For those unfamiliar with step work, or what on earth anyone means by “taking a step one”. Step One is usually always split up into two parts, powerlessness and unmanageability. Step one is about dispelling denial around the inability to control
“We cannot change what we can’t accept” Step one is about dispelling denial around addiction.
Here is an example of the kind of work that a person who is undertaking work around the 12-Step method of overcoming addiction might look like.
STEP 1 – THE PROBLEM – POWERLESSNESS
Implications:
- a) A LACK OF POWER
- b) THE INABILITY TO CONTROL
- c) I AM NOT IN CONTROL
Give examples of:
- Loss of control due to addictive behavior.
(2 examples)
eg: blackouts, overdose, fits, collapse, memory loss, vomiting etc
- How many other examples of loss of control could you have written about?
- Attempts to control or stop that were unsuccessful. (2 examples)
eg: detoxes, cutting down, moving areas or countries, attempted rationing.
- How many other examples of failing to control could you have written about?
- Accidents and/or dangerous situations.
(2 examples)
eg: crashes, falling accidents, passing out, risky sex or drug-use
Give examples of:
- Broken promises to family, friends, employers, self. (2 examples)
eg: to stop using, to show up, to pay debts, to be more: honest, responsible
- What self help or mainstream treatments have you tried unsuccessfully?
- Have you blamed yourself for being weak willed and inadequate?
- Where, despite your best intention and resolve, have you been unable to live up to required standards and ethics as a health professional?
- How do you feel about “having a lack of power”
- Have you considered that there could be other areas of your life where you may be powerless. Where might that be?
Dylan Kerr Addiction Therapy 