Showing posts with label meditation for addiction. Show all posts
Showing posts with label meditation for addiction. Show all posts

Thursday, March 17, 2011

The Ghost in the Receptor


The “spiritual” thing.

It often seems as if the proponents of the biological view are offering a take-it-or-leave-it view of human nature and behavior. The gene proposes and the neuropeptide disposes. But one important attribute of the brain’s receptor systems is that they are not static. The number and density of receptor fields, the sensitivity of individual receptors, and the “stickiness” of the cell membranes themselves all differ at different times.

We have come a long way in our understanding of “unconscious” bodily processes. Yogis demonstrated decades ago that such internal states as breathing rate, blood pressure, and the generation of certain brain waves, once thought to be impervious to volitional control, could in fact be “mentally” influenced. With the proper five-minute introduction, most people can learn to change the surface temperature of their hands by a few degrees using simple biofeedback techniques. Many spiritual growth techniques center on breathing exercises, for the same reason that diet and dietary restrictions are frequently emphasized: Such activities release different neurotransmitters in the brain, the gut, and the respiratory center, and these changes can alter consciousness. Many spiritual techniques that are physical in nature were designed to produce specific changes in brain state. We do not need to soar into the metaphysical to see the wide-ranging role of neurotransmitters. Neurotransmission via receptors is clearly an evolutionary strategy well preserved in the larger scheme of things.

Nonetheless, from A.A. to Ibogaine, alternative treatments are frequently suffused with spirituality, if not outright religiosity. All the way out there, on the edge of speculation, is the notion that a disordered reward pathway might be the impetus for the religious quest, the search for existential meaning, the artistic struggle to create. God is a neuropeptide, Candace Pert once mischievously suggested. Was Martin Luther serotonin- and dopamine-deficient? How about Joan of Arc? Or Michelangelo? Is love, or hate, any less real for having neuropharmacological substrates, microscopic chemical correlates, in the brain and body?

This all sounds funny, or blasphemous, or nonsensical—but it may be the metaphorical key to A.A.’s modest successes over the years. We know with certainty that depression and addiction are deeply linked disorders. What has begun to emerge at the edges of depression and addiction literature is that religious faith, or a spiritual belief system of some kind, can sometimes be of value in the battle against depression, drugs, and drink. This does not mean that any sort of correlation between recovery and prayer, or between decreased depression and frequency of church attendance has emerged. Nevertheless, feelings are not just feelings. Emotions influence our health, our evolutionary fitness, our learning, and our decision-making. There is the recurrent suggestion in some of the work that the additional factor at play is something researchers have referred to as “intrinsic religiosity.” People recover from all sorts of mental and physical afflictions and frequently give credit to their religious beliefs. Whatever we choose to call it, successful recovery from serious illnesses of the mind and body frequently seem to call for a fundamental shift in mental processes. Sometimes the emotional impulse that kicks off a successful recovery comes in a form identified as “spiritual.”

As Andrew Newberg and Eugene D’Aquili conclude in “Why God Won’t Go Away,” “It only means that humans have a genetically inherited talent for entering unitary states, and that many of us interpret these states as the presence of a higher spiritual power.”

Graphics Credit: http://www.theaddictionrecoverypage.com/

Sunday, September 19, 2010

Exercise, Attention, Meditation


Drug treatment alternatives.

A prescription for aerobic exercise might seem trivial in the face of the life-or-death battle people wage against rampant addiction. But with or without anti-craving drugs, both diet and exercise—two non-pharmaceutical methods of altering neurotransmission—will have roles to play in recovery.

Exercise, attention to diet, and nutritional supplements are only three of the complementary avenues being explored as components of addiction treatment. Successes have been claimed for acupuncture as well.  The same can be said for hypnosis. It has its vociferous claimants, but it has not been widely tested and documented as an addiction therapy.

Meditation, in its many Eastern and Western derivations, is used by some recovering addicts as a means of dampening the panic and anxiety that often accompany detoxification. And again, there is a certain amount of good science behind the notion. Sources as disparate as Maharishi Mahesh Yogi and Harvard’s Dr. Herbert Benson have produced evidence that sitting meditation—in which the mind is either purposefully made blank, or else is focused on a mantra (the Maharishi’s mantras are Sanskrit, but Dr. Benson maintains that any soft-sounding set of syllables will do)—produces verifiable changes in blood pressure, heart rate, and oxygen exchange. Years ago, Dr. Benson named this phenomenon the “relaxation response.” Many addiction clinics use variations on this theme in an attempt to ease withdrawal symptoms.

All of these alternative modalities suffer from the same limitations: a lack of large scale clinical testing due to inadequate funding, and a lack of adequate insurance reimbursements. Nonetheless, almost anything goes in the sprawling treatment and recovery industry. There are, for example, numerous clinics and treatment centers based on the principles of naturopathic and homeopathic medicine. The 3HO SuperHealth program that bloomed in Tucson, Arizona, a “holistic substance abuse facility” inspired by the teachings of the Hindu Guru Yogi Bhajan, was accepted by Blue Cross/Blue Shield and other major insurance providers. (Gaining insurance accreditation is a major factor in the success or failure of many treatment providers and large-scale programs.) There are drug recovery programs based on the spiritual wisdom of American Indians, on the teachings of the German mystic Rudolf Steiner, on assorted holistic health practices such as yoga, guided imagery, lucid dreaming, biofeedback, massage, and other forms of “personal growth” work.

Alternative therapists maintain that recovery from addiction is as much a spiritual voyage of discovery as it is a path back to conventional health and sanity. Traditional psychotherapy in isolation is a frequently ineffective method of treatment, while anti-craving pills, congeners, and replacement therapies are still quite new.

 Any treatment that claims to work for all addicts all of the time, under all conditions, should be viewed with extreme skepticism. It is safe to say that any commercial treatment program advertising success rates of 50 per cent or more is very probably engaging in short-term follow-ups, and may be seriously misleading the buying public.

Photo Credit: http://steveroni.blogspot.com/

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