Shame, Guilt, and Alcoholism: Treatment Issues in Clinical Practice, Second Edition

ISBN-13: 9780789015167 / Angielski / Twarda / 2002 / 252 str.

Ronald T. Potter-Efron

Opis

Providing a practical model for understanding the cycle of shame, guilt, and addiction and offering insight on the emotional realities of substance abuse, this work provides suggestions for treating substance-abusing clients and their families. It explores the positive functions of shame and guilt, describes the defense mechanisms against them, and

Spis treści

• Acknowledgments
• Chapter 1. Overview: Shame, Guilt and Alcoholism
• Introduction and Definitions
• Four Basic Distinctions Between Shame and Guilt
• Chapter 2. Models of Shame and Addiction
• Introduction
• The Disease Model of Addiction
• Self Psychology
• Affect Theory
• Family Systems Model
• Functional Theory
• Chapter 3. Shame, Vulnerability, and the Four Spheres of Self
• Introduction
• The Presentation Self
• The Defensive Self
• The Comparative (Evaluative) Self
• Shame Waves, Cycles, and Spirals
• The Core Self
• Chapter 4. Defenses Against Shame
• Introduction
• Withdrawal
• Denial
• Dissociation
• Projection
• Perfectionism
• Arrogance
• Shamelessness and Exhibitionism
• Rage
• Addiction As a Secondary Defense Against Shame
• Chapter 5. Guidelines for the Treatment of Shame
• Introduction
• Treatment Guidelines
• Chapter 6. The Treatment of Shame with Alcoholic Clients
• Introduction
• The Linkages Between Shame, Alcoholism, and Addiction
• Guidelines for the Treatment of Shame Issues with Alcoholic or Addicted Clients
• Chapter 7. Adaptive and Maladaptive Guilt As Related to Addiction
• Adaptive Guilt and Addiction
• Maladaptive Guilt and Addiction
• Defenses Against Guilt
• Guilt and Addiction
• The Guilt-Alcoholism Cycle
• Chapter 8. The Treatment of Guilt—General Considerations
• Introduction
• Suggested Sequence for the Treatment of Guilt
• Guidelines for the Treatment of Guilt
• Chapter 9. The Treatment of Guilt with Alcoholic or Addicted Clients
• Introduction
• The Role of Adaptive Guilt in Recovery
• Guidelines for the Treatment of Guilt Issues with Alcoholic or Addicted Clients
• Chapter 10. Common Shame and Guilt Themes in Families Affected by Alcoholism or Addiction
• Introduction
• Transferred Shame or Guilt
• Helping Recovering Persons Face Their Shame and Guilt
• Chapter 11. Alcoholics Anonymous, Shame, and Guilt
• Introduction
• Alcoholics Anonymous and Shame
• The Recovering Alcoholic As a Responsible Member of the Community
• Chapter 12. Creative Approaches to Shame and Guilt: Helping the Adult Child of an Alcoholic
• Introduction
• Definitions of Guilt and Shame
• Approaches to Be Used
• Creative Methods for Dealing with Shame
• Guilt in Adult Children of Alcoholics
• Creative Methods for Dealing with Guilt
• Conclusion
• Chapter 13. References
• Index

O autorze

Ron Potter-Efron, Bruce Carruth