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Monday, February 18, 2013

Healthy Enabling is Crucial to Successful Recoveries

There is rarely a family that does not encounter addiction in one way or another. Learning how to support a loved one battling with addiction is often times harder than learning how to live life without drugs or alcohol. There is no formula when it comes to what constitutes healthy support and in many cases loved ones of an addict often aid them in their own self destruction when it seems like they are helping.

What has become known as "enabling" is misunderstood more times than not, a lot of the time family members of those suffering from the disease of addiction do not understand what it means to enable. There is no question; family is of the up most importance to a successful recovery. However, the line between help and harm can be confusing; if you have a loved one on the road to recovery it is important to be able to distinguish the former from the latter...

Kimberly Kirby, PhD is the Director of the Parent’s Translational Research Center - Senior Scientist of the Treatment Research Institute. Please take a moment to read her thoughts on this crucial subject. Understanding when one is enabling a loved one could very well save them from veering off course,

"The term “enabling” is commonplace in the field of addiction. It is used within support group settings, in treatment programs and throughout the professional literature about addiction and the family. I consider it one of the most frequently misunderstood terms in our field. In fact, as my research about family caregivers of people with substance use disorders has evolved, I have come to loathe the term “enabling.” Here is why.

There is a great deal of misinterpretation about what qualifies as behavior that is “enabling.” Webster’s definition of the term includes: “a) to provide with the means or opportunity; and b) to make possible, practical or easy.” Wikipedia notes that enabling also is used “to signify dysfunctional approaches that are intended to help but in fact may perpetuate a problem….”

Examples include taking responsibility, blaming others or making accommodations for a person’s harmful conduct, so that the person is shielded from the harm it may do and the pressure to change.

Using these definitions, doing your son’s laundry might be considered enabling, as it makes it easier for him and takes responsibility for the chore away from him. In actuality, it may or may not be enabling – depending on the context. If you do this chore to make things easier for your son because he attended a self-help meeting – you probably are supporting recovery – not enabling self-destructive behaviors. On the other hand, if you are doing your son’s laundry because he was drunk all weekend and will be embarrassed to go to school or work in unlaundered clothes, then you are enabling him to continue engaging in self-destructive behavior. You are helping him avoid the negative consequences of drinking.

I find family members often are confused over the issue of what constitutes enabling. Some have ardently been told that any support offered to a recovering child or spouse can be considered enabling. The philosophy seems to be that the person needs to learn to “fend for themselves” or “live life on life’s terms.” This is difficult to argue. We all need to learn the necessary skills to survive and thrive in our environments. Especially as parents, it is our responsibility to foster this in our children. But it does not mean that we cannot help our loved ones in productive ways.

Recovery, especially early recovery, is hard work. Offering to support the intense effort of this work can be helpful. For example – if a loved one does not have access to a car, it is supportive to offer to drive her to AA meetings, or soccer practice or any other recovery-supporting activity.

Some say that the addicted person must take responsibility for coordinating his or her own travel – and indeed – this can be a good goal. But offering to help at first or occasionally does not enable the person to escape the negative consequences of addiction – and it can help to support recovery.

It is loaded with negative and judgmental connotations that are misplaced.

Worse yet, enabling is sometimes described as “dysfunctional,” which can lead family members to the conclusion they are dysfunctional and have let their loved one down. The important distinction that is sometimes missed is that it is the behavior that is dysfunctional, not the person. The vast majority of parents that I have met have only done what most parents do; that is try their best to help their child. They engage in the same behaviors as other parents. It is just that they find themselves in a strange and difficult situation where behaviors that normally are helpful do not function that way.

I believe that the term enabling causes more harm than good. I would like to get rid of the term altogether.

Rather than labeling a family member’s behavior as “enabling,” focus on the consequences of the addicted person’s behavior. Ask yourself – by doing this, do I allow him or her to avoid a negative consequence of the drinking or drug use? If the answer is yes, resist the urge to intervene. It is important that the person experience the negative consequences that substance abuse renders. Also ask yourself – by doing this, am I encouraging efforts he or she has made at recovery? If the answer is yes, go for it! It is helpful to recognize and show signs of support and appreciation for the hard work that an addict undertakes to sustain recovery.

We must remember that addiction is a disease and recovery requires ongoing maintenance. This is a lot of work – and supporting the WORK of recovery can be a loving thing to do."

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