Addiction and the Vulnerable Self

Addiction and the Vulnerable Self PDF Author: Edward J. Khantzian
Publisher: Scholastic
ISBN: 9780898621723
Category : Medical
Languages : en
Pages : 214

Get Book

Book Description
The Harvard Cocaine Recovery Project, a National Institute on Drug Abuse-funded randomized clinical trial, was initiated in 1986 to compare different approaches for treating cocaine abusers. Modified Dynamic Group Therapy (MDGT), one of the models used in the study, is a short-term supportive-expressive psychodynamic group approach specifically adapted for cocaine addicts. While many previous studies of substance abuse treatment were compromised by extraordinarily high dropout rates, this approach retained nearly 70% of group members for the entire length of treatment. This book describes MDGT and provides a practical guide to implementation. Based on an understanding of the psychological vulnerabilities of addicts, the MDGT model addresses the modifications in psychodynamic technique that are necessary for addicts' needs. It focuses on four main areas of difficulty involving self-regulation; affect, self-esteem, relationship, and self-care problems. Both supportive and expressive, the approach helps group members identify, process, and modify the characterological traits that mask addict's vulnerabilities. With this approach, a well-led group can heighten self-esteem, improve self-care, combat feelings of isolation and shame, and strengthen the individual's capacity for positive change. Concomitant involvement with an individual therapist/counselor is encouraged as a means to support and facilitate the group therapy, especially early in group treatment, and to maintain a flexible individual and group treatment context for self-exploration and understanding. Bringing the model to life are detailed vignettes and transcripts of groups in different phases of recovery. These cases demonstrate techniques, illustrate technical issues, and illuminate major themes that unfold during treatment.

Addiction and the Vulnerable Self

Addiction and the Vulnerable Self PDF Author: Edward J. Khantzian
Publisher: Scholastic
ISBN: 9780898621723
Category : Medical
Languages : en
Pages : 214

Get Book

Book Description
The Harvard Cocaine Recovery Project, a National Institute on Drug Abuse-funded randomized clinical trial, was initiated in 1986 to compare different approaches for treating cocaine abusers. Modified Dynamic Group Therapy (MDGT), one of the models used in the study, is a short-term supportive-expressive psychodynamic group approach specifically adapted for cocaine addicts. While many previous studies of substance abuse treatment were compromised by extraordinarily high dropout rates, this approach retained nearly 70% of group members for the entire length of treatment. This book describes MDGT and provides a practical guide to implementation. Based on an understanding of the psychological vulnerabilities of addicts, the MDGT model addresses the modifications in psychodynamic technique that are necessary for addicts' needs. It focuses on four main areas of difficulty involving self-regulation; affect, self-esteem, relationship, and self-care problems. Both supportive and expressive, the approach helps group members identify, process, and modify the characterological traits that mask addict's vulnerabilities. With this approach, a well-led group can heighten self-esteem, improve self-care, combat feelings of isolation and shame, and strengthen the individual's capacity for positive change. Concomitant involvement with an individual therapist/counselor is encouraged as a means to support and facilitate the group therapy, especially early in group treatment, and to maintain a flexible individual and group treatment context for self-exploration and understanding. Bringing the model to life are detailed vignettes and transcripts of groups in different phases of recovery. These cases demonstrate techniques, illustrate technical issues, and illuminate major themes that unfold during treatment.

Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309439124
Category : Social Science
Languages : en
Pages : 171

Get Book

Book Description
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

The Self Help Addict

The Self Help Addict PDF Author: Daniel Gefen
Publisher: Evolve Global Publishing
ISBN: 1981930450
Category : Self-help techniques
Languages : en
Pages : 230

Get Book

Book Description
Break free from the self-help cycle and join the world of successful leaders. IN THIS GAME CHANGING BOOK YOU WILL LEARN: - How self doubt, procrastination and indecision create a cycle of self-help addiction - Why people invest in self-help books, courses, events and come out still feeling unaccomplished - How you can make your fears your friend and achieve anything your heart desires - The importance of always taking responsibility for what happens in your life - How much abundance there is in this world and that there is enough money, love and happiness for everyone to have a lifetime supply - How to go from a consumer to a creator - The art of taking action, because without action nothing gets done - How to become accountable so you avoid putting things off - The power of decisiveness and how to avoid feeling overwhelmed - The secret to getting high and staying high (without drugs) - Why you have already won - How the real hero, that you have searched so long and hard for, is you.

Understanding Addiction as Self Medication

Understanding Addiction as Self Medication PDF Author: Edward J. Khantzian
Publisher: Rowman & Littlefield Publishers
ISBN: 0742565513
Category : Self-Help
Languages : en
Pages : 177

Get Book

Book Description
Addictive behaviors beg for an informed explanation to guide patients, families, students, and clinicians through the maddening and often incomprehensible nature of the addictions. Too often addiction is perceived to be merely a moral weakness or purely a brain disease, ignoring the deep personal pain that can permeate the lives of the addicted. But taking an honest look at the underlying emotional or mental issues can more clearly illuminate not only the causes of the addiction, but also the cure. Doctors Edward J. Khantzian and Mark J. Albanese, leading researchers in the field of addiction, see addictions primarily as a kind of self medication—a self medication that can temporarily soothe anxiety or pain, but that ultimately wreaks havoc on the lives and health of both the addicted and their loved ones. With practical advice, compelling case studies, and nuanced theory drawn from their years in clinical practice, Doctors Khantzian and Albanese look at the core reasons behind many addictions and provide a pathway to hope. Understanding Addiction as Self Medication looks at a range of addictions, including alcohol and substance abuse, and clearly explains how to understand other addictive behaviors through the lens of the Self Medication Hypothesis. This book provides a much-needed guide to both understanding addictions and working towards healing.

The Psychodynamics of Addiction

The Psychodynamics of Addiction PDF Author: Martin Weegmann
Publisher: John Wiley & Sons
ISBN: 0470713755
Category : Psychology
Languages : en
Pages : 180

Get Book

Book Description
In the treatment of addictions and their psychological understanding, cognitive-behavioural and motivation approaches have been paramount. In contrast, the psychodynamic contribution has been muted. This book redresses this imbalance by bringing together a team of senior clinicians with psychotherapeutic backgrounds as well as extensive experience in addiction. Stress is placed on the diversity of psychodynamic understanding and its relevance to the everyday problems met by addicted individuals. The first theoretical part of the book is followed by examples from group and individual therapy, and the foreword is written by Dr Edward Khantzian. The Psychodynamics of Addiction will be of interest to psychotherapists who may lack experience in addiction, and to other clinicians working in the field - doctors, nurses and psychologists. Introduction - Review of Different Schools: Container and Contained: The School of Bion - The Application of Bowlby’s Attachment Theory to the Psychotherapy of Addictions - The Vulnerable Self: Heinz Kohut and the Addictions - Therapy: Dynamics of Addiction in the Clinical Situation - Psychodynamic Assessment of Drug Addicts - Individual Psychotherapy with Addicted People - Group Therapy for Addiction - Helping the Helpers: Psychodynamic Perspective on Relapse Prevention in Addiction - In Search of A Reliable Container: Staff Supervision in a DDU -Countertransference with Addicts - Addiction and the Family: Growing up with Alchohol or Drug Abuse in the Family - References - Index

Treating Addiction

Treating Addiction PDF Author: Edward J. Khantzian
Publisher: Rowman & Littlefield
ISBN: 1538108593
Category : Psychology
Languages : en
Pages : 292

Get Book

Book Description
In Treating Addiction: Beyond the Pain, Edward Khantzian offers a collection of his recent works on the study and treatment of substance abuse and addiction. Based on his five decades of experience in working with substance dependent individuals, this volume builds upon Khantzian’s theory of addiction as self-medication and provides insights into how addiction is rooted in human psychological suffering, and not pleasure seeking or self-destruction. Almost without exception, life histories of human discomfort, disconnection, and unhappiness leave those so burdened to be vulnerable to the appeal of addictive drugs, including alcohol. Khantzian’s sensitive teaching voice weaves together an annotated collection of previously published papers into a powerful and engaging volume of effective practice-based treatments. A timely complement to his earlier collection Treating Addiction as a Human Process, this book provides an inclusive and accessible resource for mental health professionals from any background as well as graduate students and those in training.

Addiction as an Attachment Disorder

Addiction as an Attachment Disorder PDF Author: Philip J. Flores
Publisher: Jason Aronson
ISBN: 9780765703378
Category : Psychology
Languages : en
Pages : 368

Get Book

Book Description
This work shows how to give substance abusers an attachment experience and a sense of community where they feel they are accepted and belong. Therapy, directed along the lines described, allows the person to get close to others who are accepting of him without a cost to his identity and autonomy.

Dopamine Nation

Dopamine Nation PDF Author: Dr. Anna Lembke
Publisher: Penguin
ISBN: 1524746746
Category : Psychology
Languages : en
Pages : 305

Get Book

Book Description
INSTANT NEW YORK TIMES and LOS ANGELES TIMES BESTSELLER “Brilliant . . . riveting, scary, cogent, and cleverly argued.”—Beth Macy, author of Dopesick, as heard on Fresh Air This book is about pleasure. It’s also about pain. Most important, it’s about how to find the delicate balance between the two, and why now more than ever finding balance is essential. We’re living in a time of unprecedented access to high-reward, high-dopamine stimuli: drugs, food, news, gambling, shopping, gaming, texting, sexting, Facebooking, Instagramming, YouTubing, tweeting . . . The increased numbers, variety, and potency is staggering. The smartphone is the modern-day hypodermic needle, delivering digital dopamine 24/7 for a wired generation. As such we’ve all become vulnerable to compulsive overconsumption. In Dopamine Nation, Dr. Anna Lembke, psychiatrist and author, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain . . . and what to do about it. Condensing complex neuroscience into easy-to-understand metaphors, Lembke illustrates how finding contentment and connectedness means keeping dopamine in check. The lived experiences of her patients are the gripping fabric of her narrative. Their riveting stories of suffering and redemption give us all hope for managing our consumption and transforming our lives. In essence, Dopamine Nation shows that the secret to finding balance is combining the science of desire with the wisdom of recovery.

Theory and Practice of Addiction Counseling

Theory and Practice of Addiction Counseling PDF Author: Pamela S. Lassiter
Publisher: SAGE Publications
ISBN: 1506317324
Category : Education
Languages : en
Pages : 468

Get Book

Book Description
This one-of-a-kind text brings together contemporary theories of addiction and helps readers connect those theories to practice using a common multicultural case study. Theories covered include motivational interviewing, moral theory, developmental theory, cognitive behavioral theories, attachment theory, and sociological theory. Each chapter focuses on a single theory, describing its basic tenets, philosophical underpinnings, key concepts, and strengths and weaknesses. Each chapter also shows how practitioners using the theory would respond to a common case study, giving readers the opportunity to compare how the different theoretical approaches are applied to client situations. A final chapter discusses approaches to relapse prevention.

Loaded

Loaded PDF Author: Jill Talbot
Publisher: Seal Press
ISBN: 1580052185
Category : Psychology
Languages : en
Pages : 282

Get Book

Book Description
Having an addiction can follow the path of a great relationship that goes sour: there’s the first blush of romance, the seduction (“you know you want to”), and the downward spiral into either obsession or breaking free. Jill Talbot is no stranger to addiction. Part autobiography, part exposé, Loaded: Women and Addiction weaves Talbot's own battles with addiction with various addiction stories of other women. The result is a captivating, honest look at the allure of addiction—be it to sex, drugs, alcohol, food, adventure, or infidelity—and ultimately its betrayal. Though addiction can be seductive, if you’re waking up with guilt or making choices that harm others, it’s probably a clue that things are out of control. Throughout Loaded, Talbot's razor-sharp honesty, heartbreaking self-awareness, and resolve to reveal the difficult truth of her relationship with past and present addictions is humbling and sometimes gut-wrenching. In sharing her struggles and her resolve to attain control over her addictions, Talbot speaks her truth while sending a message of hope to women everywhere.