In the time of Freud, the typical psychoanalytic patient was afflicted with neurotic disorders; however, the modern-day psychotherapy patient often suffers instead from a variety of addictive disorders. As the treatment of neurotic disorders based on unconscious conflicts cannot be applied to treatment of addictive disorders, psychoanalysis has been unable to keep pace with the changes in the type of patient seeking help. To address the shift and respond to contemporary patients’ needs, Ulman and Paul present a thorough discussion of addiction that studies and analyzes treatment options. Their honest and unique work provides new ideas that will help gain access to the fantasy worlds of addicted patients. The Self Psychology of Addiction and Its Treatment emphasizes clinical approaches in the treatment of challenging narcissistic patients struggling with the five major forms of addiction. Ulman and Paul focus on six specific case studies that are illustrative of the five forms of addiction. They use the representative subjects to develop a self psychological model that helps to answer the pertinent questions regarding the origins and pathway of addiction. This comprehensive book links addiction and trauma in an original manner that creates a greater understanding of addiction and its foundations than any clinical or theoretical model to date.

In the time of Freud, the typical psychoanalytic patient was afflicted with neurotic disorders; however, the modern-day psychotherapy patient often suffers instead from a variety of addictive disorders. As the treatment of neurotic disorders based on unconscious conflicts cannot be applied to treatment of addictive disorders, psychoanalysis has been unable to keep pace with the changes in the type of patient seeking help. To address the shift and respond to contemporary patients’ needs, Ulman and Paul present a thorough discussion of addiction that studies and analyzes treatment options. Their honest and unique work provides new ideas that will help gain access to the fantasy worlds of addicted patients. The Self Psychology of Addiction and Its Treatment emphasizes clinical approaches in the treatment of challenging narcissistic patients struggling with the five major forms of addiction. Ulman and Paul focus on six specific case studies that are illustrative of the five forms of addiction. They use the representative subjects to develop a self psychological model that helps to answer the pertinent questions regarding the origins and pathway of addiction. This comprehensive book links addiction and trauma in an original manner that creates a greater understanding of addiction and its foundations than any clinical or theoretical model to date.

This comprehensive work by Jerome D. Levin provides psychotherapists and counselors who treat alcoholism and other addictive states with a solid understanding of the inner world of their pa-tients, the dynamics of these disorders, and a repertoire of therapeutic interventions to improve the effectiveness of their psychotherapy. The author demonstrates how the therapeutic relationship can re-place addiction and promote integration and growth. Levin's approach to the treatment of alcoholism serves as a model for the therapy of the other addictions as well. He draws on material from medicine, biology, anthropology and sociology, chemistry, psychology, and the basic principles of psychoanalysis, focusing on the concepts of transference, countertransference, therapeutic alliance, resistance, and internalization and their application to the psychodynamic treatment of individuals involved in self-help programs such as Alcoholics Anonymous.

The Harvard Cocaine Recovery Project, a National Institute on Drug Abuse-funded randomized clinical trial, was initiated in 1986 to compare different approaches for treating cocaine abusers. Modified Dynamic Group Therapy (MDGT), one of the models used in the study, is a short-term supportive-expressive psychodynamic group approach specifically adapted for cocaine addicts. While many previous studies of substance abuse treatment were compromised by extraordinarily high dropout rates, this approach retained nearly 70% of group members for the entire length of treatment. This book describes MDGT and provides a practical guide to implementation. Based on an understanding of the psychological vulnerabilities of addicts, the MDGT model addresses the modifications in psychodynamic technique that are necessary for addicts' needs. It focuses on four main areas of difficulty involving self-regulation; affect, self-esteem, relationship, and self-care problems. Both supportive and expressive, the approach helps group members identify, process, and modify the characterological traits that mask addict's vulnerabilities. With this approach, a well-led group can heighten self-esteem, improve self-care, combat feelings of isolation and shame, and strengthen the individual's capacity for positive change. Concomitant involvement with an individual therapist/counselor is encouraged as a means to support and facilitate the group therapy, especially early in group treatment, and to maintain a flexible individual and group treatment context for self-exploration and understanding. Bringing the model to life are detailed vignettes and transcripts of groups in different phases of recovery. These cases demonstrate techniques, illustrate technical issues, and illuminate major themes that unfold during treatment.

Intersubjective Self Psychology: A Primer offers a comprehensive overview of the theory of Intersubjective Self Psychology and its clinical applications. Readers will gain an in depth understanding of one of the most clinically relevant analytic theories of the past half-century, fully updated and informed by recent discoveries and developments in the field of Intersubjectivity Theory. Most importantly, the volume provides detailed chapters on the clinical treatment principles of Intersubjective Self Psychology and their application to a variety of clinical situations and diagnostic categories such as trauma, addiction, mourning, child therapy, couples treatment, sexuality, suicide and sever pathology. This useful clinical tool will support and inform everyday psychotherapeutic work. Retaining Kohut’s emphasis on the self and selfobject experience, the book conceptualizes the therapeutic situation as a bi-directional field of needed and dreaded selfobject experiences of both patient and analyst. Through a rigorous application of the ISP model, each chapter sheds light on the complex dynamic field within which self-experience and selfobject experience of patient and analyst/therapist unfold and are sustained. The ISP perspective allows the therapist to focus on the patient’s strengths, referred to as the Leading Edge, without neglecting work with the repetitive transferences, or Trailing Edge. This dual focus makes ISP a powerful agent for transformation and growth. Intersubjective Self Psychology provides a unified and comprehensive model of psychological life with specific, practical applications that are clinically informative and therapeutically powerful. The book represents a highly useful resource for psychoanalysts and psychoanalytic psychotherapists around the world.

A collection of thoughtul presentations on transference and countertransference highlights The Realities of Transference, Volume 6 in the Progress in Self Psychology series. The selfobject transferences receive special attention. Elsewhere in this volme, selfobject phenomena are examined in relation to the process of working through, the origins of ambition, the psychology of addiction, the psychodynamic consequences of AIDS, and creativity. An exploration of the selfobjects of the second half of life offers new insight into later development.

New Therapeutic Visions begins with Lachmann and Beebe's developmental perspectives on representational and selfobject transferences, followed by commentaries. In Section II, the self-psychological approach is brought to bear on the clinical treatment of an adolescent girl, incest survivors, addictive personalities, patients exhibiting codependency, and a case of desomatization. Section III, on applied self psychology, contains chapters on the theory of creativity; subjectivism, relativism, and realism in psychoanalysis; and quantum physics and self psychology. The final section offers two critical review essays on major contributions to the self psychology literature by Wolf, by Bacal and Newman, and by Lichtenberg. Stolorow's chronicle of his personal odyssey into self psychology and intersubjectivity theory rounds out volume 8 of the Progress in Self Psychology series.