标题:I:howAAmeetingspushsomewomenintoharmfuldating source:theguardian丨DarlenaCunha 翻译请保留原文链接哦 欲翻译的小伙伴,可评论领稿,并把已完成的译文发在自己的心理圈or个人主页的日志内。请领稿的小伙伴,尽量在一个星期内完成翻译,谢谢!! At23yearsold,AsiaBlackwoodwastheproudstayathomemotherofthreeyoungchildreninaquaintConnecticutneighborhood。Dayinanddayout,shepreparedsnacksandwatchedwithprideashertoddlerslearnedtosharewitheachotherwhileherhusbandworked。Lifewaspictureperfect。 Butjustunderthesurface,Blackwood’shappyhomewascrumbling。Shewasoftenexhausted,andfeltsadfornoreason。Thislistlessnessandunhappinessmadeherfeelguilty,sinceshehadnothingtocomplainabout。 “IwasgivenPercocettodealwiththepainafterchildbirth,”Blackwoodrecalls。“Irealizedimmediatelyhowgooditmademefeel。Itlessenedmydepressionandgavememoreenergy。” Blackwood’sprescriptionranoutbeforeshewasreadysoshestartedbuyingthepillsonline,usingtheminincreasingamountsoverthenextyear。Duringthattime,shesawhowunhappyhermarriagewasanddivorcedherhusband。 ShemetJohn(nothisrealname),arecoveringheroinaddict,justweeksafterherdivorceandbegandatinghim。Cutofffromherhusband’screditcards,herstashofpillsdwindled。Johnintroducedhertoamuchcheaperalternative:heroin。 Shesoonlostcustodyofherchildrenandbecamehomelessforawhile,stillshockedthatherlifewasnowaboutfindinghernextfixinsteadoffixingherkidsdinner。 Afteraverydarkyear,shedecidedtomakeachange,droppedJohn,andstartedgoingtoAlcoholicsAnonymous。 “WhatIdidnotexpectwastobefreshmeatwhenIwalkedintoAAmeetings,”shetoldme。“Menwantedmynumberandwantedtodateme。Iwasnewlysober,cluelessandcravinglove。” BlackwoodsaidshebegandatingamanwithninemonthssobrietywithinherfirstweeksatAA,andlaterfoundouthewassleepingwithdozensofotherwomeninthesamesupportgroup,manyofwhomshehadconsideredfriends。 Thatdiscoverywasdevastating。 “Itnevercausedarelapse,butitdidmakemequestionthejoyofsoberlife,andalsoconsidersuicide,”shesaid。“Theworldseemslikeareallymeanplacewhenyouaresurroundedbyunhealthypeople。” Blackwood’sstoryofloveinthetimeofdrugabuseisnotunique。Womentryingtorecoverarefallingintothetrapofdatinginwhichthegoalisnotloveormutualsupport,butapowerplayinwhichtheyarethelosers。 ThenextAA?WelcometoModerationManagement,ttheanswer Readmore JoellaStriebel,abehavioralhealthspecialistatGundersenHealthSysteminWisconsin,saysthatwomenhaveadifferentpathwaytoaddictionthanmen。Torecover,theymustbelievetheyhavecontrolovertheirownlivesandcanmakedecisionsforthemselves,ratherthanadmittingpowerlessnesswhichisoneofthemaintenetsofAA。 Advertisement “Recoveryfromaddictionismostsuccessfulwhenitisaddressingnotjusttheproblematicsubstanceusingbehaviors,buttheunderlyingissuesandpasttrauma,”shesaid。“Manywomenwhohavebeenvictimizedengageunconsciouslyinrepetitioncompulsions,seekingoutarchetypesandfamiliarsituations,andthroughthattheycanbevictimized。” NooneknowsthatbetterthanAlexHankel。 At15yearsold,Hankel(notherreallastname)wasalreadyaddictedtodrugs。By18,shewasrunningNarcoticsAnonymousmeetingsinhercommunityinNewOrleans。“LikeIknewanydamnthing,”sherecalls。“Thegroupsaresounstructured,basicallyanythinggoes。” Hankelendeduppregnantbyaman15yearsherseniorwhileinrehab。 Shesaidshetriedtoobservethe“oneyear”guidelineinplacethatusershaveoneyearofsobrietybeforetheystartdatingbutthatasoneoftheonlyyoungwomeninhergroups,shewasamaintargetforsexualadvances。 “Iwastooyoungtobenavigatingmysobrietyaroundsomanydisturbedpeople,”Hankelsaid。“Ineededamentalhealthdoctor。” Haluxurymostpeoplesufferingaddictionscannotafford。ShesaidmanyofthecheaperoptionsfocusonAAastheirmajorrecoverytool,anddon’taddresstheunderlyingproblemsthatmaybecausingdestructivebehaviors。 Atherfacility,shewassetupwithapersonaltherapistwhopaidattentiontothespecificissuesbeneathheraddiction。Ifpeopleinrehabprogramsonlyfocusontheirdependencies,theyareonlyscrapingthesurfaceoftheproblem,paintingoverabrokendownfoundationwithoutfixingthesplinteringwoodbeneath,Hankelexplained。Withoutdelvingdowntotherootoftheproblem,itbecomesmorelikelytogrowagain。 Advertisement AccordingtoNewYorkpsychotherapistScottWStern,whenthegeneralpopulationthinksaboutrecoveryprograms,there’snotalotofdistinctionbetweentreatmentandsupport。 Treatment,suchasrehabilitationandtherapy,isrunbyprofessionalswhostartwiththeirclientsfromwheretheyareandworkwiththemthroughavarietyofmedicalandpsychologicalmeanstobuildtheirautonomy,hesaid。Incontrast,supportgroupslikeAAorNAprovidemerelyapeertopeernetworkofindividualssupposedlyworkingtowardthesamegoal。 Suchgroupsarenotequippedtoaddressmanyofthecomplexissuesthatcomealongwithaddiction,sincethey’rerunbypeoplewhoarenottrainedasprofessionals。“Thesegroupsareplacesanyonecanwalkinto,whereanythingcouldhappen,”hesaid。 Inessence,anenvironmentthatistoutedasasafespacecanbeanythingbut。Fromeasieraccesstosubstancestosexualharassment,abuseorevenoutrightmurder,theseprogramscaninflictfurtherdamage。 Ontheotherhand,“evidencebasedgroupsarerunbytrainedfacilitatorswho,intheory,shouldbeabletorecognizepredatorybehaviorandintervene”,Striebelsaid。“Manyaregenderbased,aswell,whichfurthermitigatestherisk。” WhiletherearecertainAAmeetingsthatarewomenonly,theavailabilityofthesemeetingsisscarceatbest。Hankelsaidshewasfrequentlytheonlywomaninagroupof15ormoremen,becausetherewassimplynootheroptioninherarea。 LeonaColn,whohasbeeninandoutofAAprogramsfordecades,saidsoutheastGeorgiahasjuststartedprovidingonewomenonlyAAmeetingaweek,comparedwiththreemenonlymeetings。Beforeacoupleyearsago,shesaid,therewerenowomenonlymeetingatall。 Ofcourse,AAandNAitisoneofthemostpopularrecoverygroupsintheUS。AAboastsover1。3millionmembersasof2013,butaccordingtoSternonly58actuallyrecoverlongtermwithoutrelapse。ThisnumberoriginatesfromaretiredpsychiatryprofessorfromHarvardMedicalSchool,LanceDodes,whocomparedAA’sretentionrateswithstudiesonsobrietyandratesofactiveinvolvementinthegroupmeetings。 Meanwhile,membersareexpectedtomovethroughtheorganization’s12stepsandacceptthedoctrineputforthbyAA。SomeofthewomenItalkedtocalledthegroupscultlike,sayingthatmembersclingtothewrittenwordintheBigBookandexcludeanyonewhomightquestionit,leavingthemalonewhentheystumbleacrosswhatiscommonlyknownas“the13thstep”thatis,whensomeonemakessexualadvancesonsomeonenewtorecovery。 BeinghitonatAAwasadailythingforme。Inhindsight,IrealizeIwasneverreallyabletofocusonmysobriety AlexiaColon Colnhasbeenaround12stepprogramssinceshewasachild,andhasexperiencedthe13thstepdozenoftimes。At14shesawhermothergothrough“90in90”,whichiswhenapersoninrecoveryattendsatleastonemeetingeverydayforthreemonths。 “Ididn’tlosemymothertoalcohol,IlosthertoAA,”Colnsaid。“BeingateenagerwithacutemominAAwasnotfunatall。Nokidwantstoseetheirparentdating,anyway,buttheguysfromAAbringittoawholeotherlevel。” Coln’smothersoonmarriedamanshemetthroughthegroupmeetings,whohad15yearsofsobrietytohermother’soneyear,andthenewcoupleforcedColntogotomeetings,too,eventhoughshedidn’tyethaveasubstanceproblem。 “Theydidn’twantmetobealoneinthehouseallthetime,”shesaid。“SoIwenttomeetingsandtosoberdances。Iwasoffereddrugsthereeverysingletime。” EventuallyColndidendupwithasubstanceproblem,andshehasbeentoAAasanadultonandoffthroughoutherlife,takingwhatsheneedsfromtheprogramandleavingtherest。Buttherestwon’tleaveher。 Advertisement “IshoweduptoameetingonceinflipflopsandablackTshirt,”shesaid。“Someguyyelledout,‘Youknowwhatshe’slookingfor!’Igotinhisfaceaboutitandshamedhim。ThenIwastoldIshouldn’thavesaidanythingtohimaboutitbecausehewasnew。Butwhataboutme?Ishouldputupwiththat?” Colnhasbeenmarriedformorethan25yearsandknowshowtohandleherselfaroundthegroupmembers,butsheworriesaboutherdaughter,Alexia,who’sinherearly20sandtryingtostaysober。 AlexiaColnsuffersfromdepression,whichshesaidshemitigatedbyselfmedicating。Whensheturned22,shedecidedtogethelp,andstartedgoingtoAAandNA。Herfirstweekthere,shemetamanwhohadfouryearssobrietyandbegandatinghim,onlytofindhimisolatingherfromherfriendsandfamily,policingthewayshedressed,andeventuallyhittingher。 “Hewassojealousandkeptmeonashortleash,”shesaid,“alwayspretendingitwasaboutmysobrietyandwaswhatwasbestforme。” AlexiabrokeitoffandleftAA,onlytofallbackintodeepdepressionandsubstancedependency。Whenshetriedagain,monthslater,torecover,shefoundAAtobeadangerousplaceevenwithoutanabusiverelationshiptingingit。 “BeinghitonatAAwasadailythingforme,”shesaid。“Irelishedinit,honestly。Ilovedthatalleyeswereonmeallthetime。Inhindsight,IrealizeIwasneverreallyabletofocusonmysobriety。” Shestatesthatthetypeofattentionpaidtoyoungwomenintheprogramsisdetrimentalinallways。“Everysingleoneofusisvulnerablegoingintothoserooms。Forthefirsttimeinyourlife,youthinkyou’relearningtocopewithyourfeelings。You’renothidingbehindsubstancesanymore。Andyou’respeakinginfrontofpeoplewhohugyouandtellyoutheyloveyou。Buttheydon’t。They’reinitforthemselves。” LeonaColnblamesthecurrentstateofthelegalsysteminparticulardrugcourts。ShesaidthedrugcourtsinsoutheastGeorgia,wheresheandAlexiareside,mandateoffenderstogotoAAmeetings。Whenshecomplainedaboutthisprocedure,shewastoldtheycouldgotoanymeetingandtofindadifferentgroup。 “Buttherearenoothermeetingsherethataren’tatleastahalfhouraway,”Colnsaid。“Wordgotaroundaboutmycomplaint,andpeoplestartedquestioningAlexiaaboutit,makingthesituationevenworseforher。” Sternsaidtheproblemiscompoundedwhensexoffendersgothroughthedrugcourtsandareorderedtogoto12stepmeetings,whichhesaidisafairlycommonoccurrence。 “Forpeoplewithcriminalrecords,it’snotuncommonthattheywillarguetheywereundertheinfluenceofsubstances,”hesaid。“NinetypercentoftreatmentfacilitiesintheUSare12stepfacilitated,too,whichmeansnomatteryourcrime,you’remostlikelygoingtoendupatAAorNA。” Sternsuggeststhejudicialsystemshouldberevamped。However,theNationalAssociationofDrugCourtProfessionals(NADCP)saidthewaytheymandaterecoveryhasalreadyundergonevastchangesinrecentyears。 Whileit’sstillnotperfect,TerrenceWalton,theNADCP’schiefofstandards,saidthecourtsmandateprofessionaltreatmentbeforerecommendingapeersupportgrouptofacilitatelongtermrecovery。HealsosaidthatdrugcourtsnolongerspecifyAANAasthesupportgroupthatmustbeattended,aswasthecaseadecadeago。 “Wedon’trecommendAAtounwillingparticipantsanymorebecauseifyouforcesomeonetogotoAAorNAwithpeoplewhoarenotbeingforcedtogothere,itcanbeabadmix。Youneedtowanttoparticipateforthoseprogramstowork,”Waltonsaid。 Advertisement RhondaPence,whoworksintheNADCP’spublicrelationsdepartment,saidit’simportanttorememberthattheirclientelearepeopletoo。“Thegoalistohelpthemputtheirlivesbacktogetherandgetthemoffdrugsforgood,”Pencesaid。“Theydeservethatchancetobecomeaproductivememberofsocietyagain。” Butifdrugcourtsmandatesomeformofpeersupportgroupattendanceforthebettermentoftheirclients,and90ofthepeersupportgroupsoutthereareAANA12stepprograms,howcanweavoidwhatWaltoncalleda“badmix”ofpeople? Walton,SternandStriebelallhighlyrecommendanewpeersupportoptioncalledSmartRecovery。ItissimilartoAAandNA,butdoesnotinvolvecitingpowerlessnessaspartofrecovery,anddoesnotinsistoninvokingahigherbeingtobelongtotheclub。 Moreimportantly,SmartRecoveryhasa24houronlineoption。Thisgreatlyhelpswomenwhodon’twanttoattendinpersonmeetingsforfearofbeingtheobjectoftoomuchattention,aswellasthosewhocan’tdrive,orlivefarawayfrommeetingspaces。 Theprogramencouragesmemberstobuildtheirownmotivation,findwaystocopewithurges,managebehaviorsandfeelings,andstartlivingabalancedlife。 “ToomanypeopleequatethepowerlessnessintheAAprogramwithhelplessness,”Sternsaid。“Throughthat,theyaccidentallytransfertheiraddictiontosubstancestoanaddictiontothesupportgroupormemberswithinit。TheonlywaytocombatthisthatIhavefoundisthroughempowerment。” Asforthefourwomenwhofoundtheirrecoverymarredandfullofobstacles,they’reallfaringwell。Blackwoodisabouttogotocourttowinvisitationprivilegeswithherchildrenagain。She’sbeensoberforayearandahalf。Hankelisraisingasixyearoldgirlbyherself,whilestayingclearofdrugsandalcohol。LeonaColnhasn’tpersonallyneededtheaidofagroupinalmostfiveyears,andAlexiaisleaningonherforsupportassheforagesaheadinherownrecovery。 Itwasn’tthroughAAthatBlackwood,HankelandtheColnswereabletostarttheirhealthypathstorecovery。Itwasthroughtrulylearningtolovethemselves。