Brehm N, Khantzian E J, Dodes L M
Substance Abuse Disorders, Cambridge Hospital, Harvard Medical School, Massachusetts 02139.
Recent Dev Alcohol. 1993;11:453-71.
A review of the substance abuse literature in the 1980s focuses on deficits in self-regulating capacities, in self-care functions, and in other vulnerabilities of the self, such as an inappropriate use of defenses and problems in intimacy. Various models which attempt to explain these behaviors are described, as well as techniques of dynamic psychotherapy for substance abuse, which emphasize the building of ego functions and the internalization of self-preservation functions. Commonalities and differences of substance abuse with other intensely driven compulsive behaviors (e.g., pathological gambling or certain sexual behaviors) are also considered.
对20世纪80年代药物滥用文献的综述聚焦于自我调节能力、自我照料功能以及自我的其他脆弱性方面的缺陷，比如防御机制的不当运用和亲密关系问题。文中描述了各种试图解释这些行为的模型，以及针对药物滥用的动力心理治疗技术，这些技术强调自我功能的构建和自我保护功能的内化。还探讨了药物滥用与其他强烈驱动的强迫行为（如病态赌博或某些性行为）的共性与差异。
