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Books > Social sciences > Psychology > Philosophy & theory of psychology > Psychoanalysis & psychoanalytical theory
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Addictive States of Mind (Paperback)
Loot Price: R1,079
Discovery Miles 10 790
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Addictive States of Mind (Paperback)
Series: Tavistock Clinic Series
Expected to ship within 9 - 17 working days
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This chapter, written by a psychiatrist working with people with
severe and complex addictions, sets the scene. We are provided with
a graphic account of the multiple problems-physical, psychological,
social, financial-of someone with severe drug addiction, where sex
working and the risks of pregnancy, infection, and assault compound
an already challenging presentation. The personal history of trauma
and abuse means that the patient requires highly skilled and
sensitive management, and adaptations in service provision-such as
no morning appointments-that respect the individual's lifestyle.
The conflict for professionals is encapsulated in a brief
description of the responses of Vanessa Crawford's patient group
when asked what messages they would like to be conveyed to future
doctors: don't prejudge us, treat us as individuals, give us proper
pain control-and "don't trust us". Implicit in this is the
recognition that they are in the grip of something that leads them
to deceive, probably themselves, but also others-a wish to pervert
a relationship to someone who is trying to help. Crawford conveys
the importance of being knowledgeable, but not omniscient; of
helping the individual to overcome the barrier of shame, which may
lead to information being withheld; and the crucial contribution of
a collaborative and coherent staff team in containing such
challenging patients and in helping them to turn a corner towards
recovery.
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