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Related Experiment Video

Updated: May 15, 2025

A Conflict Model of Reward-seeking Behavior in Male Rats
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Self-discontinuity in behavioral addictions: A psychodynamic framework.

Gianluca Santoro1, Alessandro Musetti1, Antonino Costanzo2

  • 1Department of Humanities, Social Sciences and Cultural Industries, University of Parma, 43121 Parma, Italy.

Addictive Behaviors Reports
|April 11, 2025
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Summary

Behavioral addictions may stem from childhood trauma, acting as coping mechanisms to manage overwhelming emotions. This psychodynamic view offers new insights into addiction assessment and treatment.

Keywords:
Addictive behaviorsChildhood traumaDissociationPsychodynamicsSelf-medication hypothesis

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Area of Science:

  • Psychology
  • Psychiatry
  • Psychoanalysis

Background:

  • Symptom-based models for behavioral addictions face limitations, including reduced clinical utility and diagnostic inflation.
  • Existing models often use substance use criteria to define maladaptive engagement in everyday activities as addictions.

Purpose of the Study:

  • To present an alternative psychodynamic theoretical framework for understanding the development of behavioral addictions.
  • To conceptualize behavioral addictions as strategies for regulating overwhelming feelings linked to childhood trauma.

Main Methods:

  • Theoretical framework development.
  • Exploration of psychodynamic processes underlying behavioral addictions.
  • Illustration through a clinical vignette.

Main Results:

  • Behavioral addictions are proposed as mechanisms to manage overwhelming feelings rooted in childhood trauma.
  • Childhood trauma can lead to dissociation, with behavioral addictions reinforcing this segregation.
  • Compulsive engagement serves as self-medication, paradoxically increasing self-experience discontinuities.

Conclusions:

  • Behavioral addictions can be understood as a response to childhood trauma and dissociative processes.
  • This psychodynamic framework has implications for the assessment and treatment of behavioral addictions.
  • The proposed model offers a novel perspective beyond traditional symptom-based approaches.