12-Step Coercion

Nurses General Nursing

Published

the following presentation was given at the may 21, 2004 open forum of the north carolina board of nursing meeting:

http://www.angelfire.com/journal/forcedaa/ncbon.html

I disagree. Being dry isn't good enough for me. I would want the nurses working with me and taking care of my family to have some sort of counseling and support and a time-limited basis. Not necessarily AA, but something. Agree to disagree?

When you break the law (stealing narcs) or don't meet the requirements to keep a nursing license (being a practicing alcoholic) then unfortunately some freedom and liberties must be limited for public safety.

Sooooo, even though I'm clean and sober, have been for over 2 years, I NEVER diverted from a patient, NEVER stole meds, NEVER falsified Rx's....I should be punished by having to attend AA/NA meetings???.....What you may not completely understand is that alot of the nurses forced into these "programs" have done NOTHING to break the law, some of us just made the mistake of taking the help that was offered and got NAILED for it!!....In case you're wondering, I have a "chronic pain issue" and became dependent upon stadol nasal spray, but EVERYTHING I took was Rx'd by my Dr. and he knew EVERY dose that I took......I'm by far NOT the only one that ended up in this situation because of circumstances like this. :o ......and frankly it sucks!

Many people have mentioned Rational Recovery, which is what I use and love it!...the issue that programs have with RR, and one of the reasons they won't allow us to use it is that RR doesn't have ANY meetings, there is a seminar to get started, but the whole premise is to make a CONSCIOUS DECISION WITH YOURSELF TO NEVER USE AGAIN, we learn "addictive voice recognition techniques" to differentiate between the "addict voice" and ourselves.....but of course for steppers this is too much to fathom (not meant as an insult!, they just don't get it and WON'T believe its possible).....To use this program you have to be brutally honest with yourself about your use such as myself, "I acted like a selfish *** when I took meds I really didn't need at the time!, why??, because I liked the feeling!!"......I recognize this mindset and behavior in myself, I'm NOT diseased!....I was simply a selfish jerk!!!....and it will not happen again!! :) ............For me, that's it!!

And why so judgmental toward the boat builders and topless dancers and factory workers---do they have nothing of value to offer, simply because they occupy a lower position on the socioeconomic food chain than you do?

I rest my case. :stone

Hmmm, interesting. Why was it a "judgement" call, you ask? It was not a personal judgement call, it was a professional judgement call. They are NOT qualified to provide the mental health therapy that they do as sponsors. And anyone that says they are only there to "listen" is insane. These are the people that we are FORCED, yes, Art, FORCED to divulge some very personal info to..do you want a topless dancer, factory worker or even Donald Trump walking you through this stuff--if you've had a horribly traumatic life, you're gonna have these folks "counsel" you? I don't think so.

And by the way, I AM a factory worker...and I am NOT qualified to "sponsor" AND provide therapy to the wife beater, the victim of childhood molestation and abuse, or the guy with enough anger problems to blow up a building..and this happens CONSTANTLY in AA. You guys are missing a real critical factor--these "meetings" are not just "support"..there is a huge mental process that you MUST work through, with an unqualified sponsor, in order to show "progress".....

Change sponsors??...Only with approval from the program director!!...Blasphemis??...well false deity's for one!!..."You can even use that door knob as your higher power/God.".......and to answer tweety about the Ohio wording I have seen them use BOTH "impaired nurses" and "garbage" in the media when referring to nurses awaiting discipline or in their "program". :stone[/quote']

If you believe in "God" why don't you use him/it as your Hiigher Power? But then you say in your most recent post that you like RR and they are secularly based. I have never seen false dieties, or any dieties, pushed in NA. I just can't help but wonder if it is radically different depending on what section of the country you are in, cause the program you describe doesn't sound a whole lot like the one I'm in in Jersey. But I am genuinely sorry that you have to go through all this; why did they have such a problem with you taking pain meds, was it affecting your work preformance, or did someone just get a bug up their a**?

Specializes in Alzheimer's, Geriatrics, Chem. Dep..

p.s. again....personally I believe in these things. But no one should be mandated into a particular belief system. And the BoN has no right to be above the Constitution.

Hi Loerith --

I agree they should offer more options and, knowing that relapse is a possible symptom of the disease, treat THAT accordingly. I assume a certain length of time away from nursing is required? Or does that depend on one's progress. Not asking you personally, but, anyone know?

It ain't about bad people getting good, it's about sick people getting WELL, and even AA suggests that if one needs "outside" help he/she shouldn't hesitate.

The God thing (again, LOL!) -- some recommend using GOD as an acronym - G.O.D. being "Group Of Drunks" or "Good Orderly Direction"

For me personally, it's ALL good.

There's two ways to look at what happens. A person finds him/herself hitting bottom (this of course doesn't apply to those who make a counting error) and his/her disease, or pain, convinces him that he has a problem. That isn't a bad thing, that's a GOOD thing! It means the only way you can go is UP -- it usually takes a crisis (even if it IS the BON sitting on someone) to convince someone they need help -- God knows, if they are still enjoying it, and it causes no pain, who's gonna want to stop?

The way I personally looked at it, in hindsight of course (for I wasn't too happy when I was forced to stop drinking and drugging) was that God had paved the way, throughout my life, for my life to change. No, I didn't believe in God at first, but it became clear after the fog lifted that He had something to do with what was happening to me. Anyway, stuff that happened to me in childhood, as a young adult, every drink, every drug, my suicide attempt, ALL of these worked in tandem to bring me to a point where I was on my knees (literally, as in "kneeling before the porcelain God, the White Throne", and spiritually -- admitting that my life was a mess and that I couldn't manage it on my own any longer). Every one of those things that happened were necessary! to enable me to finally look at who I was and why I was "here".

So again, hitting bottom was a GOOD thing -- and now 18 years later I have had a child, gotten back into nursing, mended long-gone family relationships, experienced what "love" is (haven't gotten the final answer on THAT one yet, LOL!), become the writer I always dreamed of becoming, and most important, found a God of my OWN understanding "who loves me just the way I am, and loves me too much to leave me that way" (that's a Max Lucado paraphrase BTW).

So anyway, PHEW! where did all THAT come from????? Just want to say that there is a lot of bravery and experience/strength/hope on this thread. I also gained a new perspective of those who are under directives from the BON, WOW! it sounds REALLY HARD~ but maybe necessary in most cases. Good luck and God bless to you all!

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
Sooooo even though I'm clean and sober, have been for over 2 years, I NEVER diverted from a patient, NEVER stole meds, NEVER falsified Rx's....I should be punished by having to attend AA/NA meetings???.....What you may not completely understand is that alot of the nurses forced into these "programs" have done NOTHING to break the law, some of us just made the mistake of taking the help that was offered and got NAILED for it!!....In case you're wondering, I have a "chronic pain issue" and became dependent upon stadol nasal spray, but EVERYTHING I took was Rx'd by my Dr. and he knew EVERY dose that I took......I'm by far NOT the only one that ended up in this situation because of circumstances like this. :o ......and frankly it sucks![/quote']

Babs I remember your story from the previous thread several months ago. I do understand that many non-addicts, or people who just smoked a joint at a party get thrown into the programs.

But again lying, manipulating and denial are rampant in addicts, so when someone admits they need help, or is caught in a random drug screen, and they say they aren't an addict, I'm torn in how to treat that individual. Treatment of course should be individualized.

But basically, I'm not talking about non-addicts and non-alcholics. I'm talking about addicts and alcoholics. Allowing them to stay dry on their own without counseling or support groups, and through drug screening alone isn't good enough for me. Did I say AA/NA, I don't think I did, if you re-read my posts, I've very supportive of choice in treatment and individualized treatment.

I agree 100% you shouldn't have been forced into the same programs as hardcore addicts. But I think we have a responsibility to our patients to monitor to assure the help you've asked for is effective. I'm totally against the "one size fits all" method of treatment.

But for those who have been evaluated and have been given the profressional opinion that they need continued extensive treatment, to offer it as an option they may or may not choose as long as they stay dry is not good enough for me. Agree to disagree?

Using words like "impaired" and "garbage" is not productive.

Off note: I don't think however, if a person chooses to go to AA that anyone has a right to choose his/her sponsor. That ain't right.

If you believe in "God" why don't you use him/it as your Hiigher Power? But then you say in your most recent post that you like RR and they are secularly based. I have never seen false dieties, or any dieties, pushed in NA. I just can't help but wonder if it is radically different depending on what section of the country you are in, cause the program you describe doesn't sound a whole lot like the one I'm in in Jersey. But I am genuinely sorry that you have to go through all this; why did they have such a problem with you taking pain meds, was it affecting your work preformance, or did someone just get a bug up their a**?

OK, we may have a misunderstanding here....I DO use "God" as my higher power, but that is my choice.....There are those out there that DO NOT believe in "a higher power" of ANY kind, and they shouldn't be forced to consult with a group, a door knob...etc. if it goes against their beliefs, for some their beliefs are soo strong that they can't even be around it, they CAN'T "take the good and leave the bad"....RR to my knowledge, teaches self reliance not that a "God" has to do all for you, its all about your honesty with yourself and acting accordingly.....The other issue is the "disease theory" of addiction, which I personally, think is false, its never been proven, its a theory and thats ALL it is! If I believed I had a terminal illness and was "powerless" as the 12 steps say, then that would be a self-fulfilling prophecy....and I will NOT risk the health and well-being of my family or me by going down that road....As for my situation, it got to the point that I was requiring more and more stadol, and began to take on occasions that it probably wasn't necesary, my Dr., who was also my boss bacame concerned and wanted me to get help, being the great guy that he is he called our states "alternative program" who did any intervention and sent me to treatment, and then informed that I had to sign a 5 year contract before I could go back to work, of course neither he or I were told about this before hand, so now I'm stuck in it and he feels really bad about it.....Granted, if he had not intervened there's no telling what would have happened so I am grateful that he did something.

OK we may have a misunderstanding here....I DO use "God" as my higher power, but that is my choice.....There are those out there that DO NOT believe in "a higher power" of ANY kind, and they shouldn't be forced to consult with a group, a door knob...etc. if it goes against their beliefs, for some their beliefs are soo strong that they can't even be around it, they CAN'T "take the good and leave the bad"....RR to my knowledge, teaches self reliance not that a "God" has to do all for you, its all about your honesty with yourself and acting accordingly.....The other issue is the "disease theory" of addiction, which I personally, think is false, its never been proven, its a theory and thats ALL it is! If I believed I had a terminal illness and was "powerless" as the 12 steps say, then that would be a self-fulfilling prophecy....and I will NOT risk the health and well-being of my family or me by going down that road....As for my situation, it got to the point that I was requiring more and more stadol, and began to take on occasions that it probably wasn't necesary, my Dr., who was also my boss bacame concerned and wanted me to get help, being the great guy that he is he called our states "alternative program" who did any intervention and sent me to treatment, and then informed that I had to sign a 5 year contract before I could go back to work, of course neither he or I were told about this before hand, so now I'm stuck in it and he feels really bad about it.....Granted, if he had not intervened there's no telling what would have happened so I am grateful that he did something.[/quote']

Thanks for your patience in explaining what you were trying to explain! I always a little biased, but try to stay open minded where anything concerning drug addiction (or potential drug addiction) is concerned. I was lucky enough to get clean before I got my liscense; I had just started using heroin when I found out I was pregnant with my son- for a while my baby was my Higher Power. When I did first get my license and had to dispense narcotics, it really freaked me out for a while; I leaned a lot on my sponsor who is also a nurse. Today I rarely think about those narcs, but sometimes I do, which is why I know my addiction is a disease that is progressing along under the surface, even though I haven't used in almost a decade. What I sincerely wish for anyone trying to get clean is that they are relieved of the obsession to use and can live a grateful, spiritual life. Who cares what path we use to get there?

Thanks for your patience in explaining what you were trying to explain! I always a little biased, but try to stay open minded where anything concerning drug addiction (or potential drug addiction) is concerned. I was lucky enough to get clean before I got my liscense; I had just started using heroin when I found out I was pregnant with my son- for a while my baby was my Higher Power. When I did first get my license and had to dispense narcotics, it really freaked me out for a while; I leaned a lot on my sponsor who is also a nurse. Today I rarely think about those narcs, but sometimes I do, which is why I know my addiction is a disease that is progressing along under the surface, even though I haven't used in almost a decade. What I sincerely wish for anyone trying to get clean is that they are relieved of the obsession to use and can live a grateful, spiritual life. Who cares what path we use to get there?

We are definitely in agreement on what the outcome should be :) , we just differ on how to get there, and I for one can deal with that......That's what its all about.....Now the hard part is getting the BON's to understand it. :o ...I keep hoping it will happen, and so far my state is the closest to gettin' there that I've seen.....Someday it'll happen if we just keep talkin' and trying to open their minds little by little!........Thanks for listening and taking an interest :p

yes, a judge, and in some cases, some state nursing boards, have ordered a sexual predator to 12 step meetings...aa meetings! the same meetings that a 17 year old young lady may be forced by the court to attend, following a first time offense. if you want to argue that point, i will post several links to support it. these meetings that nurses are forced to, are not limited to drug or alcohol problems..the 12 steps tout itself as useful to any type of addiction and the courts and boards feed on that..therefore, you could be exposed to some very dangerous situations, again, in an unmonitored environment.

here are a couple of recent examples of the types of people you might meet at an aa meeting:

http://athensreview.com/articles/2004/06/11/news/news08.txt

http://www.kansascity.com/mld/kansascity/news/nation/8903907.htm?1c

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
here are a couple of recent examples of the types of people you might meet at an aa meeting:

http://athensreview.com/articles/2004/06/11/news/news08.txt

http://www.kansascity.com/mld/kansascity/news/nation/8903907.htm?1c

i wouldn't think to pass judgement on millions of aa members on this article.

that's not being fair. that's one of the nice things about 12 step programs though, the only requirement is to stop drinking, doesn't matter who you are or where you come from, if you're there to get clean (even if under court order) your past is your past.

here are a couple of recent examples of the types of people you might meet at an aa meeting:

http://athensreview.com/articles/2004/06/11/news/news08.txt

http://www.kansascity.com/mld/kansascity/news/nation/8903907.htm?1c

as tweety so aptly stated in the next post, in na/aa, it's not where you come from that counts, it's where you are going. prior to na, i stole, lied, prostituted myself and violated every moral belief i was raised with. today i no longer have to do these things, and i no longer has to used drugs to get thru life. i have two wonderful healthy kids, i own a home, have a great job, and have been married to the same guy for 13 years. i could meet sick, messed up people at the grocery store, for cryin' out loud; the only difference is that if i meet them in a meeting i get to find out about the wreckage of their pasts if they choose to share that info with me. and i be t dimes to donuts that more of those people with questionable pasts that are found in meetings will be changing for the better than those you meet at he laundry mat, or where ever. we get the point: you don't like 12 step programs.

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