Based on the recommendation of Vicarious Rising, I downloaded and am in the process of listening to Stephen King’s “Under the Dome.” I haven’t read Stephen King since I was in high school, and I’ve been missing out on a lot of fun, I think.
The treatment facility I went to had a separate residential component that was referred to, inexplicably, as “the Dome.” I say inexplicably because no one was ever able to give an explanation for the name—it just was. I decided at some point it was short for domicile—I was trying to make sense of the place, and the explanation “we don’t know why, it just is” didn’t really give me any confidence in the facility or the people running it.
But, I think King has given a more satisfactory explanation in this novel—the idea of a domed community as a sort of social pressure cooker, where fear, tension and conflict exacerbate emotions and actions—more aptly describes early recovery in inpatient treatment facilities. I think the best and worst of us (patients and caregivers) comes out in rehab.
The nonsense that people who work in treatment have to put up with is really astounding—which may help explain not only the turnover rate, but the startling number of care providers who appear to just be nuts. They’d have to be, to put up with fresh addicts every day for the amount of money they make, right? Some handle the pressure better than others, with grace and humanity and humor. Others, I think, lose their sense of purpose—they live under the dome, as well, their voices of authority echoing back at them, unchecked. But I’m grateful for all of them, and the life they helped give me back. The holidays are especially gruesome in treatment. My thoughts are with them all, patients and staff alike.
In any event, “Under the Dome” is a great, fun read. But the references to smoking meth are a little… unsettling. I’m coming up on two years off the stuff, and some of King’s writing, though it doesn’t glamorize the stuff, is still provocative. I would not recommend this book for anyone actively trying to get off meth.
But for people who need a reminder of what it feels like to be in very early recovery or active addiction? This is the book for you, if your addiction and early recovery were anything like mine….. or King’s?


A note on the Terminally Ridonculous Caregivers at my treatment center: They weren’t all ridonculous. My primary care provider, known as my case manager, was extraordinarily wise, insightful, human and humble. The incredible hubris displayed by many of the employees there has not infected her, and I don’t believe it will.