Showing posts with label alcoholism. Show all posts
Showing posts with label alcoholism. Show all posts

Tuesday, February 25, 2014

Free Will

When I was in college, one of my fellow psychology majors asked me if learning about psychological theories made me question whether we had free will.  It did not.  Although his question did make me read through the theories again, just to make sure I understood them correctly.  But I was still convinced of my free will.

In my last post I used the example of an alcoholic father to illustrate how difficult it is to sort out blame and responsibility.  If alcoholism is genetic, and his parents were alcoholics, and all of his friends drink, what chance does he have of living a sober life?  How much of his behavior is in his control?

What if you have someone who is depressed with no family history of depression and no apparent cause, and she can't get out of bed to make it to class.  Is her depression real?  Does she deserve to fail?  What about if she refused to go to therapy and start meds?

I mentioned in my last post that these problems require forgiveness.  We have to forgive ourselves for having the disorder.  We may have to ask for forgiveness from people whom we have harmed.  And we may have to forgive people who have added to our suffering. 

When I'm depressed, I think everything is my fault.  In the midst of an episode, I am angry at myself for not being able to function.  I don't think I have an excuse to be depressed.  In those moments, it's hard to forgive myself for not being able to control everything.

I also mentioned that there is always some part of the problem that we can take responsibility for.  It may not be the alcoholic dad's fault that he is prone to addiction, but he can join AA.  He can stay away from friends who pressure him to drink.  He can see a therapist.

I believe that knowing our limitations allows us to have more freedom.  In my work, clients often try to convince other people that their suffering is real.  I tell them that they have limited control over what other people think about their disorder.  However, they don't have to blame themselves.  They can take control of what they can control.

Some people think that going to therapy is a sign of weakness.  In reality, therapy increases your degrees of freedom.  And I want to make sure I capitalize on all the freedom I can get.



Sunday, February 23, 2014

Whose Fault is It?

I love playing games.  One of my favorites is the Blame Game.  Even though any couples therapist will tell you that you're not supposed to do this, I'll use every piece of evidence of every argument I can remember to prove that it's not my fault.  I have no doubt this has contributed in part to the demise of some of my relationships. 

However, even though I don't like being at fault, I also blame myself for everything.  I'm one of those people who takes too much responsibility for problems.  Maybe that's why I am also willing to do more than half of the work to try to "fix" the relationship.

The whole blame and responsibility thing is even harder to sort out when you throw in mental illness.  Lets say, for example, that you have an abusive alcoholic father.  Is it his fault if he hits you while he's black out drunk?  Is it his fault that he has an addiction-prone brain and can't just have one drink?  What if he had been sober for a year but relapsed because a buddy guilt-tripped him into going to a bar to celebrate his new job?  What parts of the alcoholism are his responsibility?

In my work, the Blame Game is the most problematic in a sexual assault.  It is often the case that both parties were drinking.  However, when friends are assigning blame, the perpetrator is seen as being less responsible because he was black out drunk.  The victim is seen as being more responsible for allowing herself to get that drunk. 

And when the victim comes to therapy, she also believes it was her fault because she had been drinking.  The perpetrator usually doesn't come to therapy.  In rare cases, the victim will bring the sexual assault to our judicial system to get the perpetrator to take responsibility for his behavior.  And the victim almost never wins.

The two most common disorders we see in the Counseling Center are depression and anxiety.  These are disorders where the person takes too much responsibility for their problems.  If they can't will themselves to get out of bed and go to class, it's their fault for being lazy.  When I suggest that a client try meds for her panic attacks, she often says no.  That's a cop out. She should be able to do it on her own.

I don't claim to know the answers for how much blame a person should assume.  I do know that the split in assigning blame is rarely 100% to 0%.  There is always some part of the problem that we can take responsibility for.  And when we take responsibility for our part, it usually makes things better.

Sometimes no one is to blame.  This one is really hard for people to accept.  How can you play the Blame Game if it's no one's fault?  But let's say a typhoon hits the Philippines and causes mass destruction.  Whose fault is it?  There is power in blame because it gives us the illusion of control. 

But there is also power in forgiveness.  We can forgive the other person for wrongdoing, even if they haven't accepted any responsibility.  And we can forgive ourselves for our role in the problem.  And forgiveness is much more freeing than blame, regardless of whose fault it is.