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Treating Addiction as a Human Process
Innovative and humane treatment of patients with substance use disorders distinguishes this highly esteemed practitioner and major psychodynamic thinker. From his initial contribution of identifying the self-medicating function of abused substances, to the continued elaboration and refinement of his work focusing on the addict's ego deficits of self-regulation and self-care, Edward Khantzian's ideas have become the standard in the field of addictions treatment. His insights into the dynamics of substance abuse have changed the ways that clinicians understand their addicted patients, significantly raising the likelihood of successful treatment. Shifting the focus from a pleasure-seeking to a ...
Understanding Addiction as Self Medication
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 soot...
Treating Addiction
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 and the Vulnerable Self
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 vu...
Addiction as an Attachment Disorder
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.
The Mindful Path to Addiction Recovery
Mindfulness, the quality of attention that combines full awareness with acceptance of each moment, just as it is, is gaining broad acceptance among mental health professionals as an adjunct to treatment. Because at the heart of addiction is the fear of painful emotional states, addicts compulsively seek drugs and alcohol to avoid or escape emotional pain. Mindfulness, on the other hand, helps us develop greater acceptance and ease with life’s challenges, as well as greater self-compassion. Here, Dr. Lawrence Peltz, who has worked as an addiction psychiatrist for more than two decades, draws from his clinical experience and on the techniques of mindfulness-based stress reduction (MBSR) to explain the fundamental dynamics of addiction and the stages of the recovery process, and also gives us specific mindfulness exercises to support recovery.
The Sober Truth
A powerful exposé of Alcoholics Anonymous, 12-step programs, and the rehab industry—and how a failed addiction treatment model came to dominate America. “A humane, science-based, global view of addiction . . . an essential, bracing critique of the rehab industry and its ideological foundations that we have much to learn from.” —Gabor Maté M.D., author of In The Realm of Hungry Ghosts Alcoholics Anonymous has become so infused in our society that it is practically synonymous with addiction recovery. Yet the evidence shows that AA has only a 5–10 percent success rate—hardly better than no treatment at all. Despite this, doctors, employers, and judges regularly refer addicted peop...
Human Feelings
Human Feelings provides a comprehensive overview of the role of emotions in human life. Growing out of the research and writing of members of the Harvard Affect Study Group, the volume brings to bear different disciplinary outlooks and different modes of inquiry on various aspects of human affective experience. The book opens with an section of "Theoretical Considerations" that includes an overview of affective development across the life cycle, an examination of affect and character, and an empirical analysis of gender differences in the expression of emotion. A series of clinical reports involving patients in different age groups comprises the next section, "Affect and the Life Cycle." Sub...
Addictions From an Attachment Perspective
This outstanding book is an important collection of papers from the 2013 John Bowlby Memorial Conference by accomplished clinicians from different modalities who share their experience of working with people with different kinds of addiction. The papers bring together an in-depth understanding that addictions are a response to, and hold the pain of, broken attachments and are best treated within healthy interpersonal relationships. For a long time the person with an addiction has been seen as the problem with society being able to live in denial of the causes. These papers open up innovative and effective ways of working with people troubled by addiction from an attachment-informed perspective. Contributors: Cara Crossan, Richard Gill, Lynn Greenwood, Bob Johnson, Liz Karter, Edward Khantzian, Arlene Vetere, Kate White, Jason Wright
