The Psychodynamics of Addiction by Martin Weegmann, Robert Cohen

By Martin Weegmann, Robert Cohen

Within the therapy of addictions and their mental knowing, cognitive-behavioural and motivation ways were paramount. by contrast, the psychodynamic contribution has been muted. This publication redresses this imbalance by way of bringing jointly a staff of senior clinicians with psychotherapeutic backgrounds in addition to huge adventure in habit. pressure is put on the range of psychodynamic realizing and its relevance to the typical difficulties met via addicted members. the 1st theoretical a part of the publication is by way of examples from team and person remedy, and the foreword is written through Dr Edward Khantzian. The Psychodynamics of habit might be of curiosity to psychotherapists who may well lack event in dependancy, and to different clinicians operating within the box - medical professionals, nurses and psychologists. Introduction - assessment of alternative colleges: box and Contained: the varsity of Bion - the appliance of Bowlby’s Attachment concept to the Psychotherapy of Addictions - The susceptible Self: Heinz Kohut and the Addictions - remedy: Dynamics of dependancy within the medical Situation - Psychodynamic review of Drug Addicts - person Psychotherapy with Addicted People - team treatment for Addiction - aiding the Helpers: Psychodynamic point of view on Relapse Prevention in Addiction - looking for a competent box: employees Supervision in a DDU -Countertransference with Addicts - dependancy and the kinfolk: becoming up with Alchohol or Drug Abuse within the Family - References - IndexContent:
Chapter 1 box and Contained: the varsity of Bion (pages 3–12): Arthur Hyatt Williams
Chapter 2 the appliance of Bowlby's Attachment concept to the Psychotherapy of the Addictions (pages 13–30): invoice Reading
Chapter three The weak Self: Heinz Kohut and the Addictions (pages 31–49): Martin Weegmann
Chapter four The Dynamics of habit within the medical state of affairs (pages 53–71): Robert Cohen
Chapter five The Psychodynamic overview of Drug Addicts (pages 72–84): Martin Weegmann
Chapter 6 Psychotherapy with Addicted humans (pages 85–98): Anne Read
Chapter 7 workforce treatment for habit (pages 99–114): James Mosse and Mary Ann Lysaght
Chapter eight Psychodynamic points of Relapse Prevention within the remedy of Addictive Behaviours (pages 117–132): Sbamil Wanigaratne and Francis Keaney
Chapter nine looking for a competent box: employees Supervision at a DDU (pages 133–140): Robert Hale
Chapter 10 Countertransference: Our problems within the therapy of Substance Abuse (pages 141–152): Luis Rodriguez de l. a. Sierra
Chapter eleven growing to be Up with dependancy (pages 155–168): Martin Weegmann

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The pathway to the left of the central column depicts the satisfactorymovement back to a position of proximity/securebase. To the right is depicted the possible route of entry into defensiwlhsecure patterns of attachment. Note that progress on both left and right routes forms the basis for a further impact on the organisation of Internal Working Models. Note also the recursive interplay between attachment and other behavioural systems. 20 The Psychodynamicsof Addiction Addiction and attachment Central to the definition of addictions is the observation that the individual repeats some piece of (harmful) behaviour in apparent contradiction to subjective and/or objective desires that such repetition should not occur.

However, it is probable that two of the assumptions of the CB approach will differ significantly from that that which derives from attachment theory. The application of Bowlby’s attachment theory 23 First, lapsing is likely to be conceptualised as being more likely to occur where the client undergoes reduced vigilance, experiences low self-efficacy, has a poor range of available coping strategies, etc. In other words, the CB approach places emphasis on the deficiency of those attributes that can be seen as having become deactivated in the service of a reorientation to the drug.

It is posited that the internal hierarchical organisation of the IMERs can be seen as undergoing revision across the life cycle, though the rate and extent of such revision will generally decline in tandem with ageing and maturity, While it has sometimes been argued that attachment theory may lose some of its relevance when applied to adult-adult relationships, others have suggested that the processes involved continue though with qualitative and quantitative distinctions 18 The Psychodynamics of Addiction from those at work in relationships with infants.

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