Habilitation is the process of constructing a recovery identity from new rather than old building blocks. Rather than retrieving what one lost through addiction, it is building recovery from that which one never had (see Recovery). Habit-breaking... in the context of recovery, is the conceptualization of alcohol and other drug problems as an acquired habit and the resolution of these problems through the application of techniques used to cease long-standing habits (Dorsman, 1991). Harm Reduction (as a stage of recovery)... is defined by the International Harm Reduction Association as a collection of strategies that focus on reducing the adverse health, social and economic consequences of drug use among persons who are continuing their alcohol and other drug use for the foreseeable future (http://www.ihra.net/papers/paper1.html). While harm reduction is often portrayed as an alternative to, and even antagonistic to, recovery, it can also be viewed as a strategy of enhancing long-term recovery. The mechanisms through which this can occur include preventing the depletion of recovery capital and enhancing readiness for recovery via the change-encouraging relationships through which harm reduction approaches are delivered. “A harm reduction approach to a person’s drug use in the short term does not rule out abstinence in the longer term” (Canadian Center on Substance Abuse National Working Group on Policy, 1996, http://www.ccsa.ca/docs/wgharm.htm). Many people begin their efforts to resolve AOD problems with their own self-engineered harm reduction experiments, e.g., periods of abstinence, controlling frequency, quantity or circumstances of use, etc.
Healing Forest is a metaphor used in The Red Road to Wellbriety (in press) suggesting that healthy seeds cannot grow in diseased soil and that injured seeds need a healing forest in which they can be repaired and flourish (see Ecology of Recovery).
|High Bottom Recovery||
High Bottom Recovery refers to the initiation of recovery through a breakthrough of awareness of all that one could lose through continued alcohol and other drug use. References to “high bottom alcoholics” refer to people who entered recovery without having suffered major economic or social losses due to their drinking (see Low Bottom Recovery).
Higher Power is, in the Twelve Step tradition, the personification of a positive power “greater than ourselves” that can restore sobriety and sanity to the addicted. Referred to as “God as we understood Him.”
Hitting Bottom is an addiction-related experience of complete anguish and despair. Studies have long affirmed the role of this “hitting bottom” experience (heightened AOD-related consequences and threat of greater consequences) and/or (a dramatic breakthrough in self-perception) in the initiation of recovery. The experience has been characterized as an “existential crisis” (Coleman, 1978), a “naked lunch” experience (Jorquez, 1993), a “brief developmental window of opportunity” (White, 1996), a “crossroads” (Klingemann, 1991, 1992), and an “epistemological shift” (Shaffer and Jones, 1989) (see Quantum Change).