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STRENGTHENING - Yale School of Medicine
Introduction to the 3-S program – for people of all faiths Make a commitment to your spiritual path (see Commitment Worksheet) Learn about habit patterns of the mind Become aware of the addict self’s “auto pilot” that takes control of your mind and prevents you from being on your spiritual path BUILDING YOUR SPIRITUAL MUSCLES:
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STRENGTHENING
yourSPIRITUAL
SELF 3-SWORKBOOK AND JOURNAL
Session 1
WHO AM I?
Addict self :
a habit pattern of the mind it causes suffering it does not reflect your true nature.True nature:
your spiritual nature always there - can't be taken away - but addict self makes it difficult to experience.Spiritual Path:
Morality - doing no harm to yourself or others
Mastery of the Mind - controlling mental habit patternsWisdom - knowing your true nature and
being committed to your personal spiritual path. Spiritual qualities = spiritual "muscles" needed for the Path:Strong determination Tolerance Gratitude
Effort Wisdom Courage
Equanimity Renunciation Forgiveness
Morality Generosity Serenity
Loving kindness Truth
You already have these spiritual muscles -
you just need to give them a good "work out" to strengthen them.GOAL OF SESSION #1:
Introduction to the 3-S program - for people of all faiths. Make a commitment to your spiritual path (see CommitmentWorksheet).
Learn about habit patterns of the mind.
Become aware of the addict self's "auto pilot" that takes contr ol of your mind and prevents you from being on your spiritual path.BUILDING YOUR SPIRITUAL MUSCLES:
During session: Role-play using your spiritual musclesAt-home practice assignments:
1. Three times daily 'Self Check-In':
Cue: _____________________ (e.g., telephone ringing) Instructions: Interrupt yourself at least three times each day, using your cue (for example, the telephone ringing) to see "who is in control" - simply become aware of whether or not the addict self auto pilot is turned 'on' (is in control of your mind) when you are interrupted by your cue?2. Spiritual Stretch:
Instructions: Begin each day with your spiritual stretch. See diagram for instructions.3. Spiritual quality assigned: STRONG DETERMINATION
Instructions: Find your own strong determination and express it during the week by completing your assignments and staying on your spiritual path. 3-SWORKSHEET: Session #1
COMMITMENT TO MY SPIRITUAL PATH
1. I am committed to strengthening and using a spiritual path in
my recovery from addiction.2. Being on a spiritual path requires that I be committed to doing
no harm to myself or others.3. I understand that training my mind for a spiritual path requires
strong determination and effort on my part, and I am committed to working diligently on my spiritual practice (both during sessions and between sessions). Signed: ________________________ Dated: ___________PERSONAL NOTES
Session 2
TRAINING
Mastery of the Mind #1
"Right" Effort - Taking back control from the 'addict self' takes practice "Right" Mindfulness - Become aware of all your thoughts, feelings, behaviors "Right" Concentration - Meditation retrains your mind toward your spiritual pathMeditation instructions:
Find a quiet place where you will not be disturbed Sit with your back straight (on cushion on floor or in a chair)Close your eyes
Breathe normally through your nose (do not try to regulate the breath) Concentrate on the sensations in and around your nostrils (the rim and insides of your nose) and on your upper lip just below your nostrils that is caused by the breath passing in and out Just keep your concentration fixed there - this is your anchor - simply observe the sensations caused by the breath as it passes over your 'anchor' point (Examples of sensations you might experience: tickle, tingle, pressure, perspiration. Also notice if the breath is long or short, does it pass mainly through one nostril or both, is it warm or cool) If your mind wanders, note 'mind has wandered away', and immediately return it to your anchor. Continue to observe the changing sensations around your nostrils and upper lip caused by the in and out breath. Techniques to use if you have difficulty returning to your anchor: Count your breaths (up to 10), but don't get caught up in counting. The goal is to stay focused on your 'anchor' not on numbers.At the beginning of a breath, make a commitment to noticing everything you can about the sensations caused by just that one breath
. Then do the same for the next breath -- commit yourself to your practice, just one breath at a time.GOAL OF SESSION #2:
Begin the training in 'Mastery of the Mind'.
Learn how to be mindful and how to meditate on the breathBUILDING YOUR SPIRITUAL MUSCLES:
During session: Meditation on in- and out-breath
At-home practice assignments:
1. Three times daily 'Self Check-In':
Cue: _____________________ (e.g., telephone ringing) Instructions: Interrupt yourself at least three times each day, using your cue (for example, the telephone ringing) to see "who is in control" - simply become aware of whether or not the addict self is turned 'on' (in control of your mind) when you are interrupted by your cue?2. Spiritual Stretch:
Instructions: Begin each day with your spiritual stretch. See diagram for instructions.3. Spiritual quality assigned: EFFORT
Instructions: Find your own EFFORT and express it during the week by completing your assignments and staying on your spiritual path.4. Meditation:
Instructions: Meditate on the in- and out-breath for at least10 minutes each day.
PERSONAL NOTES
Session 3
TRAINING
Mastery of the Mind #2
What to do when the addict self intrudes into daily lifeIdentify - Interrupt - Refocus
Before the addict self intrudes:
Identify the addict self's sabotage habits
Identify the addict self's early warning signs
If it intrudes - interrupt it!
Slow it down before it takes control again:
Monitor ongoing thoughts and emotions with Self Check-Ins Change your routine to interrupt the addict auto pilotShout 'STOP' to yourself
Observe and name 'addict' feelings - e.g., "craving is here"Then, refocus on your spiritual path:
*Recite self-affirmation, prayer, or mantraSing spiritual song/hymn
Remember the saying - "the whole earth is medicine"Turn your attention to a "spiritual object"
Meditate on the in- and out-breath
*My Personal Self-Affirmation/Prayer for my spiritual path is: _____GOAL OF SESSION #3:
Continue training in 'Mastery of the Mind'.
Learn how to handle addict self intrusions
BUILDING YOUR SPIRITUAL MUSCLES:
During session: Identified thoughts, feelings, and behaviors associated with the addict self and created a personal self- affirmation/prayer for remaining in spiritual self (see AddictSelf Intrusions Worksheet)
At-home practice assignments:
1. Three times daily 'Self Check-In':
Cue: _____________________ (e.g., telephone ringing) Instructions: Interrupt yourself at least three times each day, using your cue (for example, the telephone ringing) to see "who is in control" - simply become aware of whether or not the addict self i s turned 'on' (in control of your mind) when you are interrupted b y your cue?2. Spiritual Stretch:
Instructions: Begin each day with your spiritual stretch. See diagram for instructions.3. Spiritual quality assigned: EQUANIMITY (having a calm
and balanced mind) Instructions: Find your own EQUANIMITY and express it during the week by completing your assignments and staying on your spiritual path.4. Meditation:
Instructions: Meditate on the in- and out-breath for at least 10 minutes each day (preferably morning and evening) - increasing the amount of time by 5 minutes each week to a goal of 60 minutes daily.5. Self-affirmation/Prayer:
Instructions: Practice reciting your self-affirmation/prayer during the week; use it when the addict self tries to take control. 3-S Worksheet: Session #3: Handling addict self intrusionsIdentify - Interrupt - Refocus
IDENTIFY
BREAKING A HABIT = BREAKING IT DOWN INTO ITS PARTS:Identify the Addict Self's ...
Feelings: ___________________________________________________ Thoughts: ___________________________________________________ Behaviors: ___________________________________________________BE PREPARED FOR ADDICT SELF INTRUSIONS:
Predict ways the addict self may try to sabotage your spiritual progress: Place a check mark next to items below that describe your addict self's sabotage tricks: Missing 3-S therapy sessions ___ Missing daily methadone dose ___ Missing drug counseling ___ Missing urine tests ___ Denying any drug use ___ Minimizing harm caused by drug use ___ Isolating yourself ___ Going to high risk places ___ Being with high risk people ___ Doing high risk activities ___ Don't be discouraged if the addict self intrudes. Intrusions are to be expected. Being aware of them, and being willing to interrupt them, is a sign of spiritual progress.INTERRUPT
IF YOU CAN'T PREVENT ADDICT SELF INTRUSIONS, INTERRUPT THEM:1. Self-Check-In. I will check in with myself at least 3 times daily to catch it in the act.
2. Change routine. When you change your routine frequently, you interrupt the addict
self's auto pilot long enough to be able to return to your Spiritual path. I will change my routine as follows: ______________________________________(Examples: wear watch on other wrist or ring on different finger; take a different route home, sit in a
different chair, move frequently used items, set an hourly beeper).