By Marion Bowers, Robert Hale, Heather Wood
"Perversion is taken to intend various things inside of psychoanalytic discourse. during this ebook the authors view perversions, no longer when it comes to particular behaviours, yet as one of those blueprint for item family. whereas perversions may well contain a quest for pleasure via intercourse, medicines or playing, for instance, the point of interest here's at the underlying incapacity--or certainly from time to time refusal--to relate to the opposite as break away the self and never as a narcissistic appendage. it's the anxieties aroused through intimacy and relatedness that force the pursuit of ecstasy and pleasure. Psychoanalytic considering might help multidisciplinary groups to face again and reply to the addictive frame of mind in humane and containing ways in which will not be collusive. This ebook hence offers wealthy nutrition for concept not just for the person practitioner but additionally for these answerable for shaping companies for addicted individuals."
-- Alessandra Lemma, from the Preface
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Extra info for Addictive States of Mind
In her words, what children of addicts have in common is that “The parent is preoccupied, most if not all of the time, with something other than the child”. As she vividly conveys, this represents not just an absence of a functioning parent, but the replacement of a potentially containing, attentive parent by someone who behaves more like a child, needing to be cared for, and even berating the adolescent for being a puritan when attempting 33 34 biddy youell to be Â�responsible and set limits. The adolescent is then not just a “parental child” with respect to providing care for the parent, but becomes a quasi-parent having to bear the hostility of his or her (actual) parent, which presumably derives from and belongs with the parent’s own introjected parental figures or internal objects.
Mind-altering substances literally change states of mind in ways that infants and young children cannot process, although they do come to recognize the signs and signals at an early age. Toddlers of parents with addiction become very watchful and extremely sensitive to changes in emotional temperature. They learn when it is safe to make demands on their parents and when to steer clear. The danger is that they also learn how to manage their own feelings of anxiety or neediness in ways that are anti-developmental.
Challenges in a substance misuse service 27 » By what route? Name venous access sites. People are embarrassed to admit that they may inject into their neck or groin but will often answer if asked in an open manner. Patients need to know that the questioner is knowledgeable and is not going to judge them negatively for disclosure. » Criminal history: drug/non-drug related, imprisonment—longest sentence, violent/non-violent. Complications of drug use » Physical: for example, sharing of injecting equipment, sexual risk factors can lead to HIV, hepatitis B, and hepatitis C; liver cirrhosis with alcohol.
Addictive States of Mind by Marion Bowers, Robert Hale, Heather Wood