Obstacles to Recovery From Addiction

by Floyd P. Garrett, M.D.

The principal obstacles to recovery from any addiction are ignorance, shame, dishonesty, and personal exceptionalism.

Simple ignorance of addiction and recovery is, in theory, easily solved by exposure to accurate medical information on these topics – but shame and dishonesty serve to limit the amount of understanding the addicted individual can acquire about his real condition.

Similarly, dealing with the dishonesty that is a central part of the psychology of addiction is made far more difficult by the co-existence of the addict’s ignorance of addiction and his resulting shame about his addictive behavior.

The personal exceptionalism of the addict permits him to ignore facts and moral considerations that would normally prove decisive in halting his addiction. Because the addict believes that he is “not like those other people” and that “his case is special,” he has a virtual blank check to rationalize and justify behaviors on his part that contravene his personal values and beliefs.

The price of such personal exceptionalism, however, can be quiet steep. When he keeps bruising himself against the stubborn facts of the case, the addict experiences intense shame and humiliation. Precisely because he is an exception, he is “not supposed to be like that.”

Personal exceptionalism also makes it difficult for the addict to seek or accept help for his problems. Other people, people unlike himself, can and should receive help in overcoming their addictions – but he, precisely because of who he is, should neither need nor obtain such help. To do so would be a serious threat to his entire system of uniqueness.

The addict is caught between the proverbial rock and a hard spot in regard to his personal exceptionalism.If he fails to live up to the grandiose and unrealistic expectations it requires him to fulfill, he experiences feelings of failure, shame and humiliation. On the other hand, if his personal exceptionalism itself is threatened, he feels precisely these same feelings of failure, shame and humiliation for not having been what he thought he was, but instead an ordinary person “like everyone else.”

An alcoholic having serious problems such as health, marital, legal and job difficulties from his drinking may feel that his drinking is both justified and necessary because of his exceptional situation; that other people (doctor, spouse, judge or employer) are exaggerating and “making too big a deal” out of admittedly real but in his opinion minor difficulties; that he can and will stop drinking or cut back whenever he decides to do so; and that he doesn’t need any help – professional, AA or otherwise – in managing his drinking.

At the same time, he may be deeply ashamed of himself and the problems his drinking has caused him and others – but his dishonesty makes it impossible for him to admit this to himself. He develops paranoid defenses of the “why is everybody out to get me?” and “why do I keep getting the shaft?” variety that permit him to hide behind a victim smokescreen of resentment and self-pity and thus to avoid coming to terms with his own behavior.

The addict begins to feel like a misunderstood, unfairly treated and criticized victim of Fate, and of the mean-spiritedness of other people. Resentment, self-pity and the resulting sense of addictive entitlement –”If I am going to be treated this badly, I might as well drink, drug, or do whatever it is I like to do!” – provide emergency justification for still more irrational addictive behavior.

These various psychological defenses that protect the addictive process actually prevent him from grasping what is actually happening to him and thus prevent him from learning from experience.

Individuals suffering from addictive illness display a remarkable inability to “connect the dots,” to see the big picture, and to recognize the forest rather than the trees. They certainly realize that something is going seriously wrong in their lives as the negative consequences of the addictive process continue to mount up – but it is very difficult for them to see that the addiction itself is the chief source of their multiplying difficulties. Only in retrospect, after some period of recovery from their addiction, do they usually begin to understand how pervasively harmful it was to them.

The shame, dishonesty and personal exceptionalism of the addict may also result in a grandiose and defiant false self that serves to protect the addict from his often intense underlying feelings of personal inadequacy and guilt. This addictive false self functions like a suit of armor to conceal the vulnerabilities of the real self. In many cases, the protective armor grows so extensive and cumbersome that the real self is completely covered up by it. The result is inner as well as interpersonal alienation, and the virtual cessation of emotional growth.

And because the addictive false self is constructed and maintained to meet the requirements of the addiction and not of the living individual, the real self becomes progressively isolated, diminished and devitalized as the addictive self expands and grows stronger at the expense of the weakened and fearful real self. The addict is psychologically estranged not only from others, but first and foremost from himself. The overt behaviors of the addict represent at most the tip of the iceberg so far as the actual consequences of his addiction to him are concerned.

Recovery from addiction thus means recovery of the real self and the resultant resumption of healthy inner and interpersonal connectedness and emotional growth.


 A gem from the TGIF vault, originally published September 7, 2012. Excerpted and reprinted by kind permission of the author.

About the Authors

Renascent Alumni
Members of Renascent's alumni community carry the message by sharing their experiences and perspectives on addiction and recovery. To contribute your alumni perspective, please email alumni@renascent.ca.