Shame, Guilt, and Alcoholism: Treatment Issues in Clinical Practice, Second Edition

by Potter-Efron; Ron

• ISBN13: 9780789015174
• ISBN10: 078901517X
• Edition: 2nd
• Format: Nonspecific Binding
• Copyright: 2002-06-18
• Publisher: Routledge

Summary

Explore the causes and effects of the shame/guilt/addiction cycle! Since the original edition in 1989, great strides have been made in understanding the overlapping functions of shame and guilt and the ways these painful emotions are linked with addictions. Shame, Guilt, and Alcoholism: Treatment Issues in Clinical Practice, Second Edition, integrates up-to-date psychological research with penetrating insight into the emotional realities of substance abuse. It provides a clear and practical model for understanding the shame/guilt/addiction cycle. Shame, Guilt, and Alcoholism provides constructive suggestions to therapists for treating substance-abusing clients and their affected family members. By treating destructive, inappropriate, or excessive shame and guilt, therapists can help their clients free themselves from the downward spiral of addiction and begin to build on their genuine strengths. It explores the positive functions of shame and guilt, describes the conscious and subconscious defense mechanisms against them, and highlights the crucial family behaviors that initiate and encourage shame and guilt. Shame, Guilt, and Alcoholism thoroughly explains the significant differences between shame and guilt, including: clients'experiences of failure primary responses and feelings precipitating events and involvement of self origins and central fears Shame, Guilt, and Alcoholism adds immeasurably to our understanding of the total recovery process. It is an essential resource for therapists, social workers, psychologists, substance-abuse counselors, and educators in the field.

Table of Contents

Acknowledgments	xi
Overview: Shame, Guilt, and Alcoholism	1	(6)
Introduction and Definitions	1	(2)
Four Basic Distinctions Between Shame and Guilt	3	(4)
Models of Shame and Addiction	7	(20)
Introduction	7	(2)
The Disease Model of Addiction	9	(1)
Self Psychology	10	(4)
Affect Theory	14	(4)
Family Systems Model	18	(6)
Functional Theory	24	(3)
Shame, Vulnerability, and the Four Spheres of Self	27	(20)
Introduction	27	(2)
The Presentation Self	29	(3)
The Defensive Self	32	(1)
The Comparative (Evaluative) Self	33	(5)
Shame Waves, Cycles, and Spirals	38	(6)
The Core Self	44	(3)
Defenses Against Shame	47	(22)
Introduction	47	(2)
Withdrawal	49	(3)
Denial	52	(2)
Dissociation	54	(2)
Projection	56	(2)
Perfectionism	58	(2)
Arrogance	60	(2)
Shamelessness and Exhibitionism	62	(3)
Rage	65	(1)
Addiction As a Secondary Defense Against Shame	66	(3)
Guidelines for the Treatment of Shame	69	(42)
Introduction	69	(1)
Treatment Guidelines	70	(41)
The Treatment of Shame with Alcoholic Clients	111	(28)
Introduction	111	(1)
The Linkages Between Shame, Alcoholism, and Addiction	112	(4)
Guidelines for the Treatment of Shame Issues with Alcoholic or Addicted Clients	116	(23)
Adaptive and Maladaptive Guilt As Related to Addiction	139	(10)
Adaptive Guilt and Addiction	139	(1)
Maladaptive Guilt and Addiction	140	(3)
Defenses Against Guilt	143	(2)
Guilt and Addiction	145	(1)
The Guilt-Alcoholism Cycle	146	(3)
The Treatment of Guilt-General Considerations	149	(18)
Introduction	149	(1)
Suggested Sequence for the Treatment of Guilt	150	(4)
Guidelines for the Treatment of Guilt	154	(13)
The Treatment of Guilt with Alcoholic or Addicted Clients	167	(18)
Introduction	167	(1)
The Role of Adaptive Guilt in Recovery	168	(2)
Guidelines for the Treatment of Guilt Issues with Alcoholic or Addicted Clients	170	(15)
Common Shame and Guilt Themes in Families Affected by Alcoholism or Addiction	185	(14)
Introduction	185	(1)
Transferred Shame or Guilt	185	(2)
Helping Recovering Persons Face Their Shame and Guilt	187	(12)
Alcoholics Anonymous, Shame, and Guilt	199	(6)
Introduction	199	(1)
Alcoholics Anonymous and Shame	199	(4)
The Recovering Alcoholic As a Responsible Member of the Community	203	(2)
Creative Approaches to Shame and Guilt: Helping the Adult Child of an Alcoholic	205	(18)
Patricia S. Potter-Efron
Introduction	206	(1)
Definitions of Guilt and Shame	207	(1)
Approaches to Be Used	208	(2)
Creative Methods for Dealing with Shame	210	(7)
Guilt in Adult Children of Alcoholics	217	(1)
Creative Methods for Dealing with Guilt	218	(3)
Conclusion	221	(2)
References	223	(8)
Index	231