Free will still operates to a certain extent in dependence on alcohol or other drugs. Frankl’s work emphasised a will to find meaning and purpose in life, and a specifically human dimension, characterised by self-detachment and self-transcendence. Self-transcendence refers to the process of relating to something or someone other than oneself. However, ‘the essence of intoxication is the turning away from the objective world of being towards subjective experience’. (Frankl 1967) Several landmark studies have found improvement quite unrelated to any formal treatment in the resolution of drinking problems. (Vaillant 1983) (Edwards et al.1987) (Brady 1993) Often the reasons for change are examples of self-transcendence: concern for loved ones, religious involvement and prayer, or commitment to work, sport or other causes.
Recovery and Rehabilitation will be considered in the context of dependence on alcohol or other drugs, while the role of ‘Harm Minimisation’ will also be explored. There is a need to prevent, or at least recognise cognitive impairment as a factor which can undermine the effectiveness of treatment or self-management. Social isolation is a common issue for people dependent on alcohol or other drugs. Breaking old habits is especially hard if a person uses the drug to deal with boredom or isolation, and does not have other friends or supports who abstain. Do treatment options take account of common coexisting psychological disorders and personality traits? Are treatment programs a good place to form new social networks? How can clinicians remain realistic, but hopeful
Sex work plays a crucial educative capacity. Sex workers share tips and information on safer sex, sex and gender diversity, negotiation, boundaries and consent. We share these skills with other workers, clients, and the wider Australian community on a daily basis. In a range of capacities, sex work – including escorting, stripping, BDSM and pornography – involves interaction, transference of expertise, and sharing our voices. Sex work gives clients access to an important diversity of bodies, abilities, sexual practices, gender identities and intimacies.
Natural disasters are common recurrences in Australia and elsewhere in the world, with developing countries suffering in recent years