E-Book Overview
In the time of Freud, the typical psychoanalytic patient was afflicted with neurotic disorders; however, the modern-day psychotherapy patient often suffers instead from a variety of addictive disorders. As the treatment of neurotic disorders based on unconscious conflicts cannot be applied to treatment of addictive disorders, psychoanalysis has been unable to keep pace with the changes in the type of patient seeking help. To address the shift and respond to contemporary patients’ needs, Ulman and Paul present a thorough discussion of addiction that studies and analyzes treatment options. Their honest and unique work provides new ideas that will help gain access to the fantasy worlds of addicted patients. The Self Psychology of Addiction and Its Treatment emphasizes clinical approaches in the treatment of challenging narcissistic patients struggling with the five major forms of addiction. Ulman and Paul focus on six specific case studies that are illustrative of the five forms of addiction. They use the representative subjects to develop a self psychological model that helps to answer the pertinent questions regarding the origins and pathway of addiction. This comprehensive book links addiction and trauma in an original manner that creates a greater understanding of addiction and its foundations than any clinical or theoretical model to date.
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ulman_half title page 5/2/06 1:38 AM Page 1 THE OF AND ITS RT3076_Prelims.fm Page ii Thursday, April 20, 2006 2:39 PM ulman_title page 5/2/06 1:43 AM Page 1 THE OF AND ITS NARCISSUS IN WONDERLAND AND New York London Routledge is an imprint of the Taylor & Francis Group, an informa business Routledge Taylor & Francis Group 270 Madison Avenue New York, NY 10016 Routledge Taylor & Francis Group 2 Park Square Milton Park, Abingdon Oxon OX14 4RN © 2006 by Richard B. Ulman and Harry Paul Routledge is an imprint of Taylor & Francis Group, an Informa business Printed in the United States of America on acid-free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number-10: 1-58391-307-6 (Hardcover) International Standard Book Number-13: 978-1-58391-307-9 (Hardcover) Library of Congress Card Number 2005001367 No part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Ulman, Richard B. The self psychology of addiction and its treatment : Narcissus in wonderland / Richard B. Ulman and Harry Paul. p. cm. Includes bibliographical references and index. ISBN 1-58391-307-6 (hardback) 1. Substance abuse. 2. Self psychology. I. Paul, Harry. II. Title. RC564.U46 2005 616.86--dc22 2005001367 Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the Routledge Web site at www.routledgementalhealth.com RT3076_Discl.indd 1 5/8/06 7:34:12 AM RT3076_Prelims.fm Page v Thursday, April 20, 2006 2:39 PM We dedicate our book to our fellow addicts who already are in recovery, who are seeking recovery, who are without recovery, or who are beyond recovery. RT3076_Prelims.fm Page vi Thursday, April 20, 2006 2:39 PM RT3076_bookTOC.fm Page vii Thursday, May 4, 2006 1:28 PM Contents Acknowledgments Introduction ix xiii Part I: An Introduction to a Self-Psychological Model and T