Dr. Paul J. Melrose




















“I’m empty; Fill me up”

The online encyclopedia, Wikipedia, tells us that addiction is a compulsion to repeat a behavior regardless of its consequences. A person who is addicted is sometimes called an addict. There is a lack of consensus as to what may properly be termed 'addiction.'

However, addiction is often applied to compulsive behaviors other than drug use, such as overeating or gambling. In all cases, the term addiction describes a chronic pattern of behavior that continues despite the direct or indirect adverse consequences that result from engaging in the behavior. It is quite common for an addict to express the desire to stop the behavior, but find himself or herself unable to cease.

Addiction is often characterized by a craving for more of the drug or behavior, increased physiological tolerance to exposure, and withdrawal symptoms in the absence of the stimulus. Many drugs and behaviors that provide either pleasure or relief from pain pose a risk of addiction or dependency.

Early psychoanalytic theory might suggest that people with compulsions or addiction are feeling empty and need to be filled up. That approach might help us understand the need to do something, like drink or gamble, or have a compulsion to spend, work, exercise. If one is feeling empty inside that could do with a number of things; having a physical dependency; a disease; having a genetic pre disposition; seeing something culturally reinforced; making poor choices. Our president has warned us that as a society we are “addicted” to petroleum. I use that as an example of what might be a need to fill us up so that I can do what I want to do, now, to feel better. When we don’t have gas, we cannot use the car, and that might prevent us from fulfilling many needs or desires. But there are many examples of this need to “fill me up”, or a craving, or satisfying an immediate need, which we are learning can to psychological, emotional, physical, financial harm to self and others. Internet addiction, whether simply to use the computer, or use it to find a social or sexual relationship, can hold one together when they have no social contact, but at the same time can isolate one from the world and relationships. A lot of what might be called an addiction can only be what is in the eye of the one behaving in this way, struggling with the substance or in the eye of the beholder, what your friend or spouse or child sees you doing. Of course, the one behaving is often in denial that his/her behavior may be having negative consequences for him/herself or the ones around him/her.

This urge or compulsion to make myself feel better now is from the point of view of many, layperson and professional, a serious problem. While our faith traditions and psychology support the need for healthy and happy people the way to happiness does not seem to be just to satisfy my happiness here and now. What is missing it seems are two things: some criteria to make healthy or good choices for a person, and an agreed set of boundaries for a person to live within. In our society our laws provide the most basic set. But our lifestyles, our family culture, or even the kind of narcissistic need which puts me first and that’s it, work against some kind of moderation.

One must look into one self to determine when this much is too much. What is it that causes this behavior? In many cases lack of a relationship to self, to others, to God, will create the sense of low self esteem, pain from depression, or anxiety or failure, and many other things which will create and emotional, spiritual and psychological sense of pain which needs immediate relief. This can be one powerful way to understand how many addictions and compulsions either come about, are strengthened, or continue. There are two responses that do not work; simply to choose to behave in a way that continues the behavior or addiction that masks the pain, or to blame my past, or society, or someone or thing outside yourself that this is why you feel this way. Look for the professional assistance, the friendships, the activities, the spiritual or religious faith that will speak to you to keep you from not helping yourself but hurting yourself, such that you too remain either addicted, behaving compulsively, and therefore continue to feel empty and be unhappy.

Dr. Paul Melrose is the Director of Clinical Services, and the newly Appointed Executive Director, of the Samaritan Counseling Center. He can be reached at www.paulmelrose.com, or through 248-474-4701. The Staff of the Samaritan Counseling Center can be reached at www.samaritancounslelingmichigan.com or through 248-474-4701.



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