Addiction As an Attachment Disorder

by Flores, Philip J.

• ISBN13: 9780765703378
• ISBN10: 0765703378
• Format: Hardcover
• Copyright: 2004-08-06
• Publisher: Jason Aronson, Inc.

Summary

From the Foreword: Addiction is a disorder in self-regulation. Individuals who become dependent on addictive substances cannot regulate their emotions, self-care, self-esteem, and relationships. In this monumental and illuminating text Philip Flores cove

Author Biography

Philip J. Flores is adjunct Faculty at Georgia State University and Argosy University.

Table of Contents

Addiction as an Attachment Disorder	1	(11)
Attachment Theory and Self Psychology	3	(2)
Cross-Addiction	5	(1)
Addiction as an Attachment Disorder	6	(2)
Dynamics of Multiple Additions	8	(4)
Substance Abuse as a Consequence of and Solution for Impaired Attachment Relationships	12	(23)
Addiction---The Cart or Horse of Mental Illness?	13	(3)
Abstinence: Is it Necessary?	16	(1)
Criterion Question	17	(4)
Addiction or Substance Abuser: Differential Diagnosis	21	(2)
The Relationship Between Mental Health and Addiction	23	(5)
Character Pathology and Addiction	28	(2)
Axis I Disorders	30	(1)
The Relational Models: An Integration	31	(4)
Attachment Theory: Implications for Treatment	35	(33)
Attachment and Biology: Historical Influence	38	(2)
Implications for Treatment	40	(19)
Attachment: A Generalized Theory of Love	59	(2)
Compulsive Caretaking	61	(7)
Addiction: An Attempt at Self-Repair that Fails	68	(33)
Self Psychology	69	(3)
Empathy	72	(1)
Narcissism	73	(1)
Selfobject	73	(1)
Selfobject Relationships and Transferences	74	(2)
AA and Selfobject Functions	76	(1)
The Reparative Approach	77	(2)
The Restoration of Healthy Self-Esteem	79	(1)
Healthy and Unhealthy Narcissism	80	(3)
A New Definition of Addiction	83	(1)
Self Psychology as a Deficit Theory	84	(2)
Self-Medication Hypothesis and Affect Regulation	86	(1)
Affect Regulation Theory	87	(1)
Dependency and Pathology	88	(5)
Selfobject Transferences: Implications for Treatment	93	(2)
Parallels Between Psychic Structure and Internal Working Models	95	(1)
Lifelong Need for Selfobjects and Affect Regulation	96	(1)
AA and Narcissism	97	(4)
Neurophysiology and Attachment	101	(25)
Attachment and Loss	102	(1)
Attachment Is an Expected Experience of the Brain	103	(1)
Biology of Attachment and Emotion	104	(4)
Anatomy of Attachment	108	(1)
The Myth of Higher Brain Functions	109	(1)
The Developing Brain	110	(3)
Attachment and Development	113	(1)
Reward Deficiency Syndrome	114	(3)
Secure Attachment Creates Neurophysiological Homeostasis	117	(1)
Implicit vs. Explicit Memory	118	(1)
Knowledge that Cannot Be Explained	119	(2)
Attachment and Animal Research	121	(2)
Attachment and Opiate Receptors	123	(3)
Avoidant Society: Cultural Roots of Impaired Attachment	126	(25)
Secure Attachment	133	(1)
Attachment, Loss, and Emotions	134	(3)
Ainsworth and the Strange Situation	137	(1)
Attachment Styles	138	(3)
Attachment and Self	141	(1)
Secure Attachment, Play, and Self-Awareness	142	(1)
Longitudinal Studies of Attachment	143	(2)
Attachment Patterns in Adult Relationships	145	(3)
Implications for Addiction Treatment	148	(1)
Addiction and Treatment	149	(2)
Rules for Effective Treatment: An Attachment Perspective	151	(17)
How and Why Therapy Works	154	(3)
Implicit Memory	157	(4)
Rules for Effective Therapy: Kendall's Principles of Psychotherapy	161	(4)
Addiction Treatment and Attachment	165	(3)
Early Treatment: Creating the Capacity for Attachment	168	(35)
Early Treatment Strategies	169	(1)
Addiction Treatment as a Time-Dependent Process	170	(2)
Early Treatment Issues	172	(4)
Gratification vs. Frustration	176	(1)
Emotional Availability of the Therapist	177	(1)
Creating the Capacity for Attachment	178	(1)
Alexithymia	179	(3)
Trauma Bonding	182	(3)
Neropsychological Impairment	185	(2)
Motivation and Stages of Change	187	(2)
Relapse Prevention	189	(3)
The Life History: Narratives and AA from a Phenomenological Perspective	192	(5)
Character Defects	197	(1)
Narratives and the Life Story	198	(1)
Narratives and Attachment	199	(2)
Self-Attribution of Alcoholism	201	(2)
Late-Stage Treatment Issues	203	(18)
Emotions: Self-Discovery and Self-Care	203	(4)
Late-Stage Relapses	207	(2)
Anhedonia and Addiction	209	(1)
Late-Stage Treatment Concerns	210	(1)
The Importance of the Therapeutic Alliance	210	(5)
Mutuality and Dependence	215	(3)
Summary of Treating Addiction as an Attachment Disorder	218	(3)
Attachment and Group Therapy	221	(19)
Group Treatment of Substance Abuse	221	(1)
AA and Group Therapy	222	(1)
Individual vs. Group Therapy	223	(4)
Role of the Group Leader	227	(1)
Group Cohesion	228	(5)
Group, Transference, Shame, and Object Hunger	233	(6)
Late-Stage Group Therapy	239	(1)
Attachment and the Therapeutic Alliance	240	(67)
Principles of Attachment-Oriented Therapy	241	(4)
Addiction and the Working Alliance	245	(5)
Research and the Therapeutic Alliance	250	(3)
The Alliance: What Is It and Why Is It Important?	253	(2)
Attachment Styles and the Therapeutic Alliance	255	(2)
Therapists' Contributions	257	(3)
Research Evidence	260	(1)
Empathy	260	(9)
Flexibility	269	(10)
Management of Negative Process	279	(2)
Repairing Alliance Ruptures	281	(6)
Patient Contributions	287	(1)
Initial Phase of Treatment	288	(2)
The Testing Hypothesis	290	(8)
The Alliance and Addiction: Special Considerations	298	(1)
A Crisis Opens a Patient's Attachment System	299	(8)
Addiction and Attachment-Oriented Therapy: Long-Term Implications	307	(14)
Theoretical Uncertainty	310	(6)
Conclusions	316	(5)
References	321