title: The symbolic constitution of addiction: language, alienation, ambivalence.
abstract: The author offers an articulation of addiction, via existential-phenomenology and Lacanian psychoanalysis, where it is argued that the addicted subject is constituted via a symbolic structuring evolving from societal practices, laws and the effects of language. Language carries a heritage, which bears on the knowledge and practices of designated subjects and practitioners of that discourse. Addiction, as one particular form of embodied existence and knowledgeable practice, finds expression through the speech and habits of the addict. Addiction, it is argued, is symbolically saturated with ambivalence and alienation. Also the addict is described as the complete modern technocratic subject, consumed by the ideology of consumption. The clinical implications are briefly explored where it is noted that two major approaches to addiction, namely 12-step fellowships and motivational interviewing, both attend to language as a critical component of their treatment approach.
authors.affiliation: Central and North West London NHS Foundation Trust, UK. ryan.kemp@nhs.net
authors.forename: Ryan
authors.initials: R
authors.lastname: Kemp
mesh_terms: D016739:Behavior, Addictive / Q000523:psychology*; D006801:Humans; D009042:Motivation; D012918:Social Alienation; D013222:State Medicine; D019966:Substance-Related Disorders / Q000523:psychology*; D009626:Terminology as Topic; D006113:United Kingdom