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Basic InformationMore InformationTestsLatest NewsMarijuana Use Rising Among High School Seniors: Report'Predrinking' Nearly Doubles Booze Consumption: StudyIn Terms of Drinking, the Rich Are Different, Study SaysDelayed Auditory Processing Found in Fetal Alcohol SyndromeHeavy Smokers, Drinkers May Face Pancreatic Cancer Earlier in LifeDrinking, Driving Drops by Half Among Teens: CDCModerate Drinking May Increase Risk of Heart Rhythm Disorder: StudyHealth Tip: Don't Combine Medication and AlcoholWhy Some Mothers (Wrongly) Let Kids Try AlcoholAlcoholism Treatment Saves Families MoneyDoctors Should Screen Adults for Alcohol Misuse, U.S. Panel SaysPrescription Drug Abuse Drops Among U.S. Young AdultsCognitive Ability, Motivation Tied in Addictive BehaviorExtra Steps Urged to Cut Alcohol, Drug Use in Military: ReportQuitting Drinking May Help Alcoholics' Bone Loss'Doctor Shopping' Tied to Fatal Prescription Drug OverdosesHeavy Drinking Linked to Earlier StrokePot Use May Raise Risk of Testicular Cancer: StudyWomen's Brains React Differently Than Men's to Alcoholism, Study FindsHeavy Marijuana Use in Teen Years May Lower IQ LaterPrior Substance Abuse Linked to Opioid Abuse in Young MenTeens Who Drink, Smoke More Likely to Abuse Painkillers: StudyStudy Affirms Marijuana, 'Spice' Harmful in PregnancyBrain Scans May Spot Teens at Risk for Problem DrinkingBooze, Energy Drinks, Casual Sex Combo Common in College: Study'Bath Salts' Demonstrate High Potential for AbuseIllegal 'Bath Salts' Mimic Cocaine in the Brain: StudyEffects of Heavy Alcohol Exposure During Pregnancy EvaluatedHeavy Drinking in Pregnancy Linked to Host of Problems in ChildrenMom's Pot Use Doubles Risk of 'Preemie' Birth: Study'Abuse-Resistant' Oxycontin May Be Driving Addicts to HeroinTeach Prescribers About Dangers of Long-Acting Pain Meds: FDAMethadone for Pain Relief Leading Cause of Fatal Overdoses: CDCSummer Is Peak Time for Teens to Try Drugs, Alcohol: Report40 Million Americans Addicted to Cigarettes, Alcohol or Drugs1 in 10 Fibromyalgia Patients Uses Marijuana to Ease Pain Questions and AnswersBook ReviewsSelf-Help Groups |
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The OPEN PathWilliam Dubin, Ph.D.Relapse is common because we are all vulnerable to the Soul Illusion: During high-risk situations we will not be as motivated to avoid lapsing as we are now. This is not a problem for followers of the Impeccable Path, because they do not have to make plans. They have no choices other than rigid adherence to their commitment. The OPEN Path is more complicated.
To follow the OPEN Path you would develop an Implementation Intention such as, "When I encounter high-risk situation X, I will execute tactic Y." You have to exercise your will to carry out your plan, and then, like a scientist, you would observe what happens. If you get the expected outcome, you are on the right track. Congratulations! However, if things did not work out as you expected, nature is telling you that cause-and-effect play out differently than you thought, and you must modify your plan to account for this new knowledge. Then, you would execute the new plan and be open to the feedback nature gives you, and so forth. Over time you will develop a more sophisticated understanding of cause-and-effect in your universe and a progressively more realistic and effective set of coping tactics.
The OPEN Path refers to: Outcome, Plan, Execute, Nurture:
1. Choose an Outcome you want. 2. Develop a Plan to achieve it. 3. Execute the plan. 4. Nurture your understanding through observation and modify the plan accordingly. Go back to step #3.
Example of H's plan: "At the wedding reception, whenever I think of drinking alcohol, I will take a sip of club soda and focus on my family." Later, he will review his observations, asking himself: "What can I learn from this experience?" "What helped and what did not?" The Truth Will Set You Free!
The objective of the OPEN Path is to improve your understanding of cause-and-effect through observation. If your predictions were good enough for you to create a plan that worked well, congratulate yourself, and note what you did that was effective. Success has a lot of information value: There are many ways to fail, but few ways to succeed.
However, if things did not go as predicted, nature has taught you something you did not know before. The task now is to appreciate that you received something of value, rather than a rebuke, and use this new information to improve your understanding so you can modify your plan accordingly. You might make some adjustments or abandon the tactic completely in favor of a different approach. As you continue to accept natural feedback and use it to improve your coping abilities, you will become progressively more effective.
Self-Forgiveness
The follower of the OPEN Path seeks truth as revealed by observation. Personal experiments are conducted primarily to ask a question of nature and receive an answer. These experiments are risky. Unexpected results are common; if we knew what would work we would not have to do the experiment.
Performing these experiments requires courage. Unfortunately, many people with addictive disorders are relentless promoters of self-hate. The inevitable setbacks and hard times are taken as proof of their intrinsic worthlessness or of the hopelessness of their situation. The solution to this problem is presented in the next blog entry.
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