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Journals and Conferences
In this paper, the proposal is advanced that addictions may be understood analytically to be a subset of compulsions, and correspondingly that they may frequently be suitable for psychoanalytic treatment. A revision of the definition of addictions and compulsions is suggested, and some treatment implications of this revision are considered.
Since Cade's original suggestions concerning the value of lithium in controlling patients' “ungovernable tempers”, considerable evidence has accumulated to support this view. The present report reviews this evidence and offers an illustrative case.
In many cases addictive behavior serves to ward off a sense of helplessness or powerlessness via controlling and regulating one's affective state. Addicts have a vulnerability to feelings of powerlessness, which reflects a specific narcissistic impairment. The drive in addiction to re-establish a sense of power is, correspondingly, impelled by narcissistic… (More)
A review of the substance abuse literature in the 1980s focuses on deficits in self-regulating capacities, in self-care functions, and in other vulnerabilities of the self, such as an inappropriate use of defenses and problems in intimacy. Various models which attempt to explain these behaviors are described, as well as techniques of dynamic psychotherapy… (More)
Exploratory psychotherapy with alcoholics must address the problem of requiring abstinence. This depends upon the patient's capacity to abstain. In turn, this capacity is reflected in the specific transference issue of ability to introject the therapist's caring concern for the patient and for his wellbeing.