Potik David, Adelson Miriam, Schreiber Shaul
Adelson Clinic for Drug Abuse Treatment and Research, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Psychol Psychother. 2007 Jun;80(Pt 2):311-25. doi: 10.1348/147608306X164806.
To present a psychodynamic (specifically object-relations) approach to the understanding of drug addiction and recovery among patients in Methadone Maintenance Treatment (MMT), and to discuss the role of psychodynamic psychotherapy among drug addicts, focusing on the processes which patients undergo during counselling.
We review some psychodynamic explanations of the drug addiction phenomenon, and illustrate the psychodynamic comprehension framework of the issue according to Winnicott's theory, by describing a few psychotherapeutic interventions with our MMT patients.
The main premise is that treatment in a MMT program is accompanied by changes in-patients' life-styles and behaviour, which are parallel to transitional phenomena. As such, methadone and counselling serve as transitional objects during these processes.
Drug addiction is a widespread phenomenon that affects many areas in the addicts' life; therefore, some eclecticism from therapists has a beneficial effect on the outcome.
提出一种心理动力学（特别是客体关系）方法，用于理解美沙酮维持治疗（MMT）患者的药物成瘾及康复情况，并讨论心理动力学心理治疗在吸毒者中的作用，重点关注患者在咨询过程中所经历的过程。
我们回顾了对药物成瘾现象的一些心理动力学解释，并根据温尼科特的理论，通过描述对我们的MMT患者的一些心理治疗干预措施，来说明该问题的心理动力学理解框架。
主要前提是，MMT项目中的治疗伴随着患者生活方式和行为的改变，这些改变与过渡现象相似。因此，在这些过程中，美沙酮和咨询起到了过渡客体的作用。
药物成瘾是一种普遍存在的现象，影响着成瘾者生活的许多方面；因此，治疗师采取一些折衷方法对治疗结果有有益影响。
