Addiction is a relational illness.
The best example of this is a young man I knew many years ago. He was an acquaintance of a friend of a friend so I only saw him a few times - but he's left an impression with me that's lasted decades ...
He lived alone in an apartment, and worked every day at an auto body shop.
Not so out of the ordinary - except for one thing.
When we wasn't working, or sleeping, he spent all his time drinking beer. On work days he'd get up at the very last minute (hungover I presume from the night before), go to work, and right after his work was done for the day would go to the bar across the street and sit there, usually all alone, drinking beer after beer until it was time to go home - when the bar closed? - when we ran out of money? - and pass out on his unmade bed with dirty sheets.
His apartment contained only an old easy chair, maybe a couch, and the bare essentials in the kitchen for making the most unhealthy - but quick - meals imaginable. The walls were bare and the bathroom was kept man-functional - meaning everything worked but was cleaned as infrequently as possible.
He'd spend his weekends in this bare bones apartment - drinking beer.
Oh yes, he did like to read Time magazine. So there were old issues of Time scattered about.
What's this have to do with addiction being a relational illness? Well, this young man lived with, and spent all he free time with his best friend - with whom he was actually having a love affair.
That's one of the most striking things I've learned about addiction over the years - an addiction is an intimate relationship between the addict and their substance - or behaviour: it's a love affair.
When he was with her his life was complete. And when he wasn't, he thought about her all the time, and could hardly wait for his work to be done so he could rush to her side.
His best friend and lover was his beer.
If you asked him, I'm sure he would've said he was happy ... maybe ... I'll never know of course because I never asked him.
He had family - parents, siblings and all that, but he only saw them at Christmas and on other holidays when he sometimes made the effort to travel to his hometown ... he knew us and sometimes he'd tag along for an evening - if we were going to a bar ...
Otherwise he was alone with his beer.
For all I know, he is still living that way. It's hard to imagine though , because the truth is, if he'd kept on much longer it's more likely he's dead - from the effects of the steady diet of beer or by his own hand.
The simple point I'm trying to make with this depressing story is that addiction as a relational illness needs someone outside the love affair between the person and their lover-substance to react to it.
it takes a relationship with at least one real person who cares, but at the same time has solid personal boundaries, to upset the the addict's relationship with their substance.
In rare instances the decision to break up comes from within.
But most often, someone on the outside of this toxic relationship has to say something (even at the risk of a strong, defensive reaction), or set a boundary .... I'm not standing by and watching this anymore - I'm not condoning or enabling it anymore. Do something, choose: a relationship with your beer (or whatever) or me ...
As far as I could tell, the young man I've told you about allowed no one in his life who had the insight or the courage to to so. He had arranged his life so there would be no interference from anyone outside his most important relationship.
And so he continued.
Where he ended up, I have no idea.
Addiction does not lie solely in the substance
Addiction does not lie solely in the person
Addiction lies in the relationship between the person and the substance
And it is an emotionally committed love relationship.