1974
DOI: 10.1177/000306517402200407
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Psychoanalytic Considerations of the Etiology of Compulsive Drug use

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Cited by 250 publications
(104 citation statements)
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“…Kreek 2000, Adams, Kirkby 2002, Weinstein, Weinstein 2014) refers, from a psychological point of view, scenarios of severe suffering. Specifically, traumatic situations in the first years of life have been highlighted, which would lead to impotence responses (Krystal 1978) deficit in regulation (Socarides Stolorow 1984) narcissistic injuries (Kouth, Wolf 1978Wurmser, 1974, loss of control, and anger issues (Lance 2002). McDougall suggests a more detailed reading of the psychic states leading to addiction, identifying three categories: first, the dependence-solution would seek to dismiss neurotic anxieties, in the second, states of severe anxiety or depression, while in the third, psychotic anxieties.…”
Section: Introductionmentioning
confidence: 99%
“…Kreek 2000, Adams, Kirkby 2002, Weinstein, Weinstein 2014) refers, from a psychological point of view, scenarios of severe suffering. Specifically, traumatic situations in the first years of life have been highlighted, which would lead to impotence responses (Krystal 1978) deficit in regulation (Socarides Stolorow 1984) narcissistic injuries (Kouth, Wolf 1978Wurmser, 1974, loss of control, and anger issues (Lance 2002). McDougall suggests a more detailed reading of the psychic states leading to addiction, identifying three categories: first, the dependence-solution would seek to dismiss neurotic anxieties, in the second, states of severe anxiety or depression, while in the third, psychotic anxieties.…”
Section: Introductionmentioning
confidence: 99%
“…These findings suggest continued substance use could in part be motivated by its capacity to dampen distressing memories within the PTSD group, therefore for this group, drug use could be understood in terms of self-medication. 3,[12][13][14][15]25 This is supported by the high percentage (57.6%) that felt that there was a connection between their drug use and the trauma, with 21.7% describing their substance use as a means of escape or blocking, numbing or helping them to cope. Another 21.7% described other specific connections relating to coping or otherwise comforting in the face of adversity.…”
Section: Discussionmentioning
confidence: 99%
“…They used them to counter feelings of rage, shame and loneliness, and it reinforced their tendency to isolation and withdrawal. 14,15 In contrast, those who misused amphetamine favoured its stimulating effects that enhanced Aims and method To study intrusive phenomena relating to traumatic experiences in a community sample seeking treatment for substance use disorder and an inpatient sample from an addiction in-patient detoxification service in London. Perceived effect of drugs and drug use on traumatic intrusion and memory experiences was also analysed.…”
mentioning
confidence: 99%
“…Considerando o acima exposto, Wurmser 43 propõe um tratamento seqüencial, no qual, em primeiro lugar, tentar-se-á fazer com que o paciente se desintoxique. Quando possível, em regime ambulatorial, mas sempre que necessá-rio, com hospitalizações em unidades especializadas.…”
Section: Algumas Considerações Terapêuticasunclassified