Friday, April 24, 2009

Final Day of Training

24 April, 2009 Summary/Remarks on the Fifth Day –

The final day of the training began with a question related to EAPs. Participants were asked to answer the question: “If you recognized that a coworker was drinking too much, would you initiate a conversation with him/her and suggest that they seek professional counseling? Why or why not?”

Participants had numerous answers. Except for those already involved in counseling, most of the participants said that they had not had such a conversation with drinkers in the past but will do so now armed with the knowledge that alcoholism and addiction to drugs is a disease. Two participants used their new information and skills this week. One picked two pregnant women at the tro tro stop and took them to the clinic. He asked them, “Do you drink?”, and they both replied “Yes”. Based on his knowledge learned about FAS, he advised them about the dangers of consuming alcohol during pregnancy. Using skills learned in the role plays, another participant had a conversation with two drinking friends about alcohol and addiction. One participant replied to the question by saying, “I am a crocodile coming out of the river” meaning that he is a recovering alcoholic. He went on to say that he regularly discusses drinking with his friends and colleagues. The GNAT participants said they would return to their stations and spread information about addiction and organizing EAPs.

Mr. Amegashie then spoke about the many attitudes which lead to relapse including the following:

DENIAL – AM I REALLY AN ALCOHOLIC?
I CAN MOVE WITH MY OLD FRIENDS AGAIN BUT WON’T DRINK
I CAN STAY SOBER ON MY OWN
AA MEETINGS ARE NOT SO IMPORTANT FOR ME
SOBRIETY IS BORING
I’LL NEVER DRINK/USE AGAIN
I CAN DO IT MYSELF
I’M NOT AS BAD AS …..
I OWE THIS ONE TO ME
MY PROBLEMS CAN’T BE SOLVED
DON’T CAREIF NOBODY ELSE CARES, WHY SHOULD I?
THINGS HAVE CHANGED
THEY DON’T KNOW WHAT THEY ARE TALKING ABOUT
THERE’S GOT TO BE A BETTER WAY
I CAN DO THINGS DIFFERENTLY
NOBODY NEEDS TO KNOW HOW I FEEL
I’M DEPRESSEDI FEEL HOPELESS
I CAN HANDLE IT
I CAN’T DO IT, WHY TRY?

Mr. Amegashie ended his presentation talking about the use of the Twelve Steps of AA & NA, saying, “People in AA use the 12 Step programme like a survival ship or lifeboat, to save their lives”.

Pastor August then spoke on pastoral counseling which is generally regarded as a form of therapy or counseling in which a pastoral counselor, as a representative of a religious tradition or community, uses the insights and principles of religion, theology and behavioral sciences in working with addicts. An important ingredient which makes pastoral counseling different from other forms of counseling is the conviction that life’s problems are best met by both wisdom of religious teachings and the knowledge and skills of the human behavioral sciences such as psychiatry and psychology.

Pastor Auguset made reference to numerous Bible passages, including those from Proverbs reminding us that addiction is nothing new. “How wine is sweet . . . at last it bites like a serpent and stings like a viper . . . your heart will lead to perverse things.” “Where there are no counselors the people fall.”

Pastor Augustt then led a discussion on the “addictive cycle” which goes from the addictive activity to dissatisfaction, to moral resolve to stop the addiction, to the return of pain and then back to the addictive activity. A participant referred to the Liberian proverb that says, “Those of you who drown your souls in alcohol, know that your souls can swim”.

A session evaluating the training and “the way forward” brought numerous comments including: “I was amazed about alcohol and what I learned from Dr. Osei; we cook our brains”. “We need to network, keep in touch regarding EAPs and efforts to deal with addiction.” “Our first step is to meet with the general secretary to discuss this alcohol problem and the idea of setting up an EAP”. “On Mondays, people come to the clinic at the refugee camp, and I will be there to inform them about alcohol and drugs and AA.” “My people need to know that alcohol is a dangerous drug and that alcoholism is a disease.” “We will intensify our public relations work in Wa, even if it is done under a tree.”

The week ended by reviewing the expectations of the training and the handing out of certificates. Participants were assured that the papers presented during the week will be available on the Hopeful Way web site. Participants will write reports on the training and send them to their sponsoring organization.

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