Abstract
The authors regard substance abuse and addictive behavior as a chronic recurrent illness, with psychological, behavioral, and medical components. They call for multi-modal intermittent treatment throughout the life span, addressing the emotional, social, and biological dimensions of the disorder. A case study of a lifelong alcohol and drug-dependent male illustrates the often chronic relapsing course of the illness. The patient, Colin, was a gifted trial attorney, who struggled with alcohol, marijuana, and cocaine use for decades. The chapter provides an example of a Pathways Model treatment program, integrating lifestyle changes, complementary therapies, spiritual intervention, and professional treatment for addiction to assist this individual in managing his condition, and recovering his life.
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Notes
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Coherence is a HeartMath concept indicating a global state of optimal functioning; physiological systems, emotional life, and interpersonal relationships can show coherence. On the InnerBalance device, physiological coherence is measured as a peak of heart rate variability in the low frequency range, accompanying a breathing rate close to six breaths a minute. McCraty (2016) has hypothesized that emotional coherence and physiological coherence coincide, and encourages trainees to cultivate positive emotional states as well as smooth relaxed breathing.
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McGrady, A., Moss, D. (2018). Pathways Interventions for Chronic, Relapsing Substance Abuse Disorders. In: Integrative Pathways. Springer, Cham. https://doi.org/10.1007/978-3-319-89313-6_15
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