ACQUISITION, DEFENDING AND EGO GRATIFICATION: STYLE DRIVES OF THE SEVEN DEADLY SINS AS SEEN IN ADDICTIVE RELATIONSHIPS AND RECOVERY Presented By: Brigitte L. Lank Ph.D. Founder, Lank Institute for Sexual Addiction and Recovery (LISAR) www.drlank.com S.L.A.P E.G.G: LITERATURE REVIEW ACQUISITION STYLE DRIVE (ASD) ACQUISITION STYLE DRIVE (ASD) High Score Target Deadly Sins Personality Traits Acquisition Style Drive (ASD) •Lust •Greed •Dis-satisfaction or excessive appetite for more •Gluttony •Sexual lust •Avarice and over-indulgence •Dependence DEFENDING STYLE DRIVE (DSD): SLOTH AND WRATH DEFENDING STYLE DRIVE (DSD) High Score Target Deadly Sins Personality Traits Defending Style Drive (DSD) •Sloth •Idleness •Wrath •Depression •Avoidance •Anger EGO GRATIFICATION STYLE DRIVE (EGSD): ENVY AND PRIDE EGO GRATIFICATION STYLE DRIVE (EGSD) High Score Target Deadly Sins Personality Traits Ego Gratification Style Drive (EGSD) •Pride •Narcissism •Envy •Jealousy SELF ASSESSMENT: STYLE DRIVES OF ADDICTIVE RELATIONSHIPS AND RECOVERY Instrument (75 Items) Style Drive: ASD = 25 Items Style Drive: DSD = 25 Items Style Drive: EGSD = 25 Items The Rating Scale 6 point Likert scale Requires a person to rate items along a well-defined, evenly spaced continuum. Used to measure the direction and intensity of style drive/attitude Responses for each item are weighted from zero to three a score of 3 assigned to the responses farthest in the “symptomatic” direction a score of 2 for the immediately adjacent response a score of 1 for the next adjacent response a 0 score assigned to the three responses farthest in the “asymptomatic” direction SAMPLE ITEMS Acquisition Style Drive (ADS) (Lust, Greed, Gluttony) Item 2. When I walk through a store I fantasize what I could buy if I had more money. Item 14. I feel insecure in my romantic relationship(s). Item 38. Should a cashier give me $10 too much change, I would keep the extra $10. Item 62. I have been unable to stop my sexual behavior even though I know it's inappropriate. Defending Style Drive (DSD) (Sloth, Wrath) Item 3. The pleasure and joy has gone out of my life. Item 9. I hold resentments. Item 21. It takes great effort for me to do simple things. Item 45. I feel hostility to insignificant irritants. Ego Gratification Style Drive (EGSD) (Pride, Envy) Item 1. I make myself known whenever I see my partner talking to someone who could be considered a romantic option. Item 55. I am frequently envious of others or think that they are envious of me. Item 58. I lack empathy and or do not recognize or identify with others' feelings. Item 67. I demand excessive amounts of praise or admiration from others. SCORING: TO DETERMINE STYLE DRIVE SCORES, ADD TOGETHER ALL ITEM SCORES FOR PARTICULAR STYLE DRIVE. Defending Style Drive (DSD) Subscale items: 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75 Subscale Score: _______ Acquisition Style Drive (ASD) Subscale items: 2, 5, 8, 11, 14, 17, 20, 23, 26, 29, 32 35, 38, 41, 44, 47, 50, 53, 56, 59, 62, 65, 68, 71, 74 Subscale Score: _______ Ego Gratification Style Drive (EGSD) Subscale items: 1, 4, 7, 10, 13, 16, 19, 22, 25, 28, 31, 34, 37, 40, 43, 46, 49, 52, 55, 58, 61, 64, 67, 70, 73 Subscale Score: _______ ASD (LUST, GREED, GLUTTONY) AND ADDICTIVE RELATIONSHIP Pattern of out of control behavior Inability to stop despite negative consequences Ongoing effort to stop/ limit behaviors Inordinate amount of time spent on sexual matters (obtaining sex, being sexual, and recovering form sexual experiences Persistent pursuit of high risk behaviors Reverse Invasion Increasing amounts of sexual experiences Sexual obsession fantasy as primary coping too (Lust may include chronic affairs, prostitution, compulsive sexual episodes) Preoccupation (Relational) (If you are sexual with someone you will have them in your power; using sexual seduction to gain power) DSD (SLOTH, WRATH) AND ADDICTIVE RELATIONSHIP Severe mood changes around sexual behavior Neglect of important social, occupational, or recreational activities because of sexual behavior Avoidance may include indulging in pornography, voyeurism Intrusive Sex/Eroticized Rage Boundary Invasion Covert Invasion Erotic form of hatred Anger may include dangerous sexual practices or anonymous sex When angry one may use sex to “get even” with a partner or have sex when resentful with a partner Preoccupation (Isolated or Online Anonymous) Severe consequences because of sexual behavior EGSD (PRIDE, ENVY) AND ADDICTIVE RELATIONSHIP Entitlement Need to break rules to meet needs When demands are high, sex is used for reward Have sex for deservability Taking advantage of someone sexually may be arousing Sexual obsession fantasy as primary coping tool Narcissistic exposure may include exhibitionism Jealousy may include compulsive masturbation ASD AND CO-EXISTING OR DIFFERENTIAL DIAGNOSIS Anxiety Disorder Adjustment Disorder, With Anxiety Substance Related Disorder/ Sexual Disorder NOS Impulse-Control Disorder Bipolar Disorder Dependent Personality Disorder Borderline Personality Disorder Antisocial Personality Disorder DSD AND CO-EXISTING OR DIFFERENTIAL DIAGNOSIS Depressive Disorder Adjustment Disorder With Depressed Mood Post Traumatic Stress Disorder Bipolar Disorder Avoidant Personality Disorder Malingering Bereavement EGSD AND CO-EXISTING OR DIFFERENTIAL DIAGNOSIS Narcissistic Personality Disorder Borderline Personality Partner Relational Problem NEUROLOGICAL PROCESS OF STYLE DRIVES Style Drive Sin Neurotransmitter Effects ASD Lust Greed Gluttony •Norepinepherine •Serotonin •Dopamine •Impulse •Appetite •Sex •Aggression DSD Sloth Wrath •Norepinepherine •Serotonin •Dopamine Energy •Alertness •Anger/ Irritability •Memory •Idleness/ Avoidance EGSD Pride Envy •Serotonin Obsession FROM VICE TO VIRTUE: ASD High Score Target Deadly Sins Personality Traits Relationship Recovery Goals Acquisition Style Drive (ASD) •Lust •Dissatisfaction or excessive appetite for more •Abstinence •Greed •Gluttony •Chastity •Purity of soul •Sexual lust •Altruism •Avarice and overindulgence •Temperance •Self-restraint •Dependence FROM VICE TO VIRTUE: DSD High Score Target Deadly Sins Personality Traits Relationship Recovery Goals Defending Style Drive (DSD) •Sloth •Idleness •Diligence •Wrath •Depression •Zeal •Avoidance •Integrity •Anger •Forgiveness •Composure RELATIONSHIP RECOVERY GOALS FROM VICE TO VIRTUE: EGSD High Score Target Deadly Sins Personality Traits Relationship Recovery Goals Ego Gratification Style Drive (EGSD) •Pride •Narcissism •Humility •Envy •Jealousy •Humbleness •Kindness •Admiration 12 Steps ASD DSD EGSD Step 1 We admitted we were powerless over our addiction - that our lives had become unmanageable Abstinence * Dependence Integrity, Diligence *Depression Admiration Step 2 Came to believe that a Power greater than ourselves could restore us to sanity Chastity *Avoidance Humbleness Step 3 Made a decision to turn our will and our lives over to the care of God as we understood God Self-restraint Abstinence *Dissatisfaction (appetite for more) *Avoidance *Narcissism Step 4 Made a searching and fearless moral inventory of ourselves *Sexual Lust (may be highlighted from sexual inventory) *Procrastination *Anger *Pride (may be obstacle to selfexamination) 12 Steps ASD DSD EGSD Step 5 Admitted to God, to ourselves and to another human being the exact nature of our wrongs *Dissatisfaction Composure Kindness Step 6 Were entirely ready to have God remove all these defects of character Abstinence *Dependence *Avoidance *Pride Step 7 Humbly asked God to remove our shortcomings Temperance Forgiveness Humility Step 8 Made a list of all persons we had harmed, and became willing to make amends to them all *Dependence *Avoidance *Pride 12 Steps ASD DSD EGSD Step 9 Made direct amends to such people wherever possible, except when to do so would injure them or others Altruism Integrity Forgiveness (SelfForgiveness) *Narcissism (Shift from unhealthy to healthy ) Step 10 Continued to take personal inventory and when we were wrong promptly admitted it Altruism Diligence Composure Zeal Kindness 12 Steps ASD DSD EGSD Step 11 Sought through prayer and meditation to improve our conscious contact with God as we understood God, praying only for knowledge of God's will for us and the power to carry that out Purity of soul Integrity Humility Step 12 Having had a spiritual awakening as the result of these steps, we tried to carry this message to other addicts, and to practice these principles in all our affairs Temperance Altruism *Idleness *Avoidance *Depression Kindness THANK YOU For additional information about Acquisition, Defending and Ego Gratification: Style Drives of the Seven Deadly Sins as seen in Addictive Relationships and Recovery, links to other resources, or request an electronic copy of this presentation go to: www.drlank.com