RECOVERY, INC. (t ^Answer to ^Jervoui f-^rohiemi A Self-Help, Family and Community Program An Interview With J O H N J. HIGGINS, SJ. Given to Martin L. Duggan THE QUEEN'S W O R K 3115 South Grand Blvd. ST. LOUIS 18, MO. Imprimi potest: Daniel H. Conway, S.J. Provincial, Missouri Province Imprimatur: gg Joseph E. Ritter Archbishop of St. Louis J a n u a r y 20, 1956 A N Y F I N A N C I A L P R O F I T made by the National Sodality Service Center will be used for the promotion of Sodali- ties of Our Lady and the cause of Catholio Action. Copyright 1955 T H E Q U E E N ' S WOBK Oeacfcßfted INTRODUCTION The number of nervous* and mental cases in the United States has in recent years increased a t an alarming rate, and relapses in such cases a f t e r leaving the hospital have been equally alarming. The experts in the field give us these figures which they con- sider very conservative estimates: one out of every thirteen persons has serious prob- lems with nervous or mental ill-health, and one out of every five families is seriously affected by nervous or mental illness. As f a r as can be determined by a number of surveys, these nervous illnesses are second only to alcoholism in causing the breakup of married life. I t is high time that the state, the Church, and the educational insti- tutions be seriously concerned about this problem. The good work of the recently expanding program of Recovery, Inc., in rehabilitating nervous people and former mental patients is comparable to the good work of Alcoholics Anonymous and other will-training programs. Recovery has al- ready saved hundreds of marriages and has brought peace back to a countless number of families. In this pamphlet F a t h e r Higgins tells us what Recovery is and how it works. •The word "nervous" is used throughout this pamphlet in the popular sense of a non-organic condition characterized by panics and the lesser emotional disturb- ances. RECOVERY. I N C . A n Answer to Nervous Problems Aa A N E W S P A P E R M A N , Martin Duggan seldom is surprised by public reaction to what appears in the paper. Knowing the interests of people is p a r t of his job. There are times, though, when the response is amazing. " I never would have guessed," he told his wife, Mae, as they enjoyed coffee over their morning paper, "how many people would be interested in this organization, Recovery, Inc., f o r nervous people. The city editor told me t h a t we have had more inquiries from the series which we ran on Recovery than from any other subject in his memory." " I think t h a t ' s wonderful," Mae Duggan said. " I t shows t h a t people really want to do something about their worries, since they want to know more about this Recovery organization." "Well, our friend F a t h e r Higgins would be the man f o r them to see," her husband replied, gesturing meaningfully in the direction of his empty cup. "He's very active in the organization and knows a great deal about it." "Listen, I've got an idea," Mae gleamed. "Why don't you get together with F a t h e r Higgins and write a pamphlet about Re- covery. That way people can have something handy to read and carry with them." "Well, t h a t ' s really not my kind of writing, and besides, I don't see how we could possibly put all of Recovery into one pamphlet. Say, could I have some more coffee?"' "Well, anyhow you could get enough of it into one pamphlet to stimulate interest and make Recovery better known. Pamphlets are really wonderful. You can put them in your purse or your pocket and have one with you all the time. You can do a lot of good with a pamphlet, and F a t h e r Higgins can give you the straight story on Recovery. How about i t ? " "OK, OK," Martin agreed, "on one condi- tion: t h a t I get another cup of coffee." Martin Duggan got his coffee, and — a few days l a t e r — a pleasant auto drive f r o m his St. Louis home across the Mississippi to P a r k s College, n e a r the historic village of Cahokia in Illinois. The door to the Jesuit residence was opened by F a t h e r Higgins himself, a tall, genial man with white h a i r and a winning smile. "Come in, Martin," the priest welcomed him. "A bit of a surprise to see you a t this time of day. I thought you fellows on a morning newspaper slept all day." "We usually t r y to," Martin laughed, "but we get a day off now and then." "Then this is a purely social visit?" "Not entirely," the newspaperman said, settling himself comfortably in a huge chair near the window. "You might say I'm working on an assignment f r o m my wife." And he proceeded to tell the amused priest how he had learned never to under- estimate the power of a woman — especially when she controls the coffeepot. When F a t h e r Higgins learned the purpose of the visit, he joined in the project en- thusiastically. Recovery, Inc., is a subject near to his h e a r t . The conversation went something like t h i s : A P E R S O N A L INTEREST F A T H E R : My interest in this isn't com- pletely academic, Martin. I guess you could say I've had a certain amount of experience. Back in 1927, I had one of those so-called "nervous breakdowns," spent some time in hospitals, and have been nettled with various kinds of nervous symptoms ever since. Like many nervous people (and there are more of us t h a n you'd ever imagine), I've read nearly every readable book on psychology and psychiatry t h a t has been published in the last 30 years. It's n a t u r a l , I guess, t h a t a person looks around f o r help to t r y to conquer his nerves. I've learned a great deal f r o m chatting with nervous patients during these years, and my friends and relatives in the medical profession have t a u g h t me a lot. But honestly, Martin, the most practical thing f o r nerves t h a t I've found in all these years of hunting is Dr. Abraham Low's book and the Recovery methods. M A R T I N : If I remember correctly f r o m the series of articles we published, Dr. Low is the founder of the whole Recovery move- ment, isn't he? F A T H E R : Yes. Low was a noted psychia- trist, and in 1937 he started an organization in Chicago to help nervous persons and former mental patients. His first group was made up of 30 of his own patients. They first met a t the Psychiatric Institute of the University of Illinois Medical School. F r o m the very beginning Recovery has been a strictly lay organization with Dr. Low as its adviser and medical director. Since t h a t inauspicious beginning Recovery h a s made g r e a t progress. The methods it employs have brought calm to a great many individuals, and peace to the home; it has saved marriages and encouraged the nervous person to r e t u r n again to God and to a better practice of his religion. But please let me save face right now. Even though I am convinced t h a t Recovery is doing g r e a t work, I am not so foolish as to think t h a t it is a panacea f o r all nervous or mental ills. M A R T I N : As a newspaperman, I feel as if I've been scooped! If what you say is t r u e , I'm surprised t h a t we didn't hear about the organization much sooner. To be f r a n k , F a t h e r , it's only within the p a s t few years t h a t I've heard the name Recovery, Inc. S L O W E X P A N S I O N F A T H E R : Well, if it will help you to regain your professional pride, Martin, I can tell you t h a t the first 15 years of Recovery's expansion were extremely slow. Dr. Low was a very conservative person, you see. He felt t h a t he first had to prove over a period of time t h a t his methods and family group t h e r a p y would work. But in the last few years since it was decided to expand the movement, Recovery has ex- panded outside of Chicago, so t h a t it now numbers over 100 groups in 47 cities and 18 states, and is still growing. M A R T I N : Anything t h a t spreads t h a t f a s t must have something to recommend it. Now I know from the newspaper articles that Recovery is a self-help system. But I still don't quite understand what the mem- bers can do to help themselves. FREE W I L L F A T H E R : That's not too hard to explain, Martin. F i r s t of all, you're aware, I'm sure, that Recovery is simply a system of will training. A person wouldn't have to know too much about the history of psychiatry to know that there had been a tendency to minimize the work of the human will. The tendency had been so strong, in fact, t h a t Dr. Low humbly insisted in his book that he had rediscovered f r e e will f o r the psy- chiatrists. M A R T I N : J u s t let me interrupt a minute, F a t h e r . That book by Low t h a t you're r e f e r r i n g to, is Mental Health Through Will-Training, right? F A T H E R : That's right, Martin. I'll tell you something about it a little later. Right now, I just want to point out that the essential element in the whole Recovery program is the power and potential of the will. In applying that principle a f t e r study- ing Dr. Low's book, members learn to avoid the use of language that makes their nervous symptoms worse. They learn to use instead the restrained Recovery vocabulary. They train themselves in the mental atti- tudes, habits of will, and specific techniques f o r handling nervous problems that the Recovery textbook teaches them. In my kitchen English, the book provides the patient with a simple but graphic blueprint f o r rebuilding his health, handy tools f o r — 9 — doing the work, and practical methods to guide him. M A R T I N : If I understand correctly, the members of Recovery accomplish all this by meeting in groups. F A T H E R : Right again. The members meet weekly a t one particular place — in a li- b r a r y , school, church building, private home — any place they can conveniently get a t little or no cost. V A L U E O F T H E G R O U P M A R T I N : But what good does a Recovery member get f r o m his meeting t h a t he couldn't get by himself? F A T H E R : T h a t ' s a big question t h a t any believer in group therapy would like to be able to answer fully. However, in j u s t a few words: A new Recovery member learns t h a t he is not the sickest person in the world, as he thought he was. Secondly, he learns t h a t what others have done, he can do also in solving his nervous problems; he learns specific ways f o r handling problems of his own t h a t a r e similar to the ones described in the meeting. He respects a certain authority in those who have ex- perienced what he has experienced; f o r this reason he will take advice and even reprimands f r o m a fellow patient which he is not yet disposed to take f r o m his own doctor. He gets relief f r o m a e r a t i n g and ventilating his symptoms. He leaves the Recovery meeting with more confidence in himself to cope with his symptoms, and he gets a morale boost t h a t will last him through the week. O U T L I N E O F A M E E T I N G M A R T I N : What exactly do the Recovery members do a t the meetings? — 10 — F A T H E R : There is no rigid procedure, but we do make it a policy to make the meetings as businesslike and as profitable f o r all as the leader can make them. People who come great distances — in some groups it's 150 miles — and a t great sacrifices want to get something worthwhile out of the meetings. M A R T I N : Could you give me a simple example of how you proceed? F A T H E R : We conduct the meetings in our area something like this: We s t a r t the meeting by playing a half-hour phonograph record of Dr. Low's lectures, during which the members take notes on points t h a t strike them particularly. A f t e r the record we discuss our notes from the record and let everybody comment. Then we usually read a chapter or p a r t of a chapter from Dr. Low's book with comments from the reader and leader a f t e r each paragraph or small section. Next, we go the rounds of all the active members sitting a t the table and ask f o r examples of symptoms and how they handled them with Recovery methods. A f t e r the example period, we permit new and old members to ask general questions about Recovery methods. N O SUBSTITUTE F O R D O C T O R M A R T I N : Isn't there a danger that you will be accused of stepping on the pro- fessional grounds of psychiatry in your Recovery work? F A T H E R : N O ; if people are honest, they don't make any such accusations because we really don't invade the professional area. We insist at all times that the patients foUov) the directions of their own doctors. — 11 — M A R T I N : This seems like the right time to bring up another question I have. What do other doctors of psychiatry think of Dr. Low's book and his methods? Do they approve? F A T H E R : That's a good question, and the answer is definitely yes. Wherever Recovery is really known f o r the common sense sys- tem that it is, psychiatrists have approved it, accepted it, and sent their patients to Recovery meetings. They are especially eloquent about the work t h a t Recovery does among the families of nervous people. In this type of social readjustment, Cleo D. of Louisville, Kentucky, has done very good work with family get-togethers, picnics, buifet suppers, square dances, and similar activities. As a result, psychiatrists in Louisville and in the larger cities all over the country where Recovery is established are sending their patients to Recovery meetings to get the help which they need between visits to their doctors. One of our leading St. Louis psychiatrists has already sent 15 patients to one of our groups. M A R T I N : Father, this reprint you have here on Recovery from the Saturday Evening Post of December 6, 1952 — how do you explain the title "They 'Doctor' One Another"? F A T H E R : As is t r u e of many an eye- catching title, there seems to be a certain number of people who t r y hard to misunder- stand the meaning. As you might guess from what I've already told you, we really do not "doctor" one another in the sense of invading the professional field. Our group therapy deals entirely with trivial matters and concrete examples, and we never attempt to answer general pro- — 12 — fessional questions. I'm sure you would never accuse a housewife of entering the professional field of cooking because she exchanges a few recipes with her neighbors. Nor would you accuse your wife of doctor- ing you when she gives you a couple of aspirins f o r your headache. It's the same in our Recovery family groups. We merely retell specific trivial incidents of what we have experienced and how we handled the m a t t e r . There's always something in it t h a t is similar to w h a t the others have been experiencing, and we all derive some benefit f r o m the example. We don't discuss m a j o r problems or decisions. We leave those things to the professionals. I M P O R T A N C E O F T H E " T R I V I A L " M A R T I N : I may be "dumb" on this group therapy business, but I'm wondering what good it does to discuss trivial examples. F A T H E R : T h a t ' s a very good question. However, it wouldn't take you long in this field of nerves to realize t h a t it is these trivial m a t t e r s t h a t cause a lot of the trouble. Once the patient gets control of the easy trivial symptoms, he is f a r on the way to handling his problems. The constant practice every day in trivial m a t t e r s sets the p a t t e r n t h a t enables the nervous person to handle the bigger situa- tions with good control. M A R T I N : I ' d never given a lot of thought to t h a t , but it sounds like good sense. In fact, F a t h e r , you've got me interested enough in this whole program t h a t I think I'll drop by a bookstore on my way home, and pick up Dr. Low's book. F A T H E R : You'll find it's a n excellent manual of both principles and techniques — 15 — f o r handling nervous problems. Dr. Low compiled this manual a f t e r about 30 years of medical and psychiatric practice and some 15 years of experience with the Recovery system. And these methods are confirmed by hundreds of actual examples and cases taken from interviews and panel discussions. My guess is t h a t from 50 to 75 thousand people already have read the book. And libraries find t h a t there is a constant demand f o r the book. M A R T I N : I'll bet you're pleased t h a t the book is being so widely read. As an old philosopher of the Aristotelian school, you must be heartened to know t h a t a t least one modern psychiatrist teaches t h a t we have a free will. F A T H E R : You know me pretty well, Martin. I'll admit t h a t I thoroughly agree with the basic element in the Recovery program: t h a t the type of person we are dealing with can control his thoughts and impulses and can check his obsessions. Another point t h a t Dr. Low insists upon is that there are difficult cases but no hopeless cases. The whole program rests on the tried and proved assumption t h a t nervous patients and former mental cases can be taught self-discipline and, with the aid of the group, can help themselves. P R I N C I P L E S O F R E C O V E R Y T H I N K I N G M A R T I N : Well, what are some of the basic thinking habits or attitudes t h a t Recovery teaches? F A T H E R : I would have to retell the whole book to give an accurate and complete description of each of the ways of looking a t nervous symptoms t h a t Recovery teaches. But here are a few that we can take from — 14 — the book in the form of slogans: "nervous symptoms are distressing but not danger- ous"; "feelings are not f a c t s " ; "tenseness intensifies and prolongs nervous symptoms"; "there is no right or wrong in domestic affairs — f o r our health's sake — if no law has been violated"; "good health is a serious business — we must not gamble it away"; "Recovery is severe self-discipline — it is simple but not easy"; "Recovery does not take the place of the doctor." M A R T I N : That will hold me f o r the present. I'm going to read the book and learn more about these good habits of thinking. Now I am curious to know some of the habits of will t h a t Recovery teaches. W I L L H A B I T S F A T H E R : From the very first, Recovery teaches the patient always to follow the doctor's authority. Isn't it strange how docile we are in physical illness? If a person breaks a leg, he submits himself completely to the doctor's orders; but in nervous ill- nesses people are very prone to diagnose their ailments themselves and t r y to pre- scribe their own remedies. Recovery teaches them to act ttlways on their doctor's authority. Some of the other will habits t h a t Recovery teaches are these: do the thing that you f e a r or hate to do; endorse yourself even f o r small gains; keep thoughts of security and reject thoughts of insecurity; have the courage to make mis- takes; avoid self-diagnosis; reject angry temper'and f e a r f u l temper; practice "aver- ageness" and avoid the undesirable kind of "exceptionality." — 15 — T H E R E C O V E R Y L A N G U A G E M A R T I N : Y O U a r e using words t h a t I'm not sure I understand — such as " f e a r f u l temper." F A T H E R : Yes, Recovery h a s its own language, simple and quieting f o r the nervous person. But I'm counting on your reading the book to get the f u l l meaning of those words. However, if you have time this morning, I will give you my "A-B-C's of Recovery" and the "Seventeen Points." They both give short definitions of some of these Recovery terms. M A R T I N : T h a t ' s all r i g h t with me. I was going to say a while ago t h a t it seems to me some of the precepts of Christianity a r e contained in the Recovery slogans. F A T H E R : You said a mouthful t h a t time, Martin. T h a t ' s a point t h a t religious- minded people should t a k e notice of. Re- covery is good self-discipline. And t h a t also helps explain my interest in Recovery, not j u s t f r o m a personal standpoint, but also as a priest, counselor, and teacher. The t r a i n i n g in self-control t h a t Recovery gives is good f o r everybody. I actually find t h a t I am teaching Recovery methods all day long — in the confessional, in coun- seling students, and in my classes. R E C O V E R Y T E C H N I Q U E S M A R T I N : Several times, F a t h e r , you have mentioned Recovery techniques. W h a t a r e some of them? F A T H E R : Well, again it is difficult to give any thorough treatment of the tech- niques without recopying Dr. Low's entire book. However, here a r e a f e w to give you a sampling: Quit using the "symptomatic idiom" and the "temperamental lingo"; use — 16 — instead the Recovery language. Grow in the will to effort, and practice the will to bear discomfort. In doubt, in fear, or in j u s t sheer laziness, command your muscles to do what you know you should do, or just com- mand them to stop. In a panic, call a fellow Recovery-ite, but limit your telephone talk to five minutes. And then we stress the "spotting" technique: recognize your tense- ness,, find and reject the cause. We also seek "objectivity": see things as they really a r e ; relabel your troublesome thoughts and call them by their right names; reject thoughts of danger and insecurity by can- celing out the unreal danger; use the Recovery slogans to encourage yourself in time of distress. S O M E N E R V O U S S Y M P T O M S M A R T I N : You mentioned nervous symp- toms a number of times. What are some of these distressing sensations that nervous people make so much of? F A T H E R : Well, they get new kinds every day, every hour. But I'm sure you have heard of these more common ones: heart palpitations, common headaches, "migraine" headaches, nausea, fatigue, numbness, dizzi- ness, general depression, "retirement" de- pression, head pressure, chest pressure, air hunger, difficulty in concentration, dimness of vision, hypertension, anxieties, worries, menopausal nervousness, post-partum tense- ness, weak spells, crying spells, delusions, sweats, rushing around, tremors, shakes, scrupulosity, and the feeling of unreality. Besides all these, there are many, many more. M A R T I N : H O W does the nervous person know when these symptoms are "merely nervous"? F A T H E R : He learns t h a t first from the doctor's diagnosis; and then when the con- ditions repeat themselves, he recognizes the symptoms from his own experience. M A R T I N : Do many of the Recovery members really experience these nervous symptoms? F A T H E R : Why of course they do. When they first come to Recovery, they feel sure t h a t their particular problems are unique; but it doesn't take long f o r them to realize that somebody sitting a t the Recovery table with them is experiencing the same symp- toms or worse, and so they learn to practice Dr. Low's fundamental proposition t h a t nervous symptoms are distressing but not dangerous. S E T T I N G STARTED M A R T I N : Your family and group therapy sounds fine, but how in the world do you get the nervous people to come to a meeting and then continue to come? F A T H E R : You can sure think up the toughest questions. It is sometimes very difficult to motivate really nervous people; but if they are sufficiently dissatisfied or disgusted with their sad condition, they can be persuaded to make an eifort. With this comes the will to get well. The next step is to t r y to convince them to get the full benefit of Recovery by attending a meeting. Once they attend a meeting, they are usually so convinced of the worth of Recovery by the examples and the people they see getting well that they are willing to t r y another meeting. M A R T I N : What do you think keeps them working at Recovery once they've started? — 18 — F A T H E R : My own opinion is w h a t I call the "secret of secrets" of will training. F o r many years now I have t a u g h t my college students without contradiction t h a t this secret is the acquired ability of finding a present satisfaction in all their daily tasks and duties. Recovery helps the nervous patient to find a g r e a t e r satis- faction in controlling his nervous symptoms t h a n in giving in to them. And every act of self-control strengthens his weakened self-confidence. M A R T I N : Y O U don't mean a physical satisfaction? F A T H E R : No, of course not, but it could be. I mean r a t h e r t h a t we get a happy feeling f r o m the fulfillment of some need or desire. "Endorse yourself even f o r small gains" is the way Recovery expresses the idea. We get a n emotional and intellectual satisfaction in doing something which we know is restoring our health — even though the effort is sometimes nervously and physically very painful. M A R T I N : Satisfaction sounds awfully selfish, doesn't it? F A T H E R : Maybe it does, Martin, but let's not f o r g e t t h a t God made our wills t h a t w a y : t h a t we choose what is represented as good f o r us. If God in His wisdom has given us one type of lawful pleasure to help us to observe two basic laws, self-preserva- tion and the preservation of the race, why shouldn't we teach people to find some satisfaction in working f o r the health and peace of mind? H O S P I T A L S A N D RELATIVES M A R T I N : That sounds all right to me. And now t h a t we've covered the individual — 19 — problems, what are some of the other areas in which Recovery can help? F A T H E R : That is a very large order, but I might mention two m a j o r areas. First, the hospitals and psychiatric clinics, with the help of Recovery, could prepare the patient f o r his return to family and work. Recovery training teaches them how to meet new pressures and to a d j u s t themselves. A very large percentage of the relapses of nervous and mental cases could be pre- vented if the patients were strengthened by Recovery training before they returned to their homes and work. M A R T I N : That's fine, but what about the people the patient has to deal with when he leaves the hospital — can Recovery help the families to do right by their sick relatives? F A T H E R : That's j u s t the point I was going to bring up next. It's the second m a j o r area I spoke of a moment ago. Most families do not know how to t r e a t their nervous or mentally ill relatives. They are either over-indulgent with them or much too harsh and severe. Recovery invites the families of nervous persons to come to the meetings and learn from other family people what to do with nervous problems, how to behave toward their sick people, and how to avoid being the cause of relapses. PREVENTIVE " M E D I C I N E " M A R T I N : That certainly makes sense. But, Father, can Recovery techniques be used as a preventive measure f o r people who have annoying nervous symptoms, or f o r those so-called "borderline" cases? — 20 — F A T H E R : Not only can they be used, but they have been and a r e used by Recovery members everywhere who follow the pro- g r a m and attend meetings regularly but have never received hospital treatment f o r their nervous problems. M A R T I N : A f t e r three years of following the Recovery program and acting as a counselor to the Greater St. Louis groups, can you say t h a t you have seen any improvement or cures t h a t have come about through the Recovery system? F A T H E R : There is no doubt about the improvement. And if you mean by a cure t h a t the patient is able to resume his normal work schedule and social activities, then I can t r u t h f u l l y say t h a t I have seen many such cures. These people are not completely f r e e f r o m nervous symptoms — nor, might I add, a r e even the so-called "normal" people — but a f t e r Recovery training, these "cured" nervous people a r e able to handle their nervous symptoms and no longer feel the constant need of medica- tion or of the shock treatment which they had been taking a t r e g u l a r intervals. S O M E A I D S F O R M E M B E R S M A R T I N : I see f r o m the folders t h a t you have brought out during our discussion t h a t you have quite a bit of mimeographed material on Recovery. W h a t a r e those sheets? F A T H E R : These a r e some of the aids t h a t I thought might prove helpful to the newer members. Here, f o r instance, is an alpha- betical scheme which I first started when I was visiting Recovery groups in Louisville. F o r each letter of t h e alphabet, I've picked — 2 1 — a word t h a t begins with the letter and expresses some f u n d a m e n t a l idea about Recovery. Bill D. thought we should call it the "A-B-C's of Recovery." M A R T I N : T h a t ' s fine as a memory device f o r those who know the Recovery program, and I think I'll p r i n t it somewhere in the pamphlet [see p. 26], But suppose I am a new member. Do you have a simple summary of Recovery principles to s t a r t me off? F A T H E R : Yes, I have made up what I call "Seventeen Points of Recovery." Here's a copy t h a t you can keep. I'd like to call your attention to the 16th point, about attending Recovery meetings. A t each gathering we have our trivial examples of tenseness-causing situations; we describe the resulting symptoms; then we tell how we spotted and handled the symptoms; and finally we give a quick picture of what we would have done before our Recovery training. I learn t h a t I am not the sickest person in the world and t h a t my symptoms a r e not unique — in f a c t , nearly everybody in the meeting h a s symptoms similar to mine and perhaps worse t h a n mine; I also learn t h a t what others can do, I can do j u s t as well, if I t r y ; and hearing so many different types of examples, I am sure to find some which fit my own problems and so I learn the everyday practice of Recovery f r o m successful Recovery practitioners. M A R T I N : J u s t glancing a t the "Seventeen Points" [printed on page 28], I can see t h a t they're all very practical. But while you were speaking, F a t h e r , I recalled t h a t you said t h a t Bill D. called your alpha- betical scheme the A-B-C's. Why did you — 22 — say, "Bill D."? Is t h e r e anonymity in Recovery? F A T H E R : Yes, we t r y to keep the same type of anonymity t h a t Alcoholics Anony- mous does. However, we find t h a t the members soon lose their excessive f e a r of the stigma of being thought of as a nervous person or a recovered mental patient. But even a f t e r they lose t h a t f e a r of the stigma, we never reveal names or examples to people outside the group. This way new members never f e a r to come to us. R E C O V E R Y N O T " F A I T H H E A L I N G " M A R T I N : As I page through your Recovery book here, I notice t h a t religion seems to be l e f t out. F A T H E R : That was done deliberately. Recovery is not "faith-healing"; Recovery is a practical system t h a t many medical men accept as having a sound scientific basis. However, it is very plain t h a t there is nothing in Recovery t h a t conflicts with religion or prevents a person f r o m using religious motivation. In counseling indi- viduals I supplement the Recovery program with whatever religious motivation I find helpful or morally necessary. M A R T I N : That brings back another ques- tion I've been wanting to ask you. Do you find anything in Recovery t h a t conflicts with the essentials of Thomistic psychology? F A T H E R : T h a t ' s a good question, but you must remember t h a t since Dr. Low is talking to the man in the street, he avoids as much as possible all technical terms in his treatment of m a t t e r s t h a t touch on philosophy, psychology, or psychiatry. In talking to non-professional people he f r e - quently substitutes the word " b r a i n " f o r — 2* — mind or intellect, but it seems a p p a r e n t he means the same faculty t h a t Thomists do. And the f a c t t h a t he bases his whole program on his acceptance of f r e e will makes him all right with me. S T A R T I N G N E W G R O U P S M A K T I N : I am curious to know, too, how you go about s t a r t i n g a new group. F A T H E R : That's not har d to answer. In a city where we a r e already established, additional groups s t a r t as offshoots of the p a r e n t group with trained members of the old group providing the leadership. When we s t a r t in a new city, we follow a pro- cedure something like this: (1) We r e n t a post office box in the name of Recovery plus the name of the new town. (2) Then we ask the local papers to run news stories and possibly some f e a t u r e material about Recovery, telling where to write f o r f u r t h e r information. (3) When we receive sufficient response, we ask the papers to run an announcement of the time and place of our first meeting and we send special letters to those who inquired and invite them to be present. (4) We s t a r t the first meeting of the new group with a panel of well-trained Recovery members f r o m established groups. At the first meetings we suggest plans f o r t r a i n i n g leaders f r o m among the new members, and we follow through with visits to the new group until it is functioning as it should. Leaders a r e trained either a t the Chicago headquarters or a t an approved leader-training group. Usually we like to get a person who needs the help of the program to act as leader, but some- times teachers, doctors, or clergymen have been leaders who started new groups. — 2 4 — M A R T I N : What groups have been started recently along those lines? F A T H E R : Following t h a t general plan, we started new groups in St. Louis, E a s t St. Louis, Carbondale, and Little Rock. By "we" I mean p a r e n t groups in St. Louis and then later in E a s t St. Louis. The Louisville branch and the Michigan branch have started new groups in a similar manner. M A R T I N : You spoke before about the help t h a t hospitals could be giving by s t a r t i n g Recovery groups f o r their patients. Are t h e r e any Recovery groups established In hospitals? F A T H E R : Yes, there is a group in Our Lady of Peace Hospital in Louisville, Kentucky, another group in Good Samari- t a n Hospital in Cincinnati, Ohio; and a t the present writing I know there are several new Recovery groups getting ready to be set up in hospitals in other p a r t s of the country where Recovery is known. H O W T O C O N T A C T R E C O V E R Y M A R T I N : W h a t is the easiest way f o r an interested person to buy the books and records and to make contact with a Recovery group? F A T H E R : In the larger cities like St. Louis, Chicago, Detroit, and Louisville — and perhaps a few more — Recovery, Inc., is listed in the telephone books, and a secretary or Recovery-ite is on duty a t least during working hours to answer inquiries. If a person is not near any of these large cities, the quickest way to get the books and records or to find out where the nearest Recovery group is located is to write to Recovery, Inc., 116 South Michigan Ave., Chicago 3, Illinois. — 25 — M A R T I N : Father, that covers about everything t h a t I wanted to ask you this time. I certainly appreciate your help. I think I now have a pretty good overall picture of what Recovery is. F A T H E R : I'm happy t h a t you're so inter- ested. And now in good Recovery style, how about a cup of coffee with me? M A R T I N : I'd like that very much. But let's get one thing straight, Father. If I ask f o r a second cup, you can't make me write another pamphlet. * * * * * THE A-B-C's OF RECOVERY A is f o r the A U T H O R I T Y of the doctor which always comes first. (A is also f o r A V E R A G E N E S S , by which we rid ourselves of the undesirable "exceptionality.") B is f o r the B E L I E F S — the accepted facts which are the power and strength of Recovery: f r e e will, etc. C is to C O N V E R S E and think in the Recovery language. D is to Do the things you f e a r or hate to do. E is to E N D O R S E yourself even f o r small gains in the practice of Recovery. F is f o r the " F E E L I N G S which are not facts." S is to G R O W in the will to effort. H is to H O L D on to the will to bear dis- comfort. I is f o r the big I who can control my thoughts and impulses and check my obsessions. — 26 — J is f o r J U S T N E R V O U S S Y M P T O M S , which a r e distressing but not dangerous. K is to K E E P thoughts of security, but K I L L thoughts of danger and insecurity. L is to L I M I T your phone calls to five minutes. M is to M O V E your muscles; and M E E T your friends a t the Recovery M E E T I N G S . N is f o r N E R V O U S f a t i g u e which is j u s t a myth. O is f o r the O B J E C T I V I T Y which stops panics by seeing things as they really are. P is to P R A C T I C E , practice, practice Re- covery every day all day. 9 is to Q U I T being a "knocker"; r a t h e r have the courage to make mistakes and the humility and honesty to admit them. R is f o r the R E A L I S M t h a t Recovery stands f o r . (R is also to R E J E C T the thoughts t h a t cause tenseness.) S is to S P O T your nervous symptoms and reject the thoughts t h a t cause them. T is to T H R O W out the T E M P E R S — a n g r y and f e a r f u l — t h a t cause so much tenseness. U is f o r U N D E R S T A N D I N G — the t r a i t t h a t gives us the power to help each other. V is f o r the V I C I O U S cycles of helplessness t h a t must become the V I T A L I Z I N G cycles of self-confidence. W is f o r your W I L L , which is f r e e and controls your thoughts and impulses. — 27 — X is f o r the ' X A M P L E S a t meetings which help you to spot and handle symptoms. Y is f o r You yourself who must work h a r d a t Recovery to get well and to stay well. Z is f o r the ZEAL that makes you work f o r yourself and others — f o r good health. * * * * * 17 POINTS O F RECOVERY I NEED HELP % To profit by Recovery, it is good f o r me honestly and sincerely to admit that my nerves and my nervous symptoms have become so much of a problem to me t h a t I really need some help and am willing to take the necessary steps to get t h a t help. M Y HEALTH FIRST 2. To help to bring myself around to doing the hard work of Recovery, it is good f o r me right now to make my health the most important thing in my life (assuming t h a t I know and believe t h a t life is worth living — in prepara- tion f o r a happy eternity with my heavenly F a t h e r ) . My health is very precious; I must be careful not to gamble it away. I C A N — I H A V E FREE W I L L 3. I t is good f o r me to act on the convic- tion t h a t , if I really want to, I can control my thoughts and impulses, check my obsessions, and endure my painful sensations. I have a F R E E WILL. — 88 — FOLLOW THE DOCTOR'S AUTHORITY 4. I t is good f o r me to accept the doctor's diagnosis and follow his authority on what symptoms are nervous symptoms and t h a t they a r e "distressing but not dangerous." (Recovery does not take the place of my doctor; it helps me to c a r r y out my doctor's directions.) TENSENESS INCREASES SYMPTOMS 5. I t is good f o r me to remember a t all times t h a t tenseness increases the intensity of my nervous symptoms and prolongs the sensations. Therefore, stop and spot and reject what's causing the tenseness. AVOID AND REJECT TENSENESS-CAUSING THOUGHTS 6. Therefore, it is good f o r me to avoid — through the use of Recovery methods — the thoughts and attitudes of mind which cause tenseness. (From the book, I learn t h a t some of the more common tenseness-causing thoughts a r e " a n g r y temper" [the other person is wrong], " f e a r f u l temper" [ I am wrong], self- diagnosis [ I am worse t h a n the doctor says I a m ] , anticipating danger where there is none, failing to practice "averageness," expecting myself or the other person to be exceptional.) REJECT OR RE-LABEL 7. I t is good f o r me to reject these tenseness-causing thoughts by rejecting them outright, or by rejecting the danger label, or by changing the danger — 29 — label to "distressing but not danger- ous," to "average," to "this is excep- tionality," or to any other label which is a t r u e and unexaggerated description of the symptom. (I know from Dr. Low's talks t h a t nervous persons invariably attach danger to their symptoms.) S P O T 'MY T E N S E N E S S A N D T H E C A U S E 8. A f t e r some Recovery practice, I learn to be alert a t all times to "spot" my nervous symptoms, to "spot" them as merely nervous — and therefore not dangerous, and also to "spot" the tenseness-causing thoughts and to reject them with the Recovery techniques f o r rejecting. I M U S T E N D O R S E M Y S E L F F O R E A C H V I C T O R Y 9. A f t e r each victory over my symptoms and h a r m f u l thoughts, I will t r y always to endorse myself f o r a job well done. I'll t r y to "feel real good" over my practice of a program which will eventually restore my health and keep me in good health. I'll try, too, to be happy about small gains and honestly admit t h a t I am feeling better. W O R K O N T H E S Y M P T O M S — F O R G E T T H E P R O B I N G 10. It is good f o r me to squelch my curi- osity about the remote causes of my symptoms. I am making t r u e progress when I handle my symptoms and con- tinue to do my daily duties in spite of discomfort. (An amateurish, useless — so — probing into the childhood emotional upsets t h a t might have started me off, frequently ends up with giving me much " f e a r f u l temper"; I feel full of guilt f o r having been such a silly, foolish youngster.) P R A C T I C E T H E W I L L T O BEAR D I S C O M F O R T 11. I t is good f o r me to practice constantly the will to bear discomfort, the courage to make mistakes, and to get away from my old habits of giving in to the will to comfort. U S E T H E R E C O V E R Y L A N G U A G E 12. I t is good f o r me to give up my use of the "symptomatic idiom" and the "tem- peramental lingo" and to move my muscles to use only the conservative and t r u t h f u l vocabulary of the Re- covery language. (The strong and tenseness-causing language of danger, angry temper, and pent-up feelings tends to make my symptoms worse.) E N C O U R A G E T H O U G H T S O F S E C U R I T Y 13. Throughout my practice of Recovery, it will be good f o r me to encourage thoughts of security instead of inse- curity, group-mindedness in place of self-centeredness, the total viewpoint f o r the partial viewpoint, long-range goals f o r short-range goals, optimism f o r pessimism. I M U S T M O V E M Y M U S C L E S 14. Whenever I seem to be a t a standstill in my thoughts and decisions, or j u s t — 81 — don't feel like doing anything, then I should remember t h a t I can still move my muscles to do what should be done. I should practice moving my muscles every day. S T O P T H E S A B O T A G E 15. A f t e r some Recovery practice, I am learning to spot my failure to accept the doctor's authority, or my failure to practice Recovery. These failures I know to be "sabotage." It is human and average to "sabotage" now and then; but it is bad to fill myself with " f e a r f u l temper" because I have "sabo- taged." I must j u s t smile a t myself f o r falling down like a baby; but then I must get up immediately and get going again. P H O N E I F Y O U M U S T — B U T M E E T I N G S C O M E F I R S T 16. It is good f o r me to attend my Recovery meetings regularly and to use the tele- phone to call a fellow Recovery-ite whenever I need some help in a panic. W O R K A N D P R A Y 17. My last-but-not-least point is the motto of another great psychiatrist and doctor of souls, Ignatius of Loyola: "Work [on the Recovery program] as if everything depended upon you; but pray as if everything depended upon God." — 82 — T H E Q U E E N ' S W O R K 3115 South G r a n d Boulevard S t . Louis 18, Mo. P r i n t e d in U . S. A. q^lLjfrj^Jl