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Psychology & Buddhism.pdf

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112 G. Rita Dudley-Grant<br />

More recently, psychologists and other mental health professionals have recognized<br />

the need to research, develop and implement paradigms of treatment which<br />

can draw upon the information from addiction research, as well as the newest<br />

approaches to intervention from psychodynamic and behavioral models. Genetics<br />

is also acknowledged as playing a role. The two major western psychological theories<br />

of addiction, psychodynamic and cognitive behavioral, currently provide the<br />

foundation for much of addiction research. A particular aspect of intervention with<br />

addiction is its relationship to spirituality, a long-standing aspect of recovery, which<br />

is more recently gaining attention from the research community (Carroll, 1993).<br />

<strong>Buddhism</strong> also has addressed issues of addiction, from spiritual and theoretical<br />

perspectives. Buddhist doctrines, Eastern in origin, but having growing impact<br />

on Eastern culture and psychological thought, addresses craving and attachment,<br />

indicating that an appreciation of the impermanence of all things can inform our<br />

understanding of the causation and mechanics of addictions. Buddhist theories of<br />

the twelve-fold chain of interdependent origination have been used as a model for<br />

understanding addiction. More recently, the concept of the presence of the Ten<br />

Worlds has been considered in relationship to addictions. In this doctrine, the<br />

world of hunger or insatiable desire is one of the four lower worlds leading to<br />

the destruction of the human spirit.<br />

<strong>Psychology</strong>, <strong>Buddhism</strong> and addiction are considered from two perspectives<br />

in this chapter. One is the theoretical understanding of the psychology<br />

of addiction from a Buddhist perspective. The other more subtle issue is the<br />

role of spirituality in recovery, and how the practice of <strong>Buddhism</strong> interacts with<br />

traditional understanding of that process. The theory of addiction within<br />

<strong>Buddhism</strong> is presented in the context of the discussion of the role of spirituality<br />

in recovery. Commonalties and contrasts between these two great Eastern and<br />

Western traditions can inform and enhance practitioners and researchers alike. It<br />

can move us beyond narrow, culture bound frameworks for understanding and<br />

intervention into a more inclusive theory which can address this world wide<br />

plague which has overshadowed the development of our global community and<br />

threatens to consume the forward development of all mankind.<br />

Spirituality and addiction have been linked for many years, as exemplified<br />

through the growth and acknowledged success of Alcoholics Anonymous and<br />

other twelve step programs (McCrady & Miller, 1993; Spalding & Metz, 1997).<br />

Interest in the role of spirituality in recovery has continued to grow and has<br />

burgeoned to the point of national attention within the research community.<br />

For example, the National Institute on Alcohol Abuse and Alcoholism [NIAA]<br />

(Feb 18, 2000) in conjunction with the Fetzer Institute, a nonprofit foundation,<br />

released a Request for Funding to research the role of religiousness and spirituality<br />

in the prevention, treatment and recovery from alcoholism and alcohol-related<br />

diseases. While there has been a concerted attempt to distinguish religion from<br />

spirituality (Green, Fullilove, & Fullilove, 1998), spirituality has most frequently

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