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Substance Abuse as Symptom - A Psychoanalytic Critique of Treatment Approaches and the Cultural Beliefs That Sustain Them (Paperback)
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Substance Abuse as Symptom - A Psychoanalytic Critique of Treatment Approaches and the Cultural Beliefs That Sustain Them (Paperback)
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What can psychoanalysis contribute to an understanding of the
etiology, treatment, and prevention of substance abuse? Here, Louis
Berger contests both the orthodox view of substance abuse as a
"disease" explicable within the medical model, and the fashionable
dissenting view that substance abuse is a habit controllable
through the "willpower" fostered by superficial treatment
approaches. According to Berger, substance abuse is first and
foremost a symptom. He argues that it is only by grasping this fact
that we can understand why standard approaches to treatment and
prevention have failed. Berger invokes a wide spectrum of recent
analytic insights about infant and child development, the
psychology of narcissism, and primitive character disorders in
making the case that substance abuse masks serious preoedipal (or
"midrange") psychopathology. Such psychopathology, operating at
both cultural and person levels, explains why certain individuals
become dependent on illicit drugs; it is equally revelatory of why
the substance abuse "establishment" -- and society at large --
continues to misconstrue the nature of the problem and to proffer
ill-conceived and ineffective remedies. After thoroughly examining
the motives, conscious and unconscious, that maintain "mainstream"
myths about substance abuse, Berger points the way to alternative
approaches to prevention and treatment.
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