jack wrote on 02 Apr 2009 18:16:
i have obsessions.i think ALL addicts have obsessions.obsessions can be on anything - and they can be very harmful.where do obsessions come from, what is their source, and how do they originate? they are not present in 'normal' mentally healthy people.they come because of a problem that happened way back when.if we can learn about why we individually have these obsessions, we can fight them.that is the course i'm following right now in therapy.
In mental health, confusing as it is anyway, the single word obsession, like the word compulsion has three very distinct meanings.
1) In OCD, Obsessions are intrusive and unwanted thoughts.
2) In OCPD Obsessions are an extreme pre-occupation with getting things just "right" even at the expense of the activity itself.
3) In addiction, obsession is the addict's focus on addictive and pleasurable activities, and in the process he is distracted from less pleasurable activities.
It sounds like you are referring to number 3.
Here is my own experience. I have had different types of obsessions. Some were pure indulgence, I had not lost control at all, I was perfectly capable of controling them, but lacked the motivation. That type of obsession can respond well to therapy. In a comfortable non-threatening, supportive environment you explore and get in touch with what is really going on and then wonder of wonders "all on your own" you decide to stop.
But there is another type of obsession. An obsession that has become so compulsive that you have lost control to the extent that no matter how self-aware and how determined you are, you are nevertheless totally unable to stop. In 1939 they referred to such alcoholics as "hopeless" cases.
[quote="Alcoholics Anonymous Chapter 3 More About Alcoholism p. 38][size=2]
Some of you are thinking: “Yes, what you tell is true, but it doesn’t fully apply. We admit we have some of these symptoms, but we have not gone to the extremes you fellows did, nor are we likely to, for [b][size=2]we understand ourselves so well after what you have told us that such things cannot happen again.[/b] We have not lost everything in life through drinking and we certainly do not intend to. Thanks for the information.”
[b][size=2]That may be true of certain nonalcoholic people who, though drinking foolishly and heavily at the present time, are able to stop or moderate, because their brains and bodies have not been damaged as ours were. But the actual or potential alcoholic, with hardly any exception, will be absolutely unable to stop drinking on the basis of self-knowledge.[/b][/quote]
In my experience, at that point therapy has only one thing to offer. It can only help you see how helpless and hopeless you are and motivate you to join a 12 step program, which is what many therapists do for full blown cases of addiction.