Three perspectives on addiction.
Three perspectives on addiction promulgated during the 1990s are reviewed, along with many earlier contributions to the understanding of addictive illness. It is suggested that these distinct yet overlapping formulations of the dynamics of addiction form a hierarchy for each patient suffering from an addiction. Assessment of a patient's ego strength, and of the relative importance of addictive behaviors in overall character structure, allows referral to various types of treatment, including psychoanalytic therapy. Case examples are presented, including material from the psychoanalysis of a woman addicted to heroin, methadone, cocaine, amphetamines, nicotine, alcohol, and shopping.
Johnson
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B
Bjohnson@massmed.org
D000328:Adult; D000339:Affect; D016739:Behavior, Addictive / Q000523:psychology*; D003717:Denial, Psychological; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008962:Models, Theoretical; D009769:Object Attachment; D010990:Pleasure-Pain Principle; D011575:Psychoanalytic Therapy / Q000379:methods*; D012651:Self Medication; D019966:Substance-Related Disorders / Q000523:psychology* / Q000628:therapy