurrences of dissociative amnesia - when I repress the painful, the irrelevant, the useless - are the fabric of the punctuated being that is I.

But what are the rules determining this ruthless and automatic censorship? What governs the selection process? What events, people, writings, thoughts, emotions, hopes are cast into my oblivion - and why do others etch themselves indelibly? Is the repository of my discarded reality - my True Self, that dilapidated, immature, scared and atrophied little child inside me? Am I afraid to get in touch with memory itself, spun from the yarn of pains and disappointments? In short: is this an emotional involvement prevention mechanism?

It's not. On introspection, I simply erase and atomize that which is no longer of use in the pursuit of narcissistic supply. I read books, magazines, web pages, research papers, official memoranda, and daily papers. I then retain in accessible long term memory only the facts, the views, the news, the theories, the words that can help me elicit narcissistic supply. Like the proverbial squirrel, I amass intellectual assets that yield the maximum astonishment, adulation, and attention in my listeners. All the rest I discard contemptuously, though, by now, after decades of self-training, unconsciously. I, therefore, rarely remember anything I read just minutes after having read it. I cannot recall movie plots, story lines of novels, a reasoned argument in an article, the history of any nation, or things I myself have authored. No matter how many times I re-read my own essays, I find them absolutely new, none of the sentences recognizable. I then proceed to forget them instantly.

Similarly, I alter my biography at will, to suit the potential sources of narcissistic supply who happen to be listening. I Say things not because I believe in them, nor because I know them to be true (in truth, I know very little and ignorant of much). I say things because I am desperately trying to impress, provoke responses, bask in the glow of affirmation, extract applause. Naturally, I very soon forget what I said. Not the result of a coherent structure of deeply assimilated and integrated knowledge, or of a set of convictions - my utterances, judgements, opinions, beliefs, wishes, plans, analyses, comments, and narratives are ephemeral improvizations. Here today, gone tomorrow, unbeknownst to me.

Before I meet someone, I learn everything I can about him. I then proceed to acquire superficial knowledge that is certain to create the impression of genius bordering on omniscience. If I am to meet a politician from Turkey, whose hobby is farming, and is the author of books about ancient pottery - I will while away days and nights studying Turkish history, ancient pottery, and farming. Not an hour after the meeting - having inspired awesome admiration in my new acquaintance - all the facts I so meticulously memorized evaporate, never to return. The original views I expressed so confidently vanish from my mind. I am preoccupied with my next prey and with his predilections and interests.

My life is not a thread, it is a patchwork of chance encounters, haphazard exams, and the drug of narcissistic supply consumed. I feel like a series of still frames, somehow improperly animated. I know the audience is there. I crave their adulation. I try to reach out, to break the mould of the album of photographs that I became - to no avail. I am trapped in there forever. And if none of you chooses to inspect my image at a given moment, I fade, in sepia colours. Until I am no longer.


 

next: Narcissists Enjoy Other People's Pain

APA Reference
Vaknin, S. (2008, December 16). Being There, HealthyPlace. Retrieved on 2024, September 21 from https://www.healthyplace.com/personality-disorders/malignant-self-love/being-there

Last Updated: July 2, 2018

Physique Dysmorphique - Distorted Physical Self-Image

For most of my childhood and adolescence I believed that I had an enormous, elephantine skull. I didn't. Actually, I am told that my head is unusually small in comparison to my body. This is especially true after I put on another 20 kilos in weight.

So, why was I wrong about the size of my head for such a long and critical period of my life?

I am a cerebral narcissist. I derive my narcissistic supply from people's reactions to my intellectual achievements - real or fictitious. No wonder that I exaggerated the dimensions of the site and exclusive source of my life sustaining gratification. Children draw adults as giants. Budding cerebral narcissists misconstrue the size of their skulls.

Possessing a distorted physical self-image is called a body dysmorphic disorder. All narcissists have it to some degree. Somatic narcissists are especially prone to misjudge their bodies - either positively or negatively. They believe themselves to be physically irresistible, exuding sex and energy, statuesquely shaped, and, in general, stunning hunks. This grandiose self-image rarely corresponds with reality, though.

Aware of this, the somatic narcissist dedicates inordinate amounts of time and effort to body building, exercising, mastering sexual advances and foreplay and the intricacies of the coital act itself. To enhance his belief system, the somatic narcissist co-opts others by forcing them to compliment his build, shape, constitution, health, sexual prowess, physical regime and attractiveness. The somatic narcissist is a compulsive consumer of "body complements or extensions" - objects that he thinks increase his attraction, irresistibility, appeal, and the value of his propositions. Fancy cars, flashy clothing, sumptuous residences, first class flights, luxury hotels, platinum credit cards, lavish parties, name-dropping, celebrity "friends", hi-tech gadgetry - all serve to enhance the narcissist's self-image and to bolster his grandiose fantasies.

Thus, this positive dysmorphic disorder serves to elicit narcissistic supply and buttress a distorted, unreal, self-image. But it is also a control mechanism. It allows the narcissist's False Self to manipulate both the narcissist and his human environment. It is as though by morphing his body - the narcissist moulds and designs his world, his nearest and dearest, his self in flux, his projected image and the reactions to it. By lying about his body, his health, his sex appeal, his longevity, his possessions (=his bodily extensions), his sexual prowess, his attractiveness, his irresistibility, his friends and lovers, adventures and affairs - the narcissist transforms the REAL world. To him, the REAL world - is how people PERCEIVE him to be. By changing their perceptions, by indoctrinating and "brainwashing" them - the narcissist secures a pathological narcissistic space in which his Self False can thrive, fully nourished.

This phenomenon is not limited to the somatic narcissist. The cerebral narcissist also deforms the true image of his body in his mind. He may exaggerate the dimensions of his head, the height of his forehead, or the length of his (sensitive) fingers. He may attribute to himself ailments and syndromes typical of high powered intellectuals - consumption (tuberculosis), tendonitis, headaches. The cerebral narcissist almost always lies about his IQ, his mental capacities, his skills. He tends to completely ignore and belittle the rest of his body. To him, it is a burdensome and unnecessary appendage. He may complain of the need to "maintain" the flesh and of the derided dependence of his magnificent brain on his abject and decaying body. "I would have willingly placed my brain in a laboratory jar, to be artificially nourished there, and given up my body" - they may say. They rarely exercise and regard with disdain the activities, proclivities, and predilections of the somatic narcissist. Physical pursuits - sex included - are perceived by them to be bestial, demeaning, common, wasteful, and meaningless. This is also a result of body dysmorphic disorder. The cerebral narcissist underestimates the needs of his own body, misreads its signals, and ignores its processes. The body, to him, becomes abstract, a background noise, or nuisance.

Cerebral narcissists sometimes go through somatic phases and somatic narcissists - if capable - adopt cerebral behaviour patterns. Their attitudes change accordingly. The temporarily somatic narcissist suddenly begins to exercise, groom himself, seduce, and have creative and imaginative sex. The somatic made cerebral tries to read more, becomes contemplative and a-social, and consumes culture. But these are passing phases and the narcissist always reverts to true - or should I say, false - form.


 

next: Being There

APA Reference
Vaknin, S. (2008, December 16). Physique Dysmorphique - Distorted Physical Self-Image, HealthyPlace. Retrieved on 2024, September 21 from https://www.healthyplace.com/personality-disorders/malignant-self-love/physique-dysmorphique-distorted-physical-self-image

Last Updated: July 2, 2018