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"(c) seclude yourself from both Nal/Al and sex. To some this sounds like a crazy, self-inflicted dilemma, but I can totally relate to it. I think this dilemma is partly how I ended up quitting the Nal because if I wanted sex after drinking, I wanted it to be without Naltrexone for two reasons -- the "ecstatic" nature of sex was diminished for me while on Nal, and there was a sort of weird feeling for me "down there" (as the saying goes)."
Both assumptions are 100% correct in my case, too. (Including the very odd disconnect, physically.) While my impression of advanced alcoholics is that they have found in the booze a fine alternative to sexual activity (as they have found exercise and even decent food to be optional), I have always remained sexually active. Put another way, I suspect that were I still married I would have greatly moderated my alcohol consumption; when I last dated someone seriously, I was rigorously "two and through" when it came to the nightly cocktail hour, if only to maintain my capacity for the manly arts. (She was always puzzled when I hinted that I needed to manage my intake, saying, "I've never seen you drink very much." I worked hard to maintain my cover.) What this meant in practice was a growing propensity to get hammered when we weren't together, or even just to calm down the following morning when I was alone. Obviously I have profound trust and intimacy issues that alcohol has assuaged, and it all became a vicious circle.
Eskapa makes very, very plain (as does Sinclair) that one cannot release positive endorphins when under the influence of Nal, and for me, that is the sole, discouraging aspect of naltrexone. I tend to go for the complicated, sex-positive, liberal chicks with a self-medicating habit: rulebreakers, artists, achievers, operators. And given my present circumstances, as you note, there's simply an incompatibility with that impulse, and my present requirement to get healthy. I'm sure, when I told my present Mrs. Smith that I couldn't do it with her for awhile, because I take this pill that she never heard of for an extinction protocol she considers unspeakable (her daily routine is an SSRI, 12 hours in her professional crucible, nightly cocktails, and a horsepill doping of Ambien), that her image of me as lover, protector and provider fell several notches. You and I both know that men are permitted one, or maybe two, admissions of frailty each decade; nightly discussions are the stuff of the eeeek! 12-Steppers -- walking disasters white knuckling their way down the street of shame.
I confess resentment at the popular ostracism of men who are deemed less manly because they stop drinking; no one ostracizes us if we stop smoking cigars or stop eating french fries and ice cream. Whether or not there are hippie yogisti vegans in my future (likely not) I will have to take this issue off the table completely. Likely this means that my current flames will flame out and I'll need to start anew with someone who has only known me as abstinent, disinterested in any self-reflection about alcohol's former purpose (and purchase) in my life.
I think this is possible: masculinity may be expressed many ways, and the many, many virtues of sobriety (fitness, unusual work and achievement, freedom from night terrors, better skin, self-conquest and self-control, reductions in self-sabotaging behavior) will have to be enough. The price of that, as I see it, is mimicking your plan for absolute alcohol abstinence, and some momentary monk-like chastity.
That is, if I make it.
"Everyone has a plan until they're punched in the mouth." (But it's probably now or never.)
Kierkegaard:
"Life must be remembered backward, but lived forward." (It's time to abandon what the shrinks call the "provisional self" -- the adaptive self that has encouraged my own self-abasement.)
Gospel of Thomas:
"If you bring forth what is within you, what you bring forth will save you. If you do not bring forth what is within you, what you do not bring forth will destroy you." (No one will make our choices for us, and certainly a little pill is no proxy for agency, and can be, misused, merely another evasion of the necessity of agency.)
For a Jungian perspective on this, which I have found helpful this week: _The Middle Passage: From Misery to Meaning in Midlife_, James Hollis. I'm of the camp that views Jung as more of an anthropologist and literary man, than as a prescriptive therapist, but Barry, I think you will find this book intriguing, on many levels:
"What we may call the provisional personality is a series of strategies ... to manage existential angst. Those behaviors and attitudes ... are elaborated in an astonishing range of strategic variations with a common motive -- self protection. ... His adult life, seemingly the choice of a rational, free person, was a coerced compliance with the overwhelming pressure from that Other, couple with an unconscious rebellion seeking failure as a passive-aggressive protest."Field report:
So, I largely waltzed through the AF day yesterday, putting 12 hours in at my desk, not obsessing about the first cocktail, not panicking at the removal of my daily, soft embrace of nothingness. There was a brief moment at 7 p.m. when, after a solitary day, I longed to sit in the farmer tavern and talk with friends, but such longing was not accompanied by the visceral desire to feed the animal. My reward was the first full night of sleep, with no sleepwalking or 3 a.m. existential panic, in days. And so I must do it again.