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30 Tasks of A Recovering Sex Addict
30 Tasks of A Recovering Sex Addict
RECOVERY TASK
1.BreakThroughDenial
PERFORMABLES
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Createsaproblemlist
Recordsasecretlist
Completeslistofexcuses
CompletesConsequences
Inventory
Learns14waystodistortreality
Inventories14distortionstrategies
inpersonallife
AccountabilityVictimEmpathy
exercise
Makesfulldisclosuretotherapist
LIFE COMPETENCY
THERAPIST COMPETENCY
Understandsthecharacteristicsof
denialandselfdelusion
Identifiespresenceofselfdelusion
inlife
Knowspersonalpreferredpatterns
ofthoughdistortion
Acceptsconfrontation
Understandstypicaldenial
patternsofsexaddicts
Recognizesdisclosuretesting
process
Knowspersonaldelusional
patterns
Understandscounselor
transferenceissuesinworking
withsexaddicts
Recognizessignsthatsexaddiction
ispresent
Understandsandidentifiesstages
ofrecovery
Confrontsdelusionalpatternsin
clients
Utilizescrisistobreakthrough
denial
Capacitytogatherdatafromall
sourcesincludingclient,family,
victims,supervisingagencies,and
legalauthorities
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
PERFORMABLES
LIFE COMPETENCY
THERAPIST COMPETENCY
2.Understandthenatureof
addictiveillness
Completesassignedreadingson
sexaddiction
Learnsdifferentwaystodefinesex
addiction
Understandsaddictivesystem
Understandsdeprivationsystem
Mapsoutpersonaladdictive
system
Understandscriteriaforaddictive
illness
Appliescriteriatopersonal
behavior
Learnskeyfactorsinthegenesisof
sexaddiction
Knowsinformationonaddictive
illness
Appliesinformationtopersonal
life
Understandsdifferentwaysof
definingaddiction
Understandsprofessional
controversiesaroundsexaddiction
Understandskeyfactorsinthe
genesisofsexaddiction
Assistsclientinunderstandingsex
addictiondiagnosis
Contractswithclienttolimit
currentbehavior
Developsrelationshipwithfamily
members
Contractswithfamilymembers
2.(Continued)SexualAddiction
Component
Understandssexuallycompulsive
patterns
Knowsspecificstories/scenariosof
arousaltemplate
Knowspersonalsexuallimitations
asatherapist
Recognizessexualmodularityand
hierarchy
Conductseffectivesexualhistory
Identifiessexuallycompulsive
patterns
Identifiesdriversofarousal
template
Discernsandinterprets
dysfunctionalscenarios
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Understandssexualmodularity
Understandssexualhierarchy
Knowstentypesofbehavior
Reviewstentypesforpersonal
patterns
Completesandsharessexual
history
Completesidealfantasylist
Completesandsharesfantasy
contaminationexercise
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
PERFORMABLES
LIFE COMPETENCY
THERAPIST COMPETENCY
3.Surrenderstoprocess
Understandscontextofchange,
grief,commitment
Understandsexistentialposition
onchangeessenceofrecovery
Understandsprinciplesofanxiety
reduction
Completessexualaddictionhistory
Completespowerlessworksheet
Completesunmanageability
worksheet
Identifiestenworstmoments
Understandsguidelinesofstep
completion
Givesfirststep
Acceptanceofaddictioninlife
Knowspersonallimitations
Discernsdifferencebetween
controllableandnoncontrollable
events
Usesfirststepmethodology
Understandscriteriaforsuccessful
stepwork
Utilizesfirststepresultsforlong
termcommitment
Teachesexistentialpositionin
twelvestepprinciples
4,Limitsdamagefrombehavior
Understands1stand2ndorder
change
Understandsconceptofparadigm
shift
Recordsprovisionalbeliefs
Completesdamagecontrolplan
Completesadisclosureplan
Writesaturningitoverletterto
higherpower
Completesandsecondandthird
step
Integratesselflimitationinto
personalparadigm
Respondstocrisisplanfully
Usesboundariesataminimum
level
Hasinternalskillsforanxiety
reduction
Developsresolveforchangeand
commitment
Understandscoreprocessof
paradigmshift
Assistsincrisismanagement
Utilizesdamagecontrolplanto
teachboundarydevelopment
Utilizesdisclosureplantoteach
boundarydevelopment
Integratessecondandthirdstep
workintotherapeuticprocessesof
trust,control,anxiety,boundaries,
change
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2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
PERFORMABLES
LIFE COMPETENCY
5.Establishsobriety
Understandssobrietyasboundary
problem
Commitstoandcompletes
celibacycontract
Writessobrietystatement
Understandsrelapseprocess
Writesrelapseplan
Establishesadate
Usesclearlystatedboundariesof
sobriety
Manageslifewithout
dysfunctionalsexualbehavior
Facilitatesrelapseprevention
planning
Utilizessobrietydefinitionand
celibacyprocessaspartof
boundaryrestoration
Supportssexualhealthplanof
client
Understandssexualhealth
dimensionfromatwelvestep
framework
6.Ensurephysicalintegrity
Learnsphysicalaspectsof
addiction
Completesphysical
Completespsychiatricassessment
Learnsneuropathwaysof
addiction
Mapspersonneuropathway
interactions
Understandsarousaltemplate
Mapspersonalarousaltemplate
Understandsphysicalaspectsof
addiction
Identifiesneuropathway
interaction
Identifiesdysfunctionalarousal
patterns
Identifiescomorbidmentalhealth
problems
Understandsbreadthofphysical
complications
Identifiesneuropathwayactivity
Conductsneuropathicinterview
Conductsanarousaltemplate
assessment
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THERAPIST COMPETENCY
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
PERFORMABLES
LIFE COMPETENCY
THERAPIST COMPETENCY
7.Participateinacultureofsupport
Participatesinatwelvestep
program
Developsrelationshipwith
sponsor
Completessponsordebriefing
Doesserviceinprogram
Knowssignsofahealthygroup
Hascelebrationdate
Maintainsahealthysupport
system
Knowsdifferencesinfellowships
Maintainsrelationshipswith
membersofrecovering
community
Knowledgeoftwelvestepwork
Knowssignsofhealthysupport
group
Usesstepstherapeutically
Understandscontrol/anxiety
paradigmoftwelvesteplife
8.UnderstandMultipleAddictions
andSobriety
Completesassessmentofall
Addictionsanddeprivations
CompletesanAddiction
Interactionscreen
Understandsaddiction
neuropathways
Completesamultipleaddiction
RelapsePreventionPlan
UnderstandsBlackHole
metaphor
Capacitytoberelapsefreefrom
concurrentaddictions
Facilitatesmultipleaddiction
assessment
TeachesAddictionInteraction
Disorder
Facilitatesaddictionscreen
Facilitatesandsupportsmultiple
addictionrelapseprevention
planning
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2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
PERFORMABLES
LIFE COMPETENCY
THERAPIST COMPETENCY
9.AcknowledgeCyclesofAbuse
CompletesStressIndex
Finishestraumaeggprocess
Understandsformsofabusiveand
exploitivebehavior
Completeslifeinventoryofabuse
Hasboundarymanagementand
anxietyreductionsoothingskills
Hasstrategiesforresentment,
forgivenessandmeaningmaking
aroundabuseevents
CompletesSeventhstep
CompletesAngelEgg
Identifyabuseandexploitation
Integrateunderstandingofabuse
intovaluesystem
Cancopewithabusivepersons
andsituations
AdministerandinterpretStress
Index
FacilitateTraumaeggexercise
Teachaboutnatureofabuseand
exploitation
Facilitatelifeinventoryofabuse
Teachboundarymanagementand
anxietyreduction
AssistSeventhstepprocessand
integrateintotherapy
10.ReduceShame
Recognizeandmanagetopic
shame
Setsboundariesinshaming
systemsandsituations
AssistpatientinpreparingFourth
andFifthsteps
IntegrateFourthandFifthstep
workintotherapy
Understandsshame,carried
shame,andshamecycles
Teachstrategiesforpatientto
manageshame
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CompletesstepsFourandFive
Recognizespersonalshame
Understandsshamecycle
Identifiescarriedshame
Hasspecificstrategiesfor
Interruptingshame
Knowsboundarysettingstrategies
IdentifiesGapissuesinlife
DoesTherapeuticHolidays
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
PERFORMABLES
LIFE COMPETENCY
THERAPIST COMPETENCY
11.RestructureRelationshipwith
Self
Completeseighteenmonthsof
individualtherapy(sixtyfive
sessions)
CompletesSixthstep
Understandsandstatespersonal
limitations
Completesmissionstatements
CompletesZonePlan
Haveaworkable,compassionate
relationshipwithself
Capacityforselfdetermination
andautonomy
Conductsindividualtherapy
IntegratesSixthstepintotherapy
Assistsinpatientknowinghuman
limits
Facilitateslifeplanexercise
FacilitatesHermesWebexercise
12.GrieveLosses
Recognizegrief
Haveskillsforgrieving
13.BringClosureandResolution
TakingResponsibilityforSelf
CompletesstepsEightandNine
Doescouplesweeklyexercisefor
tenweeks,ifcouple
Usesintegritychecklistfortwenty
days
Understandsimportanceof
closure
Keepscurrentonshame,
resentmentandrelationshipissues
SupportsEighthandNinthsteps
Facilitatesandsupportscouples
weeklyexercise
Understandsandmonitors
integritychecklist
Teachesprinciplesofclosureand
resolution
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Understandsgrievingprocess
Completestimelineoflosses
Identifiespersonallosses
Hasstrategiesforeffectivesorrow
Understands12stepsasprocess
togrieve
Facilitatesgriefprocess
Teachgrievingskills
Teachgrievingstrategies
Understands12stepsaschange
process
Integrates12stepexistential
positionintotherapy
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
PERFORMABLES
LIFE COMPETENCY
THERAPIST COMPETENCY
14,RestoreFinancialViability
Understandsfinancialdisorders
Completesfinancialdisorder
assessment
Completesfinancialtemplate
process
Abletolivewithinfinancialmeans
Liveswithinfinancialrecoveryplan
FinancialResilience
Maintainfinancialviability
Teachesfinancialdisorders
concepts
Facilitatesfinancialdisorder
assessment
Facilitatesfinancialtemplate
process
Modelsgoodfinancialboundaries
15.RestoreMeaningfulWork
Understandsdysfunctional,
obsessiveworkpatterns
Completesworktemplateprocess
Completesworksatisfaction
survey
Establishesmeaningful,successful
careerpattern
Havemeaningful,successfulwork
Teachesdysfunctional,obsessive
workpatterns
Facilitatesworktemplateprocess
Facilitatesworksatisfactionsurvey
Supports,affirmssuccessatwork
Facilitatesmeaningfulworkgoals
16.CreateLifestyleBalance
UsesPersonalCrazinessIndexfor
eightweeks
Understandsrest,renewal,
Sabbathprinciples
Regularwindowsofrest
Hassourcesforrenewaland
competingpassions
EarlyWarningSystem
Capacityforbalance,harmonyand
renewal
UsesNegativeExperience
Transformers
UsesZoneprinciplesandplan
Teachesstrategiesformaintaining
balance
Supportsandmonitorsrenewal
principles
Assistsinaccessingsourcesfor
renewalandcompetingpassions
17.BuildSupportivePersonal
Relationships
Attendsatherapygroupfor175
hours
Findsandusesasponsor
Beasponsortoothers
Hasbestfriends
Initiateandsustainenduringlife
relationships
Conductsgrouptherapy
integratingtasksandsteps
Supportsandmonitorssponsor
activity
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2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
18.EstablishHealthExerciseand
NutritionPatterns
PERFORMABLES
Hasweeklyaerobicexercise
program
Remainsinappropriateweight
rangeforageandheight
CompletesRecoveryZonephysical
assessmentprocess
19.InvolveFamilyMembersin Familymembersattendtogethera
Therapy
structuredfamilytherapy
program.
Familymembersattendtwoor
morefamilytherapydays.
Sharesstorywithfamily.
SharesGenogramwithfamily
members,therapist,andsupport
group.
CompletesAccountabilityExercise
andshareswithfamily,facilitated
bytherapist.
CompletesTimelineofhowaddict
hasabused/offendedfamily
members.
CompletesFamilyImpactSharing
exercise
CompleteInterpersonalAmends&
Affirmations.
CompleteFamilyAffirmationswith
familyandtherapist.
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LIFE COMPETENCY
Staysphysicallyfit
Capacitytoaskforhelp
Takeresponsibilityforpersonal
behaviors
Connectsstorytolearningand
mentoring
Abilitytoriskbeingvulnerable
THERAPIST COMPETENCY
Teachesaboutrecoveryhealth
issues
Supportsandmonitorsexercise
activity
Supportsandmonitorsweight
FacilitatesRecoveryZonephysical
assessmentprocess
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
20. CommittoRecoveryforeach
FamilyMember
Page10of19
PERFORMABLES
LIFE COMPETENCY
Familymembersenterarecovery
programforthemselves.
Eachfamilymembercompletes
ownfirststepwithasponsor.
Understands12StepsasaFamily
Process.
CompletesaPowerlessness&
UnmanageabilityInventory.
AttendssixmeetingswithAlanon,
Coda,Sanon,orACOA.
CompletesDrawingExercise:How
familywas,Howfamilyis,How
familywouldliketobe.
WritesaFamilyMissionStatement
withgoalsandtasksto
accomplish.
Takeresponsibilityforself
Understandsandacceptsimpactof
addictiondisorders
Uses12Stepprinciplestohandle
anxietyandtoredirectfamily
processes
Capacityforfunandspontaneity
THERAPIST COMPETENCY
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
21.ResolveOriginal
Conflicts/Wounds
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PERFORMABLES
Participatesintherapyspecificto
familyoforiginortraumaissues.
Understandscorebeliefsabout
self
Createslistofspecificevents,
behaviors,andattitudesthat
interferedwithdevelopmentof
self
Summarizestheimpactintoalist
ofcharacterdefects
Relatesthesedefectstothe
addicts/coaddictscorebeliefsand
thenatureofshameandtrauma
CompletesaFamilyConflict
Genogram.
CompletesVoicesinMyHead
exercise.
Identifiesvoicesoutsidethefamily
thatactivatetheshameorold
traumatriggers
Specifyhowthosevoicescreate
dysfunctionalresponsesand
feelings
Learnsthesixstepsincreating
positiveaffirmations
Reframestheoldvoiceswith
reframedaffirmations
Usedolphinguidedimageryto
expandaffirmation
CompletesdraftofaCovenant
withSelf
LIFE COMPETENCY
Identifyandmanagerecurring
dysfunctionalpatterns
Hasrealisticsenseofpersonal
limitations
Hasskillstotransformnegative
messagesofremembered
experience
Hasaninternalcovenantwhich
replacesoldbeliefs
THERAPIST COMPETENCY
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
22.AlterDysfunctionalFamily
Relationships
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PERFORMABLES
LIFE COMPETENCY
CompletesBoundarySetting
exercisetoestablishnon
negotiablesforrelationship.
Familymembersexplore
disconnectsinFamily
communicationbycompleting
JohariWindowexercise
Familymemberslearnimportance
ofdisclosurebyexaminingthe
impactofdishonestyinthefamily
Familylearns6rulesofboundary
settingandwritesoutpersonal
boundarylists
Familymemberswriteabottom
linenonnegotiablelist
Familymembersuserulesof
disclosuretocreateadisclosure
list
Disclosestoprimarypartnerand
membersoffamilyasappropriate
Completesdrafttwoofa
CovenantwithSelfbasedon
newknowledgeandnon
negotiables
Remaintruetoselfinthepresence
ofdysfunctionorstress
Becomesadirect,appropriate
communicator
Hasclear,appropriateboundaries
withselfandothers
Breaksselflimitingfamilyruesand
roles
THERAPIST COMPETENCY
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
23.ResolveIssueswithChildren
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PERFORMABLES
LIFE COMPETENCY
Understandsguidelinesfor
disclosureanddoesage
appropriatedisclosure.
Sharessecretsandmakesamends
tochildrenwhenappropriate.
Asksforfeedbackfromother
adultswhohavebeenactively
involvedwithchildren.
CompletesChildrenRaising
Childrenexercise
SharesexerciseasaFamily
Childrenattendregularmeetings
withatherapist.
CouplewritesaUnified
CommunicationAgreement.
Resolveconflictindependent
relationships
Learnstonegotiatecovenantwith
dependentsandhonors
communications
Understandslimitationsinpower
situations
THERAPIST COMPETENCY
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
PERFORMABLES
LIFE COMPETENCY
24.ResolveIssueswithExtended
Family
Sharessecretsandmakeamends
toextendedfamilywhen
appropriate.
Understandsthe5TasksofFamily
ofOriginwork.
DefinesaFamilyofChoice.
Definesqualitiesofsafeperson
andseesifanyoneinGenogram
meetscriteria
Reviewsbasicsofgrievingand
completesanunfinishedand
unsaidlist
Usesletterwritingandroleplaying
toresolveissueswithfamily
memberswhohavediedorwho
areunwillingtoparticipatein
recoveryprocess.
Resolveconflictininterdependent
relationships
Createspersonalintimatesupport
community
Knowskeyinformationabout
patternsinextendedfamily
Bringsclosuretopersonalissues
25.WorkThroughDifferentiation
Understandsrulesforfairfighting.
WritesaFairFightcontract.
Understandsguidelinesforhaving
difficultconversations
CompletesDifficultConversations
History
Identifiesconflictissues,including
nonnegotiables,triggers,and
copingstyles.
Listsunresolveddifficult
conversationsandcreatesa
resolutionplan
Sustainintimacywithoutlossof
self
Developsdifficultconversation
skills
Abilitytoestablisheffective
boundaries
UtilizesFairFightprinciples
Understandsimportanceofclosure
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THERAPIST COMPETENCY
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
26.SucceedinIntimacy
Page15of19
PERFORMABLES
Understandsthe12Prerequisites
forIntimacyandcompletesself
assessment
CompletesCircleofIntimacy
Assessment:plotscircles,
identifiespeopleincircles,
identifieswhatismissingincircles,
identifieswhatcoupleswouldlike
circlestolooklike.
Sharescirclewithsignificant
personsanddiscusseswhatit
meanstobeintimate
Completesaminimumof100
hoursintherapywithone
therapist
Completes175hoursinsometype
ofgrouptherapy
Attendsregularlybaseorhome
12Stepgroup
LIFE COMPETENCY
Bevulnerableandintimate.
Createsapersonalsupport
network
Sustainsaprimaryrelationship
Recognizesrelationshippriorities
THERAPIST COMPETENCY
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
27.Commit/RecommittoPrimary
Relationship
Page16of19
PERFORMABLES
SharesDefinitionofCommitment:
Whatcommitmentmeansto
you?Howhasthemeaningof
commitmentchangedovertime?
Identifiescurrentprioritiesin
coupleslife:wheretimeisspent
CompletesPrimaryRelationship
exercise:Whatskeptyoufrom
successinyourprimary
relationship?Identifylossesand
feelingsassociatedwithlosses.
CompletesIMAGOexercise
IdentifyDreamsinRecoveryand
HonoringThoseDreams(Gottmans
work)
CompletesIntimacyAbledand
IntimacyDisabledexerciseusing
the12PrerequestsofIntimacyto
ratewheretheyseethemselves
andwheretheythinkotherssee
them.
CompletestheCommitment
RenewalProcess:individually,asa
couple,withacouplesponsor,and
withatherapist.
Couplecreatesandperformsa
RitualofRecommitment
LIFE COMPETENCY
Capacitytomaintainandrenew
committedrelationship
Understandsobstaclestohaving
primaryintimacy
Integratesintimacyknowledge
withrecoveryprinciples
Understandsandhonorskey
relationships
Integratescommitments
THERAPIST COMPETENCY
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
28.ExploreCoupleshipRecovery
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PERFORMABLES
LIFE COMPETENCY
AttendsTwelveStepmeetingsfor
couplesregularly.
Understandstheproblemsof
compulsiveattachments.
ReviewsChapter5principles
Understandsdifferencesbetween
stepsdoneasindividualandsteps
doneascouple
CompletesaCouplesfirststepover
dynamicsofaddictive/co
dependentrelationships
Understandsconceptofcouple
shame
Completesandprocessescouple
shameexerciseaspartofcouples
fifthstep
CompletesInternalCommitment
Audit.
Participateinacommunityof
couples
Increasescouplescapacitytotake
responsibilityfortheirshared
behavior
Understandcoupledynamicsthat
arepartofaddictivedisease
Utilize12Stepstrategiesand
principleswhenaddictivedynamics
surface
Relatesascoupleeffectivelywith
othercouples
THERAPIST COMPETENCY
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
29.RestoreHealthySexuality
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PERFORMABLES
LIFE COMPETENCY
Writesasexplanandkeepit
updated.
Understandsthe12dimensionsof
humansexualityandhowthey
becomethemaptoonessexual
self.
Associatesthe12StepRecovery
PrincipleswiththeDimensionsof
SexualHealth.
CompletesSexualityGenogram.
CompletesSexualityTimeline.
Developsplanforsexualhealth.
IdentifiesSexualDevelopment
EventsLists5eventsthathave
shapedpositivesexual
developmentand5thathave
doneharm.
Understandsconceptof
emotionalintercourse.
Understandsconnectionof
individualrecoverytolarger
culturalandlifeissues
Knowsdimensionsofhealthy
sexuality
Uses12Stepprinciplestofocuson
sexualhealth
Integratessexualselfknowledge
intosexualpractice
Conscioussexualityrelatesto
largersocietyandculture
THERAPIST COMPETENCY
2008PatrickJ.Carnes
THE 30 TASKS
RECOVERY TASK
30.DevelopaSpiritualLife
PERFORMABLES
LIFE COMPETENCY
Findsandusesaspiritualdirector
ormentor.
Joinsaspiritualcommunity.
Attends12Stepmeetings.
CompletesSpiritualGenogram
DevelopsSpiritualTimeline
CompletesMedicineBag&Shares
withFamilyMembers:Brings5
itemsthatgivethemstrengthto
sharewithfamily.
Interviews35peoplewhohave
differentperspectiveon
spiritualitythanown.
Setsasidequiettimedailyfor
meditationandreflection.
Understandsdifferentmeditation
techniques.
Hasongoingspiritualpractice
Knowsdivergentmethodsfor
preservingconsciouscontact
Participationinsupportivespiritual
communities
Seeksandgivesspiritualdirection
THERAPIST COMPETENCY
NOTES:
Page19of19
o
o
Performablesmustbecastastasktheyeitherdoitornot
Duplicatesofperformables
o
o
o
Buildonpreviousperformables
Internallogictoeachchaptersothereisaflowandprogressiontoskillbuildingandprocess
Transcribeourwordsandeditthemin
2008PatrickJ.Carnes