Main description:

This book provides clinicians and students with insights on the use of psychodynamic therapy to treat drug abuse and addiction, combining theory with clinical case material.

The perspectives of analysts such as Abraham, Rado, Zimmel, Tibout, Wurmser, Khanzian, Krystal and McDougall are reviewed alongside original and more recent conceptualizations of drug addiction and recovery based on Kleinian, Winnicottian and Kohutian ideas. The case material deals with clinical phenomena that characterize working with this complex population, such as intense projective identification, countertransference difficulties and relapses. The theoretical analysis covers a range of concepts, such as John Steiner's psychic shelters and Betty Joseph's near-death-addiction, which are yet to be fully explored in the context of addiction. Prevalent topics in the addiction field, such as the reward system, the cycle of change and the 12-step program, are also discussed in relation to psychodynamic theory and practice.

Written by an experienced therapist, Psychodynamic Approaches for Treatment of Drug Abuse and Addiction is useful reading for anyone looking to understand how psychodynamic thought is applicable in the treatment of drug abuse and addiction. It may also be of some relevance to those working on treating alcohol use disorders and behavioral addictions.

Contents:

Introduction; 1. An historical overview of psychoanalytic perspectives on drug abuse and addiction - Part 1; 2. An historical overview of psychoanalytic perspectives on drug abuse and addiction - Part 2; 3. Drug addiction the paranoid-schizoid position; 4. Recovery and reparation the depressive position; 5. Lapses and relapses; 6. Therapeutic issues: internal destructiveness, countertransference and projective identification; 7. Methadone maintenance treatment (MMT) as transitional phenomena (David Potik, Miriam Adelson and Shaul Schreiber); 8. Towards independence: detoxification during opioid maintenance treatment; 9. Drug abuse and addiction in the view of self psychology; 10. The 12-step program