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Attachment Theory as a Working Model for the Therapist Transitioning from Early to Later Recovery Substance Abuse Treatment

 

作者: BallSamuel A.,   LegowNancy E.,  

 

期刊: The American Journal of Drug and Alcohol Abuse  (Taylor Available online 1996)
卷期: Volume 22, issue 4  

页码: 533-547

 

ISSN:0095-2990

 

年代: 1996

 

DOI:10.3109/00952999609001679

 

出版商: Taylor&Francis

 

关键词: Attachment;Psychotherapy;Substance abuse

 

数据来源: Taylor

 

摘要:

Psychotherapy with addicted individuals often involves a shift in therapeutic techniques during the transition from early to later recovery treatment. A conceptual model based in attachment theory can provide a rationale and framework for this shift in the treatment of some addicted persons. Techniques and case material are presented to illustrate how a therapist first“establishes a secure base”and then transitions to“facilitating exploration.”An active, directive, supportive, and educative therapeutic approach that deemphasizes exploratory work in early recovery helps the patient achieve abstinence and develop a sense of security and attachment with the therapist. This sense of therapeutic security combined with ongoing abstinence permits a shift to a more nondirective, expressive therapeutic stance that facilitates the exploratory work of later recovery. Working through these issues in the therapeutic transition provides an excellent opportunity to examine the interpersonal and emotional difficulties of addicted patients. Two cases are presented to illustrate a successful and unsuccessful attempt to establish a secure base and facilitate exploration in substance abuse psychotherapy.

 

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