Jerry P A
Distress Centre/Drug Centre, Calgary, Alberta, Canada.
J Subst Abuse Treat. 1997 Jul-Aug;14(4):319-32. doi: 10.1016/s0740-5472(97)00030-5.
Using the psychodynamic psychotherapeutic treatment of a 23 year old female cocaine-addicted client as an example, the author describes the theoretical concepts and clinical methods he has found useful in this context. Using an approach that draws on the work of Winnicott (1971, 1986, 1992) and Malan (1979), the author describes how psychodynamic psychotherapy can be effective in facilitating change in an addiction in an outpatient setting. Winnicott's work provides the context for the treatment while Malan's model provides a structure for the therapeutic process. Within the context of a holding environment, links between past trauma and current drug use as a defence are explored. Also discussed are the use of dream material, the facilitation of the corrective emotional experience, and the complementary use of 12-step programs in the therapeutic process.
作者以对一名23岁可卡因成瘾女性患者的心理动力心理治疗为例，描述了他发现在这种情况下有用的理论概念和临床方法。作者采用借鉴温尼科特（1971年、1986年、1992年）和马兰（1979年）著作的方法，描述了心理动力心理治疗如何能有效地在门诊环境中促进成瘾行为的改变。温尼科特的著作提供了治疗的背景，而马兰的模型为治疗过程提供了结构。在一个容纳性环境的背景下，探索过去创伤与当前作为防御手段的药物使用之间的联系。还讨论了梦的素材的运用、矫正性情感体验的促进以及在治疗过程中对12步康复计划的补充使用。
