중독의 자기 심리학적 이해와 중독 회복 환경의 자기대상 기능
Self-Psychological Understanding of Addiction and the Selfobject Function of Addiction Recovery Environment
1
조회
0
다운로드
6
인용
0
참고문헌
초록
Addiction is characterized as uncontrolled and excessive use of addictive substance or behavior, and consequential functional impairment. Since the addict’s psychic structure, known as “self,” is defective and may jeopardize psychic functions, mere abstinence cannot be the ultimate therapeutic goal. Rather, it is crucial to facilitate the growth of the “self” through long-term continuous care in the addiction recovery environment. This article provides an overview of self-psychological perspectives of addiction, and proposes selfobject functions of the addiction recovery environment. From the perspective of self-psychology, addiction is perceived as ‘deficit of self’, and is one of the symptoms of narcissistic behavior disorder. Addictive substances or behavior, also known as addictive trigger mechanisms (ATMs), have served as mirroring and idealizing selfobjects, though ending in futile attempts. The addiction recovery environment, which needs to substitute ersatz selfobject functions of ATM, should 1) consist of predictable and consistent settings, as an idealizing selfobject, 2) reflect and reward appropriately, as addicts achieve abstinence and realistic goals, as a mirroring selfobject, and 3) consist of other addicts desiring to stop using addictive substances or aberrant behavior, and share goals of total abstinence and the growth of the self as a twin-ship/alter ego selfobject. Though it takes substantial time and much effort, optimal selfobject functions provided by the addiction recovery environment, would facilitate recovery as a continuous process of the growth of the mature self.
Abstract
Addiction is characterized as uncontrolled and excessive use of addictive substance or behavior, and consequential functional impairment. Since the addict’s psychic structure, known as “self,” is defective and may jeopardize psychic functions, mere abstinence cannot be the ultimate therapeutic goal. Rather, it is crucial to facilitate the growth of the “self” through long-term continuous care in the addiction recovery environment. This article provides an overview of self-psychological perspectives of addiction, and proposes selfobject functions of the addiction recovery environment. From the perspective of self-psychology, addiction is perceived as ‘deficit of self’, and is one of the symptoms of narcissistic behavior disorder. Addictive substances or behavior, also known as addictive trigger mechanisms (ATMs), have served as mirroring and idealizing selfobjects, though ending in futile attempts. The addiction recovery environment, which needs to substitute ersatz selfobject functions of ATM, should 1) consist of predictable and consistent settings, as an idealizing selfobject, 2) reflect and reward appropriately, as addicts achieve abstinence and realistic goals, as a mirroring selfobject, and 3) consist of other addicts desiring to stop using addictive substances or aberrant behavior, and share goals of total abstinence and the growth of the self as a twin-ship/alter ego selfobject. Though it takes substantial time and much effort, optimal selfobject functions provided by the addiction recovery environment, would facilitate recovery as a continuous process of the growth of the mature self.
참고문헌 (19)
- Dennis ML, "Beyond bricks and mortar: recent research on substance use disorder recovery management", Curr Psychiatry Rep, 16, pp.442~ (2014)
- DiClemente CC, "Coping and substance abuse", pp.319~342 (1985), Academic Press
- Humphreys K, "Recovery-oriented policy and care systems in the UK and USA", Drug Alcohol Rev, 33, pp.13~18 (2014)
- Kohut H, "The analysis of the self: a systematic approach to the psychoanalytic treatment of narcissistic personality disorders" (1971), University of Chicago Press
- Kohut H, "Psychodynamics of drug dependence (NIDA Research Monograph Series 12)", pp.vii~ix (1977), National Institute on Drug Abuse
- Kohut H, "The restoration of the self" (1977), The University of Chicago Press
- Kohut H, "Introspection, empathy, and the semi-circle of mental health", Int J Psychoanal, 63, pp.395~407 (1982)
- Kohut H, "How does analysis cure?" (1984), The University of Chicago Press
- Kohut H, "The disorders of the self and their treatment: an outline", Int J Psychoanal, 59, pp.413~425 (1978)
- Laudet AB, "What does recovery mean to you? Lessons from the recovery experience for research and practice", J Subst Abuse Treat, 33, pp.243~256 (2007)
- Levin JD, "Therapeutic strategies for treating addiction: from slavery to freedom" (2001), Jason Aronson
- Marlatt GA, "Addictive behaviors: readings on etiology, prevention, and treatment" (1997), American Psychological Association
- Mistral W, "Emerging perspectives on substance misuse" (2013), Wiley- Blackwell
- Ries RK, "The ASAM principles of addiction medicine" (2014), Lippincott Williams & Wilkins
- Ronningstam EF, "Identifying and understanding the narcissistic personality" (2005), Oxford University Press
- Strozier CB, "The future of psychoanalysis", pp.484~ (1983), International Universities Press, Inc
- Ulman RB, "A self-psychological reevaluation of posttraumatic stress disorder (PTSD) and its treatment: shattered fantasies", J Am Acad Psychoanal Dyn Psychiatr, 15, pp.175~203 (1987)
- Ulman RB, "The self psychology of addiction and its treatment: Narcissus in wonderland" (2013), Routledge
- White WL, "New addiction-recovery support institutions: mobilizing support beyond professional addiction treatment and recovery mutual aid", J Groups Addict Recov, 7, pp.297~317 (2012)