PMID: 6535839Jan 1, 1984Paper

More respect for the neurotic process: comments on the problem of narcissism in severe psychopathology, especially the addictions

Journal of Substance Abuse Treatment
L Wurmser

Abstract

In dealing with and writing about psychopathology and psychodynamics, there has been in the past 20 years an increasing shift towards stressing their closeness to the psychoses and emphasizing the archaic nature of the inner processes. With that there has developed a special regard for a "defect psychology." This change has had momentous implications for the attitude towards patients and the treatment approach. The discussions about such changes center on the concept of narcissism. The paper advocates, in contradiction to these moves, the continued use of the model of conflict theory and, hence, a consistent focus on the defenses in psychotherapy and psychoanalysis, with all that this specifically entails for the treatment and understanding of the addictions, as illustrated by four case vignettes.

References

Nov 26, 1977·Lancet
Jan 1, 1982·Journal of the American Psychoanalytic Association·L Rangell

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Citations

Jan 1, 1985·Journal of Substance Abuse Treatment·E J Khantzian
Jan 1, 1986·Journal of Substance Abuse Treatment·J E Zweben
Jul 1, 1991·Comprehensive Psychiatry·D S HasinM B Keller
Jan 1, 1986·The American Journal of Drug and Alcohol Abuse·E J Khantzian
Jan 1, 1986·The American Journal of Drug and Alcohol Abuse·R D WeissA C Sollogub
Aug 1, 1994·The American Journal of Drug and Alcohol Abuse·D R McDuffJ L Johnson
Apr 1, 1994·Journal of Psychoactive Drugs·E V NunesF M Quitkin
Oct 1, 1993·Journal of Psychoactive Drugs·L E O'Connor, J Weiss
Jan 1, 1992·The American Journal of Drug and Alcohol Abuse·R D WeissS M Mirin

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