The Pan Recovery Movement is fueled by choice and EDT a self-directed Cognitive Behavioral Therapy developed by Lucious Conway and codified in two "ritual" books is presented in these slides. The Seven Dimensions of Wellness and 5 Stages of Change form the framework in which this modality rests.
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Self directed, wellness-driven emotion disposition therapy (edt) final
1. Emotion Disposition
Therapy
Lucious Conway,CRPA
Recovery Coaching Service of New York, LLC,
CEO/Developer of EDT
www.myrecoverycoach.biz
2. Self-Directed, Wellness-Driven Emotion
Disposition Therapy (EDT) in Individuals
with Substance Use Disorder (SUD)
Transplanting the heart of 12-Step or
Mutual Aid Self-Help into Individual
CBT-based, Self-Directed Emotion
Disposition Therapy (EDT) results in
equal and/or greater measures of long-term
recovery outcomes
3. EDT
SUD is a “feelings” (feel good, feel better, feel
nothing) disease with neurological and
behavioral affects
Self-Help Mutual Aid Groups and Cognitive
Behavioral Therapy are effective in fostering
behavioral improvements (and neurological
recovery) in SUD participant populations
Self-directed, wellness-driven EDT is a viable
option for persons with SUD who do not have
access or do not fit into the current
predominantly abstinence-based mutual aid
groups to share in behavioral improvements
(and neurological recovery)
4. Substance use disorder: the feelings
disease
SUD is a “feelings/emotional” (feel good, feel better, feel nothing)
disease with neurological and behavioral affects
Jung distinguishes between
emotion, as an involuntary,
temporary, and chiefly
unconscious behavior, and
“feeling" which he
understands to be one of the
two rational ordering
functions, the other one
being “thinking". The feeling
function is a value-based way
of judging the perceptions
brought to us either through
sensation or intuition.
Psychologist Paul Ekman’s 6 Primary
Emotions
5. Drugs of Abuse Cause Neurological Emotional Changes
• The limbic system is responsible
for our perception of other
emotions, both positive and
negative, which explains the
mood-altering properties of
many drugs.
• Most drugs of abuse directly or
indirectly target the brain's
reward system by flooding the
circuit with dopamine.
Dopamine is a neurotransmitter
present in regions of the brain
that regulate emotion, and
feelings of pleasure.
6. Drugs of Abuse Cause Behavioral Emotional Changes
• The overstimulation of the
brains limbic system,
which rewards our natural
behaviors, produces the
euphoric effects sought by
people who abuse drugs
and teaches them to
repeat the behavior.
• Research has shown that
long-term drug-induced
changes in brain function
can have many behavioral
consequences, including
an inability to exert
control over the impulse to
use drugs despite adverse
consequences- the
defining characteristic of
addiction.
7. 12-Step or Self-Help Mutual Aid Groups are effective in
fostering behavioral improvements (and neurological
recovery) in Substance Abuse participant populations
• Compliment and extend the effects of
professional treatment*
• Adds a layer of community-level social
support to help people achieve and
maintain abstinence and
• Other healthy lifestyle behaviors over the
course of a lifetime*
8. 12-Step or Mutual Aid Key Component
To effect enough change in the substance abusers thinking
"to bring about recovery from alcoholism "through a
spiritual awakening” by following the Twelve Steps, and
sobriety is furthered by
1. Volunteering for the group
2. Regular meeting attendance or contact with
group members.
I. AA meetings are run by and for, SUD
group. They are usually informal and often
feature discussions
9. 3. Finding an experienced fellow alcoholic, called a sponsor,
with at least one year of continuous sobriety and the experience
of all 12 steps, opposite sexual orientation who will refrain from
imposing personal views.
4. Spirituality
Faith language in AA goes back to the group's founders,
Bill Wilson and Robert Holbrook Smith. Six of the 12 steps, as
prescribed in the original 1939 "Big Book," refer to God either
explicitly or implicitly. Step three, for example, cites "a decision
to turn our will and our lives over to the care of God as we
understood Him."
"In mainstream AA, you hear either the war stories or the sob
stories," said Peabody, who lives in Beverly, Mass. "This is the
solution? I just keep coming, drinking crappy coffee and listening
to people bitch and moan? I knew that wasn't going to work."
“Offering multiple pathways to recovery bodes well for
alcoholics [addict] … what works for one person doesn't
always work for someone else.”
10. “From the very beginning of my recovery, my sponsors let
me know there were four steps of the program that were to
be PRACTICED EVERY DAY ... that I was to TRY to the very
best of my ability ... They are the 1st, 10th, 11th and 12th”
1. Admitted that we were powerless over alcohol
and our lives had become unmanageable.
10. Continued to take personal inventory and when
we were wrong promptly admitted it.*
11. Sought through prayer and meditation to improve
our conscious contact with God as we understood
Him, praying only for knowledge of His will for us and
the power to carry that out.*
12. Having had a spiritual experience as the result of
this course of action, we tried to carry this message
to others, especially alcoholics, and to practice these
principles in all our affairs.
"Because there's this ethic of take what you need and leave the rest,
it puts the attendee in a position of being able to form a program
that is palatable to them,"
11. Cognitive Behavioral Therapy
• Based on theory that in the
development of maladaptive
behavioral patterns like
substance abuse, learning
processes* play a critical role
• Central element of CBT is
anticipating likely problems and
enhancing patients’ self-control
by helping them develop
effective coping strategies*
• Current research focuses on how
to produce even more powerful
effects by combining CBT with
medications for drug use and
with other types of behavioral
therapies*
12. • Self-Directed, Wellness-Driven EDT is a viable option for persons with SUD who
do not have access or do not fit into the current predominantly abstinence-based
mutual aid groups to share in behavioral improvements (and neurological
recovery)
Relying on experiential evidence of the efficacy of mutual aid
suggested daily emotional/spiritual practices of prayer,
meditation and self-assessment (personal inventory)*, as
well as the principles of Cognitive Behavioral Therapy*, I
created a Self-Directed, Wellness-Driven Emotion Disposition
Therapy Recovery Program, initially termed “Emotional
Positioning Strategy”. This method defines and expands the
concepts of ritual (“any act or practice regularly repeated in
a set precise manner for relief of anxiety,”) prayer (an
invocation or act that seeks to activate a rapport with Love,
the most powerful emotion in the universe through
deliberate communication).
and meditation (silent and spoken) to specific scripted
practices. Additionally, I converted 12-Step Promises to
possibility affirmations, adding emotion-control targeted
statements. And, then assigned detailed practices to
morning and evening day parts in a brief ritualistic
framework.
13. The Self-Directed, Wellness-Driven Emotion Disposition Therapy Recovery
Program is a daily self-directed on-going intervention designed to cycle
the 7 Dimensions of Wellness (North Dakota University) through the 5
Stages of Change (Prochaska and DiClemente), based on the theory that
emotion/mood may be course plotted just as can a geographical
destination, through bibliotherapy as well as audiotherapy
moodsetting (cognitive/thought) exercises, resulting in moodset
and maintained (behavioral) actions.
Excerpt from “My Recovery Morning Meditation”
14. 7 Dimensions of Wellness
(North Dakota University)
I believe that Wellness combines seven dimensions of well-being
into an optimal quality way of living. And, the seven
major dimensions of wellness that support my life in recovery
are:
Excerpt from “My Recovery Morning Meditation”
Physical (body)
Environmental (air, water, food, safety)
Spiritual (values, purpose, intuition, vitality)
Emotional/Psychological (feelings)
Intellectual (mind)
Occupational (career, skills)
Social
15. 5 Stages of Change
(Prochaska and DiClemente)
Pre-contemplation
Where I acknowledge the problem, recognize its harm, and begin
to believe I can do something to change it.
Contemplation
Where I make a decision and commitment to do something to
change it.
Preparation
Where I set my priorities, goals and plans for positive change.
Action
Where I apply simple changes to my behavior consistently,
meeting my recovery goals.
Maintenance
Where I develop routines that keep me aware of my positive
changes and reinforce healthy attitudes like gratitude, hope and
encouragement.
Excerpt from “My Recovery Morning Meditation”
16. .
Excerpt from “My Daily Alcoholic and Addict P.R.A.H.R.”
(Prevention, Recovery and Help Ritual)
5 MY MORNING AFFIRMATIONS
JUST FOR TODAY, my thoughts will be on my recovery, living and
enjoying life without the use of drugs or alcohol.
JUST FOR TODAY, I will have faith in someone in AA who believes
in me and wants to help me in my recovery.
Excerpt from My Daily Recovery Ritual
5 MY MORNING AFFIRMATIONS
JUST FOR TODAY, my thoughts will be on my recovery, living
and enjoying life without the use of (insert the habit(s) you are
swearing off).
JUST FOR TODAY, I will believe in the Love that I know believes
in me and wants to help me in my recovery.
17. How “My Recovery Program” Works
“My Recovery Morning Meditation” is a companion tool to the
books, “My Daily Recovery Ritual” and “My Daily Alcoholic
and Addict P.R.A.H.R.” (Prevention, Recovery and Help
Ritual). After doing My Morning Silent Breath Meditation in “My
Daily Recovery Ritual” or “My Daily Alcoholic and Addict
P.R.A.H.R.” I then read “My Recovery Morning Meditation” as per
My Daily, Day Specific Spoken Meditation indicated in “My Daily
Recovery Ritual” or “My Daily Alcoholic and Addict P.R.A.H.R.”
Each daily spoken meditation addresses one of the five cyclical
stages of change within the context of one of the seven
dimensions of wellness. So, for each dimension of wellness the
five stages of change are applied throughout “My Recovery
Morning Meditation.” While many areas within the dimensions of
wellness are tackled, others certainly exist. And, both “My Daily
Recovery Ritual” as well as “My Recovery Morning Meditation” is
flexible enough to accommodate any specific wellness area I may
be addressing.
www.myrecoverycoach.biz
Excerpt from “My Recovery Morning Meditation”
19. Anticipated Clinical Trials
3 Control Groups
A) 12-Step Mutual Aid Participants
B) CBT Professional Individually Counseled
C) Individuals who participate in both Mutual
Aid and Individual CBT
6 Test Groups
A) EDT bibliotherapy (Alcoholic and
Addict text) users
B) EDT audiotherapy (Alcoholic and
Addict audiobook) users
C) Individuals who use both the
Alcoholic and Addict text and audio
EDT program
D) EDT bibliotherapy (My Daily
Recovery text) users
E) EDT audiotherapy (My Daily
Recovery audiobook) users
F) Individuals who use both the My
Daily Recovery text and audio EDT
program