The Self Psychology of Addiction and its Treatment: Narcissus in Wonderland

550 Pages·2006·13.52 MB·English

by  Richard B. Ulman

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THE
OF
AND ITS
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THE
OF
AND ITS
NARCISSUS IN
WONDERLAND
AND
New York London
Routledge is an imprint of the
Taylor & Francis Group, an informa business
Routledge Routledge
Taylor & Francis Group Taylor & Francis Group
270 Madison Avenue 2 Park Square
New York, NY 10016 Milton Park, Abingdon
Oxon OX14 4RN
© 2006 by Richard B. Ulman and Harry Paul
Routledge is an imprint of Taylor & Francis Group, an Informa business
Printed in the United States of America on acid-free paper
10 9 8 7 6 5 4 3 2 1
International Standard Book Number-10: 1-58391-307-6 (Hardcover)
International Standard Book Number-13: 978-1-58391-307-9 (Hardcover)
Library of Congress Card Number 2005001367
No part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any elec-
tronic, mechanical, or other means, now known or hereafter invented, including photocopying, micro-
filming, and recording, or in any information storage or retrieval system, without written permission
from the publishers.
Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are
used only for identification and explanation without intent to infringe.
Library of Congress Cataloging-in-Publication Data
Ulman, Richard B.
The self psychology of addiction and its treatment : Narcissus in wonderland /
Richard B. Ulman and Harry Paul.
p. cm.
Includes bibliographical references and index.
ISBN 1-58391-307-6 (hardback)
1. Substance abuse. 2. Self psychology. I. Paul, Harry. II. Title.
RC564.U46 2005
616.86--dc22 2005001367
Visit the Taylor & Francis Web site at
http://www.taylorandfrancis.com
and the Routledge Web site at
www.routledgementalhealth.com
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We dedicate our book to our fellow addicts who already
are in recovery, who are seeking recovery, who are without
recovery, or who are beyond recovery.
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Contents
Acknowledgments ix
Introduction xiii
Part I: An Introduction to a Self-Psychological
Model and Theory of Addiction
Chapter 1 Narcissus in Wonderland 3
Chapter 2 A Self-Psychological Model
of Addiction 23
Chapter 3 The Theoretical Origins of a Self-Psychological
Model of Addiction 75
Part II: The Addiction Paper Trilogy
Revisited—The Narcissus Complex
Chapter 4 The First of the Addiction Paper Trilogy:
The Cases of Teddy and Mary 127
Chapter 5 The Second of the Addiction Paper Trilogy:
The Cases of Joe and JoAnn 155
Chapter 6 The Third of the Addiction Paper Trilogy:
The Cases of Travis and Errol 191
Part III: An In-Depth View and Expanded Version of a
Self-Psychological Model of Addiction
Chapter 7 A Psychoanalytic Phenomenology of Addiction 263
Chapter 8 The Etiology and Pathogenesis of Addiction 331
Chapter 9 A Bioself-Psychological Typology of Addiction
and Approach to Psychotherapy with an
Addicted Patient 387
vii
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viii Contents
Part IV: Findings and Conclusions
Chapter 10 Addiction and Trauma (PTSD) 435
References 461
Index 505
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Acknowledgments
The first and main author (RBU) wants to acknowledge my wife, Triss
R. Ulman, who has made extraordinary sacrifices without which it would
have been impossible for me to complete the writing of this book. On
a very personal level, I want Triss to know how much she has meant
to me as, ensconced alone in my study, I spent hours, days, weeks,
months, and years working on this book. She has been my special angel
in her unbelievable capacity to make self-sacrifices in sharing me with
my muses, and, in the process, giving up precious time together as a
married couple. Without her angelic devotion and dedication to me as
a writer I never would have found the courage and fortitude that were
so necessary in persevering, often in very adverse circumstances, in
transforming this book from a fantasy into a reality.
I also want to acknowledge all my English bulldogs—past and
present—whose presence has functioned for me as “transitional selfobjects.”
For the second and contributing author (HP), this book represents
the culmination of a significant personal and professional journey. Intel-
lectually and emotionally, it has been profoundly challenging for me to
engage in this project, and it would never have become a reality if not
for the love, dedication, and guidance of a number of people, whom I
wish to thank. Foremost, I offer to my wife, Amy, all of my love and
affection. For over 30 years, she has been a wonderful partner and my
best friend. Her unwavering support enabled me to cope with the
emotional and intellectual challenges of engaging in this project. The
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