论哀悼与康复：整合悲伤阶段与变化，迈向成瘾治疗中基于神经科学的依恋适应模型
On Mourning and Recovery: Integrating Stages of Grief and Change Toward a Neuroscience-Based Model of Attachment Adaptation in Addiction Treatment.
作者信息
Chambers R Andrew, Wallingford Sue C
机构信息
Director, Addiction Psychiatry Training Program and Lab for Translational Neuroscience of Dual Diagnosis, Associate Professor, Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN.
Chair, Division of Transpersonal Counseling and Psychology, Associate Professor, Graduate School of Counseling and Psychology, Naropa University, Boulder, CO.
出版信息
Psychodyn Psychiatry. 2017 Winter;45(4):451-473. doi: 10.1521/pdps.2017.45.4.451.
Interpersonal attachment and drug addiction share many attributes across their behavioral and neurobiological domains. Understanding the overlapping brain circuitry of attachment formation and addiction illuminates a deeper understanding of the pathogenesis of trauma-related mental illnesses and comorbid substance use disorders, and the extent to which ending an addiction is complicated by being a sort of mourning process. Attention to the process of addiction recovery-as a form of grieving-in which Kubler-Ross's stages of grief and Prochaska's stages of change are ultimately describing complementary viewpoints on a general process of neural network and attachment remodeling, could lead to more effective and integrative psychotherapy and medication strategies.
人际依恋和药物成瘾在行为和神经生物学领域有许多共同特征。了解依恋形成和成瘾的重叠脑回路，有助于更深入地理解创伤相关精神疾病和共病物质使用障碍的发病机制，以及戒除成瘾在某种程度上因类似哀悼过程而变得复杂的程度。关注成瘾恢复过程——作为一种悲伤形式——其中库伯勒-罗斯的悲伤阶段和普罗查斯卡的改变阶段最终描述了关于神经网络和依恋重塑一般过程的互补观点，这可能会带来更有效和综合的心理治疗及药物治疗策略。
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