Untangling the Skein: From Substance Dependence to Trust in the Relationship
Ključne riječi:
Addiction, countertransference, life script, relational methods, relational needs, schizoid process, relationshipSažetak
This clinical case study condenses knowledge from 30 years of working in the world of addictions as an integrative psychotherapist. The theory (the map) is not the territory. By using relational methods, we can transcend the label of "addict" and get to know the human being behind it; this facilitates bond development and internal contact. The client recognizes himself, and is re-integrated, in the mirror that the therapist offers. The relational failures, especially early ones, that have been experienced by the client shape internal processes and the client’s relationship with the outside world. The substance takes on a stabilizing and regulating function in the face of emotional pain. A secure psychotherapeutic relationship is required to achieve this same stability and regulation. A conscious and nonreactive countertransference is crucial, as is the managing of the shadows, prejudices, fantasies, and internalized models of help. This way the client can show his vulnerability, have a true and reparative encounter, and overcome his addiction—his life script.
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