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Chapter 8 - Substance Misuse and Addiction

Published online by Cambridge University Press:  07 October 2022

Christopher C. H. Cook
Affiliation:
Institute for Medical Humanities, Durham University
Andrew Powell
Affiliation:
Formerly Warneford Hospital and University of Oxford
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Summary

Any role for spirituality in addressing the serious clinical and public health problems related to substance misuse and addiction might seem antiquated at best, and clinical malpractice at worst. Yet, from a phenomenological perspective, addiction often penetrates and pervades the core of conscious thought and behaviour, undermining personal values and meaning and purpose in life – factors that many people associate with a diminished sense of personal spirituality. Research on spiritual/religious identity and practices has shown that these both protect against the onset of substance misuse and help millions each year to recover from it. This chapter reviews the interplay of morality, spirituality/religion and substance misuse, suggests why addiction in particular is so prone to spiritual pathology, and describes why spirituality/religion have played such prominent roles in successful remission and stable recovery. Spiritually oriented treatment approaches to addiction are reviewed along with their implications for practice and research.

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Publisher: Cambridge University Press
Print publication year: 2022

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References

Abdel-Mawgoud, M., Fateem, L. and Al-Sharif, A. I. (1995) Development of a comprehensive treatment program for chemical dependency at Al Amal Hospital, Dammam. Journal of Substance Abuse Treatment, 12, 369376.Google Scholar
Alcoholics Anonymous (1952) Twelve Steps and Twelve Traditions. New York: Alcoholics Anonymous World Services.Google Scholar
Alcoholics Anonymous (1976) Alcoholics Anonymous: The Story of How Many Thousands of Men and Women Have Recovered from Alcoholism. New York: Alcoholics Anonymous World Services, Inc.Google Scholar
Alcoholics Anonymous (1977) Twelve Steps and Twelve Traditions. New York: Alcoholics Anonymous World Services, Inc.Google Scholar
Alcoholics Anonymous World Services (2001) Alcoholics Anonymous: The Story of How Thousands of Men and Women Have Recovered from Alcoholism. New York: Alcoholics Anonymous World Services.Google Scholar
Ali, M. (2014) Perspectives on drug addiction in Islamic history and theology. Religions, 5, 912928.CrossRefGoogle Scholar
Arnold, R., Avants, S. K., Margolin, A. and Marcotte, D. (2002) Patient attitudes concerning the inclusion of spirituality into addiction treatment. Journal of Substance Abuse Treatment, 23, 319326.Google Scholar
Avants, S. K. and Margolin, A. (2004) Development of Spiritual Self-Schema (3-S) therapy for the treatment of addictive and HIV risk behavior: a convergence of cognitive and Buddhist psychology. Journal of Psychotherapy Integration, 14, 253289.Google Scholar
Barrett, M. E. (1997) Prevention programs: Wat Thamkrabok: a Buddhist drug rehabilitation program in Thailand. Substance Use & Misuse, 32, 435459.Google Scholar
Bog, M., Filges, T., Brannstrom, L., Jorgensen, A. and Fredriksson, M. K. (2017) Twelve-step programs for reducing illicit drug use. Campbell Systematic Reviews, 13, 1149.Google Scholar
Borman, P. D. and Dixon, D. N. (1998) Spirituality and the Twelve steps of substance abuse recovery. Journal of Psychology and Theology, 26, 287291.CrossRefGoogle Scholar
Bowen, S., Witkiewitz, K., Clifasefi, S. L. et al. (2014) Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: a randomized clinical trial. JAMA Psychiatry, 71, 547556.Google Scholar
Brown, B. S., O’Grady, K., Battjes, R. J. and Farrell, E. V. (2004) Factors associated with treatment outcomes in an aftercare population. The American Journal on Addictions, 13, 447460.Google Scholar
Carroll, J. F. X., McGinley, J. J. and Mack, S. E. (2000) Exploring the expressed spiritual needs and concerns of drug-dependent males in modified, therapeutic community treatment. Alcoholism Treatment Quarterly, 18, 7992.Google Scholar
Chamberlain, T. J. and Hall, C. A. (2000) Realized Religion: Relationship Between Religion and Health, Radnor, PA: Templeton Foundation Press.Google Scholar
Chen, G. (2006) Social support, spiritual program, and addiction recovery. International Journal of Offender Therapy and Comparative Criminology, 50, 306323.Google Scholar
Cook, C. C. H. (1988a) The Minnesota Model in the management of drug and alcohol dependency: miracle, method or myth? Part I. The philosophy and the programme. British Journal of Addiction, 83, 625634.Google Scholar
Cook, C. C. H. (1988b) The Minnesota Model in the management of drug and alcohol dependency: miracle, method or myth? Part II. Evidence and conclusions. British Journal of Addiction, 83, 735748.Google Scholar
Cook, C. C. H. (2004) Addiction and spirituality. Addiction, 99, 539551.Google Scholar
Cook, C. C. H. (2006) Alcohol, Addiction and Christian Ethics. Cambridge: Cambridge University Press.Google Scholar
Cook, C. C. H. (2009) Substance misuse. In Cook, C. C. and Powell, A., eds., Spirituality and Psychiatry. Cambridge: Cambridge University Press, pp. 139168.Google Scholar
Cook, C. C. H., Goddard, D. and Westall, R. (1997) Knowledge and experience of drug use amongst church affiliated young people. Drug and Alcohol Dependence, 46, 917.Google Scholar
Crabbe, J. C. (2002) Genetic contributions to addiction. Annual Review of Psychology, 53, 435462.Google Scholar
Day, E., Gaston, R. L., Furlong, E., Murali, V. and Copello, A. (2005) United Kingdom substance misuse treatment workers’ attitudes toward twelve-step self-help groups. Journal of Substance Abuse Treatment, 29, 321327.Google Scholar
Dermatis, H., Guschwan, M. T., Galanter, M. and Bunt, G. (2004) Orientation toward spirituality and self-help approaches in the therapeutic community. Journal of Addictive Diseases, 23, 3954.CrossRefGoogle ScholarPubMed
Emrick, C. D., Tonigan, J. S., Montgomery, H. and Little, L. (1993) Alcoholics Anonymous: what is currently known? In McCrady, B. S. and Miller, W. R., eds., Research on Alcoholics Anonymous: Opportunities and Alternatives. Piscataway, NJ: Rutgers Center of Alcohol Studies, pp. 4176.Google Scholar
Fiorentine, R. and Hillhouse, M. P. (2000) Drug treatment and twelve-step program participation: the additive effects of integrated recovery activities. Journal of Substance Abuse Treatment, 18, 6574.Google Scholar
Forman, R. F., Bovasso, G. and Woody, G. (2001) Staff beliefs about addiction treatment. Journal of Substance Abuse Treatment, 21, 19.Google Scholar
Garrett, M. T. and Carroll, J. J. (2000) Mending the broken circle: treatment of substance dependence among Native Americans. Journal of Counseling & Development, 78, 379388.Google Scholar
Giordano, A. L., Prosek, E. A., Daly, C. M. et al. (2015) Exploring the relationship between religious coping and spirituality among three types of collegiate substance abuse. Journal of Counseling & Development, 93, 7079.Google Scholar
Gossop, M., Harris, J., Best, D. et al. (2003) Is attendance at Alcoholics Anonymous meetings after inpatient treatment related to improved outcomes? A six-month follow-up study. Alcohol and Alcoholism, 38, 421426.Google Scholar
Groves, P. (1998) Doing and being: a Buddhist perspective on craving and addiction. In: Barker, P. and Davidson, B., eds., Psychiatric Nursing: Ethical Strife. London: Edward Arnold, pp. 202210.Google Scholar
Groves, P. (2014) Buddhist approaches to addiction recovery. Religions, 5, 9851000.Google Scholar
Groves, P. and Farmer, R. (1994) Buddhism and addictions. Addiction Research, 2, 183194.Google Scholar
Gruner, L. R. (1979) Comparative analysis of therapeutic models of using the Teen Challenge paradigm. Cornell Journal of Social Relations, 14, 191211.Google Scholar
Hai, A. H., Franklin, C., Park, S., Dinitto, D. M. and Aurelio, N. (2019) The efficacy of spiritual/religious interventions for substance use problems: a systematic review and meta-analysis of randomized controlled trials. Drug and Alcohol Dependence, 202, 134148.Google Scholar
Heinz, A. J., Disney, E. R., Epstein, D. H. et al. (2010) A focus-group study on spirituality and substance-user treatment. Substance Use & Misuse, 45, 134153.Google Scholar
Honderich, T., ed. (1995) The Oxford Companion to Philosophy. New York: Oxford University Press.Google Scholar
Hope, L. C. and Cook, C. C. H. (2001) The role of Christian commitment in predicting drug use amongst church affiliated young people. Mental Health, Religion & Culture, 4, 109117.Google Scholar
Humphreys, K. (2004) Circles of Recovery: Self-Help Organizations for Addictions. Cambridge: Cambridge University Press.Google Scholar
Humphreys, K. and Gifford, E. (2006) Religion, spirituality, and the troublesome use of substances. In Miller, W. R. and Carroll, K. M., eds., Rethinking Substance Abuse: What the Science Shows, and What We Should Do About It. New York: Guilford Press, pp. 257274.Google Scholar
Institute of Medicine (1990) Broadening the Base of Treatment for Alcohol Problems. Washington, DC: National Academies Press.Google Scholar
Jackson, P. and Cook, C. C. H. (2005) Introduction of a spirituality group in a community service for people with drinking problems. Journal of Substance Use, 10, 375383.Google Scholar
James, W. (1985) The Varieties of Religious Experience. Cambridge, MA: Harvard University Press.Google Scholar
Judge, J. J. (1971) Alcoholism treatment at the Salvation Army: a new men's social service center program. Quarterly Journal of Studies on Alcohol, 32, 462467.Google Scholar
Kelly, J. F. (2017) Is Alcoholics Anonymous religious, spiritual, neither? Findings from 25 years of mechanisms of behavior change research. Addiction, 112, 929936.Google Scholar
Kelly, J. F. and Eddie, D. (2020) The role of spirituality and religiousness in aiding recovery from alcohol and other drug problems: an investigation in a national U.S. sample. Psychology of Religion and Spirituality, 12, 116123.CrossRefGoogle Scholar
Kelly, J. F. and McCrady, B. S. (2009) Twelve-step facilitation in non-specialty settings. In Galenter, M., ed., Research on Alcoholism: Alcoholics Anonymous and Spiritual Aspects of Recovery. New York: Springer, pp. 797836.Google Scholar
Kelly, J. F., Magill, M. and Stout, R. L. (2009) How do people recover from alcohol dependence? A systematic review of the research on mechanisms of behavior change in Alcoholics Anonymous. Addiction Research & Theory, 17, 236259.Google Scholar
Kelly, J. F., Stout, R. L., Magill, M., Tonigan, J. S. and Pagano, M. E. (2011) Spirituality in recovery: a lagged mediational analysis of Alcoholics Anonymous’ principal theoretical mechanism of behavior change. Alcoholism: Clinical and Experimental Research, 35, 454463.Google Scholar
Kelly, J. F., Hoeppner, B., Stout, R. L. and Pagano, M. (2012) Determining the relative importance of the mechanisms of behavior change within Alcoholics Anonymous: a multiple mediator analysis. Addiction, 107, 289299.Google Scholar
Kelly, J. F., Saitz, R. and Wakeman, S. E. (2016) Language, substance use disorders, and policy: the need to reach consensus on an “addiction-ary”. Alcoholism Treatment Quarterly, 34, 116123.Google Scholar
Kelly, J. F., Humphreys, K. and Ferri, M. (2020) Alcoholics Anonymous and other 12‐step programs for alcohol use disorder. Cochrane Database of Systematic Reviews, 3, CD012880.Google Scholar
Kelly, J. F., Greene, M. C. and Abry, A. (2021) A US national randomized study to guide how best to reduce stigma when describing drug-related impairment in practice and policy. Addiction, 116, 17571767.Google Scholar
Koenig, H. G. (2005) Faith and Mental Health: Religious Resources for Healing. West Conshohocken, PA: Templeton Foundation Press.Google Scholar
Koenig, H. G., McCullough, M. E. and Larson, D. B. (2001) Handbook of Religion and Health. New York: Oxford University Press.Google Scholar
Krentzman, A. R. (2017) Longitudinal differences in spirituality and religiousness between men and women in treatment for alcohol use disorders. Psychology of Religion and Spirituality, 9 (Suppl. 1), S11S21.Google Scholar
Kurtz, E. (1991) Not-God: A History of Alcoholics Anonymous. Center City, MN: Hazelden.Google Scholar
Kurtz, E. (1996) Twelve step programs. In Van Ness, P. H., ed., Spirituality and the Secular Quest. New York: Crossroad Publishing Co., pp. 277302.Google Scholar
Leigh, J., Bowen, S. and Marlatt, G. A. (2005) Spirituality, mindfulness and substance abuse. Addictive Behaviors, 30, 13351341.Google Scholar
Litt, M. D., Kadden, R. M., Kabela-Cormier, E. and Petry, N. M. (2009) Changing network support for drinking: Network Support Project two-year follow-up. Journal of Consulting and Clinical Psychology, 77, 229242.Google Scholar
Loewenthal, K. (2014) Addiction: alcohol and substance abuse in Judaism. Religions, 5, 972984.Google Scholar
Longabaugh, R., Wirtz, P. W., Zweben, A. and Stout, R. L. (1998) Network support for drinking, Alcoholics Anonymous and long-term matching effects. Addiction, 93, 13131333.Google Scholar
McDowell, D., Galanter, M., Goldfarb, L. and Lifshutz, H. (1996) Spirituality and the treatment of the dually diagnosed: an investigation of patient and staff attitudes. Journal of Addictive Diseases, 15, 5568.Google Scholar
Manning, V., Best, D., Faulkner, N. et al. (2012) Does active referral by a doctor or Twelve-Step peer improve Twelve-Step meeting attendance? Results from a pilot randomised control trial. Drug and Alcohol Dependence, 126, 131137.Google Scholar
Mason-John, V. and Groves, P. (2013) Eight Step Recovery: Using the Buddha's Teachings to Overcome Addiction. Cambridge: Windhorse.Google Scholar
Mercadante, L. A. (1996) Victims and Sinners: Spiritual Roots of Addiction and Recovery. Louisville, KY: Westminster John Knox Press.Google Scholar
Mercadante, L. A. (2014) Belief Without Borders: Inside the Minds of the Spiritual but not Religious. New York: Oxford University Press.Google Scholar
Maslow, A. H. (1943) A theory of human motivation. Psychological Review, 50, 370396.Google Scholar
Maslow, A. H. (1987) Motivation and Personality, 3rd ed. New York: Harper & Row Publishers.Google Scholar
Moos, R. H. (2007) Theory-based active ingredients of effective treatments for substance use disorders. Drug and Alcohol Dependence, 88, 109121.Google Scholar
Moos, R. H., Mehren, B. and Moos, B. S. (1978) Evaluation of a Salvation Army alcoholism treatment program. Journal of Studies on Alcohol, 39, 12671275.Google Scholar
Morjaria-Keval, A. and Keval, H. (2015) Reconstructing Sikh spirituality in recovery from alcohol addiction. Religions, 6, 122138.Google Scholar
Narcotics Anonymous World Services (1986) NA White Booklet. Available at www.na.org/admin/include/spaw2/uploads/pdf/litfiles/us_english/Booklet/NA%20White%20Booklet.pdf (accessed 9 November 2010).Google Scholar
National Institute on Drug Abuse (1977) An Evaluation of the Teen Challenge Treatment Program. Bethesda, MD: National Institute on Drug Abuse.Google Scholar
Owen, S. (2014) Walking in balance: Native American recovery programmes. Religions, 5, 10371049.Google Scholar
Ritt-Olson, A., Milam, J., Unger, J. B. et al. (2004) The protective influence of spirituality and “Health-as-a-Value” against monthly substance use among adolescents varying in risk. Journal of Adolescent Health, 34, 192199.CrossRefGoogle ScholarPubMed
Robinson, E. A., Krentzman, A. R., Webb, J. R. and Brower, K. J. (2011) Six-month changes in spirituality and religiousness in alcoholics predict drinking outcomes at nine months. Journal of Studies on Alcohol and Drugs, 72, 660668.Google Scholar
Roman, P. M. and Blum, T. C. (1998) Summary report (No. 3): second wave on-site results. National treatment center study. Unpublished manuscript, University of Georgia.Google Scholar
Room, R., Rehm, J., Trotter, R. T., Paglia, A. and Üstün, T. B. (2001) Cross-cultural views on stigma, valuation, parity, and societal values towards disability. In Üstün, T. B., Chatterji, S., Bickenbach, J. E. et al., eds., Disability and Culture: Universalism and Diversity. Seattle, WA: Hofgrebe & Huber, pp. 247291.Google Scholar
Rush, B. (1785) An inquiry into the effects of ardent spirits upon the human body and mind: with an account of the means of preventing, and of the remedies for curing them. Reprinted 1943 in Quarterly Journal of Studies on Alcohol, 4, 325341.Google Scholar
Shamsalina, A., Norouzi, K., Fallahi Khoshknab, M. and Farhoudiyan, A. (2014) Recovery based on spirituality in substance abusers in Iran. Global Journal of Health Science, 6, 154162.Google Scholar
Stewart, C. (2001) The influence of spirituality on substance use of college students. Journal of Drug Education, 31, 343351.Google Scholar
Stone, R. A., Whitbeck, L. B., Chen, X., Johnson, K. and Olson, D. M. (2006) Traditional practices, traditional spirituality, and alcohol cessation among American Indians. Journal of Studies on Alcohol, 67, 236244.Google Scholar
Tonigan, J. S., Rynes, K. N. and McCrady, B. S. (2013) Spirituality as a change mechanism in 12-step programs: a replication, extension, and refinement. Substance Use & Misuse, 48, 11611173.CrossRefGoogle ScholarPubMed
Trotter, T. (1804/1988) An Essay, Medical, Philosophical, and Chemical, on Drunkenness and its Effects on the Human Body. London: Routledge.Google Scholar
Volkow, N. D. and Boyle, M. (2018) Neuroscience of addiction: relevance to prevention and treatment. American Journal of Psychiatry, 175, 729740.Google Scholar
Walitzer, K. S., Dermen, K. H. and Barrick, C. (2009) Facilitating involvement in Alcoholics Anonymous during out-patient treatment: a randomized clinical trial. Addiction, 104, 391401.Google Scholar
White, W. L. (2002) The Red Road to Wellbriety: In the Native American Way. Colorado Springs, CO: White Bison, Inc.Google Scholar
Zimmerman, M. A. and Maton, K. I. (1992) Life-style and substance use among male African-American urban adolescents: a cluster analytic approach. American Journal of Community Psychology, 20, 121138.Google Scholar

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