Arnold M. Washton - Step Zer0: Getting to Recovery
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Arnold M. Washton, Ph.D., a licensed psychologist, is founding director of The Washton Institute, an outpatient alcoholism and substance abuse treatment center in New York City. An internationally recognized clinician, researcher, and public speaker, he has appeared frequently in the national media and is the author of numerous books and articles on the treatment of addiction, including: The Cocaine Recovery Workbooks (Hazelden Educational Materials, 1990); Cocaine Addiction: Treatment, Recovery, and Relapse Prevention (Norton, 1989); and with Donna Boundy, Willpower's Not Enough: Understanding and Recovering from Addictions of Every Kind (HarperCollins, 1990).
Nannette Stone-Washton, M.S., assistant director of The Washton Institute, is a nationally known specialist in treating women and couples affected by chemical dependency. She has produced a variety of educational materials about recovery and is coauthor of Cocaine: Seduction and Solution (Clarkson N. Potter, 1984).
Page iii
Step Zero
Getting to Recovery
Arnold M. Washton, Ph.D. Nannette Stone-Washton, M.S.
Page iv
First published October 1991.
Copyright 1991, Hazelden Foundation. All rights reserved. No portion of this publication may be reproduced in any manner without the written permission of the publisher.
ISBN: 0-89486-785-7
Library of Congress Catalog Card Number: 91-72176
Printed in the United States of America.
Page v
To our daughters, Tala and Danae, and their grandparents, Edward and Nadine Smart, who help us keep things in perspective.
Page vii
Contents
Acknowledgments
ix
Note to Readers
x
Chapter One A New Look at Where You Are Now
1
Chapter Two The Fragile Moment
9
Chapter Three Creating Clarity
27
Chapter Four Why You're Still Telling Yourself You Can't Change
47
Chapter Five Building a New Vision
67
Chapter Six Taking Action
85
Chapter Seven Dealing with Disappointment
111
Chapter Eight Ten Questions and Answers About Recovery
131
Index
145
Page ix
Acknowledgments
We offer heartfelt thanks to the people who helped us with this book. Sid Farrar and Bill Chickering of Hazelden Educational Materials supported this project from its inception. Guy Kettelhack, an extraordinarily gifted writer, editor, and thinker sculpted into words our ideas about Step Zero and added more than a few good ideas of his own. We could not have done this project without him. Our patients supplied the raw material for this book and we thank them for the opportunity to be part of their lives. Our sincere thanks to members of our clinical staff, especially Andrew Tatarsky, Ph.D.; Edward J. Poska, CAC; Robin Lightman, CSW, CAC; and Margo Harrison, CSW, who have helped us put the concept of Step Zero into clinical practice.
Page x
Note to Readers
While all of the stories in Step Zero are based on the real experience of recovering people, identifying details have been completely altered to preserve anonymity.
We would also like to suggest that any important decisions about your health or what to do about recovery be made in concert with a therapist or treatment professional. This book is not offered as a substitute for treatment or professional advice.
Page 1
Chapter One A New Look at Where You Are Now
You've just opened a bookyet another book about addiction, you may be saying to yourself. If you're like many of the thousands of people we've worked with as therapists dealing with substance abuse and compulsive behavior, you have a number of expectations. They're going to show me how to tell if I'm an addict, you may think. Then they're going to warn me that if I don't surrender to my addiction and give it up right now, all at once, I'm sunk. As for the suggestions you may expect to find in these pages, you may be thinking,
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