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An intrusive obsession is a thought of using that seems to enter our minds from out of nowhere. When we are hit by an intrusive obsession, we find ourselves suddenly dropping our plans and responsibilities, and pursuing the substance, behavior or person that we crave.

A reoccurring obsession is a thought of using that enters our minds over and over again throughout the day. Fighting with this thought consumes all of our energy. We try to remind ourselves of the importance of not using, of all the things we will lose if we use again, and of what always happens to us when we are on a spree, but the thought keeps coming back and seems to grow stronger over time. If we are able to hold out against the reoccurring obsession, we become exhausted and depressed. We are easily irritated and find that normal daily tasks require an enormous amount of effort. Even if we don’t use, the reoccurring obsession wins by beating us down.

A third kind of obsession is called circumstantial obsession. We experience a circumstantial obsession when we are presented with the opportunity to use and cannot think of any good reason not to, even though we have everything to lose. We may give ourselves some silly excuse for using, or we may not think at all. Before we know it, we are deep into active addiction again, wondering what happened to our common sense.

A fourth and final kind of obsession is called the fundamental obsession. The fundamental obsession may not be experienced as a thought of using at all. Instead, we experience this obsession as a basic preoccupation with ourselves and how we feel. It is usually hard for us to identify the fundamental obsession at first, because it is so much a part of how we experience the world. It is like water to fish—we are so familiar with it that it is hard to see. Those of us who have been abstinent for long periods of time without a spiritual solution know the pains of fundamental obsession all too well. Life is unsatisfying. We are constantly agitated and restless, even though we may be quite depressed. We are unable to form meaningful or lasting relationships. We have a deep sense that life is treating us unfairly. People seem cruel and selfish to us; they ignore us and our needs. No matter what we try, we do not seem to be able to get any peace of mind. We are constantly trying to adjust the circumstances of our lives in an attempt to find some comfort. We may have a vague sense that something is wrong with us, but we do not know what it is.

In “Three Ways,” Tom offers an extensive quote from an Akron oldtimer who talks about how they used to do meetings with Dr. Bob.

Nobody led our meetings in the very early days. We all just sat around in a circle. After the opening prayer and a short text from the Bible, we had quiet time, silently praying for guidance about what to say. Then each person in turn said something, asking for any help he wanted, bringing up anything that was troubling him or just whatever was on his mind. After everyone was through, there were announcements and we held hands and said the Lord’s Prayer. There was no clapping. At that kind of a meeting, clapping would have seen out of place.