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Addictions from an Attachment Perspective


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Table of Contents

ACKNOWLEDGEMENTS ABOUT THE EDITOR AND CONTRIBUTORS INTRODUCTION CHAPTER ONE Attachment theory and The John Bowlby Memorial Lecture 2013: a short history - Kate WhiteCHAPTER TWO Addiction: treatment and its context - Jason WrightCHAPTER THREE The Self-Medication Hypothesis and attachment theory: pathways for understanding and ameliorating addictive suffering. The twentieth John Bowlby Memorial Lecture - Edward. J. KhantzianCHAPTER FOUR Alcohol misuse, attachment dilemmas, and triangles of interaction: a systemic approach to practice - Arlene VetereCHAPTER FIVE Taking the toys away: removing the need for self-harming behaviour - Lynn GreenwoodCHAPTER SIX Using 'intent' to remedy mal-attachment - Bob JohnsonCHAPTER SEVEN Struggling with abstinence - Richard GillCHAPTER EIGHT Technology, attachment, and sexual addiction - Cara CrossanCHAPTER NINE Gambling addiction: seeking certainty when relationship is the risk - Liz KarterAPPENDIX I Reading listAPPENDIX II The Bowlby CentreINDEX

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Richard Gill


"This book comprises a set of chapters by highly experienced clinicians and researchers, who have employed and developed attachment theory in a variety of innovative and applicable ways. The book serves as an excellent resource and will stimulate others to take their ideas further. The excellent chapter by Arlene Vetere is an example of the scope and importance of this book. Arlene Vetere has delivered clinical interventions and training regarding problems of alcohol and substance dependency for over twenty years. In this paper, her depth of experience, sophisticated and creative clinical formulation, and sensitive ways of intervening shine through. She offers a highly effective form of intervention, which combines concepts from attachment theory, systemic therapy, and narrative theory. The combination of these results in an approach that is greater than the sum of the parts, not least in that it offers a compassionate approach that employs these perspectives in a reflective and non-judgemental manner. The value of the approach is illuminated through the poignant case examples that are employed to illustrate the approach. These also offer a guide and inspiration for clinicians and researchers wishing to pursue Arlene's approach."--Rudi Dallos
"This outstanding book is an important collection of essays by an array of gifted clinicians addressing the exciting and crucial impact that attachment theory is having on the understanding of addictive disorders and its treatment. Edward J. Khantzian's article is, in itself, worth the price of the book as he provides a lucid and comprehensive review of his paradigm shifting Self-Medication Hypothesis, which has evolved into an even more elegant explanation of addiction as an affect regulation disorder. Not only does Dr Khanztian offer a more satisfying and accurate description of the intrapsychic and interpersonal dynamics of addictions, he provides a much-needed replacement of the archaic and pejorative perspective of drive theory's view of addiction as pleasure seeking with a more compassionate and accurate model reflecting the comprehensive understanding of attachment as a primary drive. He concludes his remarks by helping the reader understand how the absence of secure attachment is a risk factor for affect dysregulation in children and subsequently, addiction in adults."--Phillip J. Flores

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