Perspectives on Substance Use, Disorders, and Addiction by Margaret A. Fetting

Author:Margaret A. Fetting [Fetting, Margaret A.]
Language: eng
Format: epub
ISBN: 9781483377773
Barnesnoble:
Publisher: SAGE Publications
Published: 2015-09-23T00:00:00+00:00

Ed Khantzian With John Mack

A hallmark contribution of Ed Khantzian with John Mack (Khantzian, 1999, pp. 335–356) is the discovery that individuals with addiction self-medicate because they are unable to self-care. Self-care functions are ego functions developed through the process of internalization. Responding to a child’s needs and fostering healthy dependency over time build his ego capacities and skills. These are necessary to live well. Self-care ego functions serve to warn, guide, and protect individuals from hazardous or dangerous involvements and behaviors, including SUDs and addiction, unhealthy and violent relationships, impulsive choices, and destructive situations. Khantzian looks at self-care deficiencies as a way to explain a range of troubled human behaviors (Khantzian, 1999, pp. 335–355).

Addiction is about two things: These are problems of control and psychological suffering in four areas (described below).

Problems of control: Addictions are troubled and destructive behaviors. People have lost choice and lost control. P/SUDs are unable, and thus unwilling, to make healthier choices.

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