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(p. 87) Understanding, Treating, and Preventing the Development of Substance Use Disorders: A Psychodynamic Perspective 

(p. 87) Understanding, Treating, and Preventing the Development of Substance Use Disorders: A Psychodynamic Perspective
Chapter:
(p. 87) Understanding, Treating, and Preventing the Development of Substance Use Disorders: A Psychodynamic Perspective
Author(s):

William H. Gottdiener

DOI:
10.1093/med:psych/9780199743100.003.0005
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date: 23 May 2018

This chapter examines the psychopathology of substance use disorders (SUD) as well as their treatment and prevention from a psychodynamic perspective. After considering the causes of SUD, the chapter discusses the self-medication hypothesis of SUD and three related processes underlying its psychodynamics: defense mechanisms, object relations, and drives. It then evaluates the clinical implications of these three processes before turning to the psychodynamic treatment and prevention of SUD. Finally, it highlights the importance of recognizing and resolving negative counter-transference reactions from SUD patients.

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