Beyond Addiction: How Science and Kindness Help People Change

In 2019, I was invited to do some teaching on addiction in the United Kingdom. To be most helpful in addressing this topic in that context, I knew I needed to be more aware of the differences between the US and UK when it comes to counselling (notice I spelled it correctly!).

In the US, our understanding of therapy has been shaped largely by Sigmund Freud. That is why those of us in the US tend to focus on “talk therapy.” The UK was shaped by empirical science and medicine. As a result, there is some skepticism for “talk therapy” or counselling in the UK. Instead, they send people to a “clinician.” Often, that means a doctor who can prescribe medication. While that may be an oversimplification and while that is changing, it does represent a significant difference. Because of this, I thought it wise for me to strengthen my understanding of the physiological nature of addiction.

I started doing some research on the topic of addiction with an emphasis on the brain and body. What is the nature of addiction from a physiological point of view? That is where the following book, Beyond Addiction: How Science and Kindness Help People Change, was so helpful.

If you have little or no training in human physiology you will be greatly helped and encouraged with what you find in the first section of the book. If you are a pastor, youth group leader or family member of someone who struggles with addiction, you would benefit greatly from this book. There are 4 major sections in the book that are directed to the loved one who is living with someone who struggles with addiction.

I. What To Know
II. How To Cope
III. How To Help
IV. Live Your Life

Here are some helpful portions taken from Part I: What To Know

I. What to Know: This section of the book provides one of the most helpful and accessible understanding of the nature of addiction and how it impacts the brain. This section is tremendously helpful because it explains the grip a substance or behavior can have on a person when the Nucleus accumbens (the reward center of the brain) gets high-jacked by an over influx of dopamine. Here is how the book describes what is happening in the addiction cycle:

1. What Is Addiction

Dopamine balance in the brain is not the only thing that gets disrupted by repeated use of a substance. It also affects key structures in the brain, such as the prefrontal cortex and limbic system. The prefrontal cortex is where we assess risks, weigh consequences, and make plans--in other words, make considered decisions. It manages input from the other parts of the brain like the limbic system and bodily regions and has been dubbed the braking system of the brain because it makes possible the judgments and decisions that go along with saying no to an impulse. When flooded with a substance, this part of the brain basically shuts down. (Teenagers have a distinct disadvantage here, as their young cerebral cortexes aren't even fully developed.)

The limbic system, in contrast, is where our sense of drive and urgency come from, generated through emotion, motivation, and in some ways the formation of memories. In the context of substance use or compulsive behaviors, this part of the brain gets excited into overdrive. So a brain that finds its limbic system acutely activated and anticipating the reward of using, and its judgment and decision-making pre-frontal cortex more or less disabled, is a brain that’s likely to go forward with the impulse and desire to use—no stop and all go. A brain in this state will register the smell of marijuana being smoked, the desire to smoke it, and anticipate the feeling that comes along with smoking, while the reasons not to smoke disappear.

The Notion of Permanent Brain Damage

We now know that our brains are constantly evolving, even as adults. According to the old model of brain function, there were our formative years in early childhood and adolescence, after which, sometime in our twenties, we coasted and declined. Now we know that our brains continue to hone old pathways and activity and forge new ones long into adulthood. This is good news for everybody—old dogs not only can learn new tricks, they should, if they want to optimize their brain functioning—and it is especially good news for people affected by substance problems.

The Brain and a Broken Leg

Think of the brain like a broken leg. A bone breaks, and with help—a cast and crutches to prevent reinjury while the person returns to a normal routine, physical therapy to regain strength and flexibility, and family and friends to help and to keep up morale—the bone heals and the person can work, play, run, and jump again. The leg may be more vulnerable to breaking after all that, and the person will need to take care to protect it, but the person can adapt and, for the most part, the body heals. The brain is no exception. (p 31-32)

As you can see, the book is always hopeful, even in the face of an often brutal struggle. The rest of Section 1 focuses on 2. Motivation: Why Do People Change, and 3. Change: How Do People Change.

While addiction is a whole person struggle, knowing more about the brain/body component can be immensely helpful as you seek to help others. If you are a loved one who wants guidance with how to help someone who is struggling with addiction, or if you work with youth or are a pastor, I highly recommend this book.

What Is Emotional Intelligence?

image by travis bradberry

Anyone can become angry—that is easy. But to be angry with the right person, to the right degree, at the right time, for the right purpose, and in the right way—that is not easy.
        Aristotle, The Nichomachean Ethics

In our first two blogs, we defined emotions and we looked at a basic understanding of how the brain works. Now we want to define Emotional Intelligence (EQ) and why it is so important. As you can see by the illustration on the left, EQ is different than IQ and Personality. There is overlap, but they are also distinct.

So where did the idea of EQ come from? To answer that question, you have to go back to 1995 and read a book by Daniel Goleman called, Emotional Intelligence: Why it  Can Matter More Than IQ. There is a 10th anniversary version that was published in 2005. In the introduction, Dan Goleman says this:

In 1990, in my role as a science reporter at The New York Times, I chanced upon an article in a small academic journal by two psychologists, John Mayer, now at the University of New Hampshire, and Yale's Peter Salovey. Mayer and Salovey offered the first formulation of a concept they called "emotional intelligence."...I was electrified by the notion, which I made the title of this book in 1995. Like Mayer and Salovey, I used the phrase to synthesize a broad range of scientific findings, drawing together what had been separate strands of research--reviewing not only their theory but a wide variety of other exciting scientific developments, such as the first fruits of the nascent field of affective neuroscience, which explores how emotions are regulated in the brain.

Dan Goleman goes on to say how, in 1995, he wanted the concept of EQ to become a common idea in the culture. The proof is that he was wildly successful. The term is ubiquitous. But what does it mean?

Image by travis bradberry

In the previous post, we talked about how the "rational brain" and "emotional brain" must work together. For that to happen, we have to find ways to slow down to avoid the emotional brain from hijacking the rational brain. That is a skill that can be developed. To the right is a chart that describes the skills that are necessary for one to grow in EQ.

As you can see, these skills involve being self-aware of one's perceptions of one's self as well as others. The particular skill that is needed is focusing on emotions and managing them well. This is what the Bible calls wisdom. If you take a moment to scan through the book of Proverbs, it is littered with sayings that are in the same direction of EQ. Here is just one:

In Proverbs 26:4-5, the writer says this, "Do not answer a fool according to his folly, or you yourself will be just like him. Answer a fool according to his folly, or he will be wise in his own eyes." As you can see, the decision about which action you chose requires a high degree of self-awareness and other awareness. This requires incredible discipline and self-control. It also requires a high degree of awareness of one's own emotions and the emotions of the other person. These skills or character traits come more naturally to some than others. The research is emphatic that everyone can grow in EQ, though.

While the language of EQ and the research is new, the concept is not. The Scriptures regularly call the believer to greater self-awareness. We are called to live a life of humility where we don't think too highly of ourselves but only in the measure of gifts that we have been given (Romans 12:3). This admonition is given within the context of understanding our place within the larger body of Christ. This requires other-awareness.

What is reassuring in the pages of Scripture is the message that we have someone greater outside of us who can form these character qualities and skills within us by his grace and kindness. In fact, it is an experience of that very kindness and grace that enables us to move in the direction of humility while being a conduit of the kindness and grace we have been given.

In our next blog, we will be looking at the specific skills and character qualities EQ is seeking to foster in each of us.

Copyright © 2018 Timothy S. Lane