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Addiction as a form of perversion
1Ann Martin Children's Center, Oakland, California.
Bulletin of the Menninger Clinic
|January 1, 1992
Summary
Psychoanalytic addiction treatment often fails because addiction is not seen as a distinct disorder. This review proposes a new concept of addiction with biological, behavioral, and psychological factors, advocating for multimodal therapy.
Area of Science:
- Psychiatry
- Psychoanalysis
- Addiction Studies
Background:
- Psychoanalytic approaches to addiction are frequently ineffective.
- Therapists often overlook addiction as a distinct psychiatric disorder.
- Existing psychoanalytic theories require re-evaluation in light of addiction's complexity.
Purpose of the Study:
- To review current psychoanalytic theories of addiction.
- To propose an alternative conceptualization of addiction.
- To explore psychoanalytic treatment implications and advocate for integrated care.
Main Methods:
- Literature review of psychoanalytic theories on addiction.
- Conceptual analysis comparing addiction and perversion.
- Discussion of psychoanalytic treatment strategies.
Main Results:
- Addiction is conceptualized as a discrete disorder with biological, behavioral, and psychological dimensions.
- Structural similarities exist between addiction and perversion.
- The addictive substance can function as a fetish object.
Conclusions:
- Psychoanalytic treatment requires recognizing addiction as a distinct disorder.
- A multimodal treatment approach integrating psychoanalytic insights is advocated.
- Understanding addiction's multifaceted nature is crucial for effective therapy.