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Addictive behaviors beg for an informed explanation to guide patients, families, students, and clinicians through the maddening and often incomprehensible nature of the addictions. Too often addiction is perceived to be merely a moral weakness or purely a brain disease, ignoring the deep personal pain that can permeate the lives of the addicted. But taking an honest look at the underlying emotional or mental issues can more clearly illuminate not only the causes of the addiction, but also the cure. Doctors Edward J. Khantzian and Mark J. Albanese, leading researchers in the field of addiction, see addictions primarily as a kind of self medication―a self medication that can temporarily soothe anxiety or pain, but that ultimately wreaks havoc on the lives and health of both the addicted and their loved ones.
With practical advice, compelling case studies, and nuanced theory drawn from their years in clinical practice, Doctors Khantzian and Albanese look at the core reasons behind many addictions and provide a pathway to hope. Understanding Addiction as Self Medication looks at a range of addictions, including alcohol and substance abuse, and clearly explains how to understand other addictive behaviors through the lens of the Self Medication Hypothesis. This book provides a much-needed guide to both understanding addictions and working towards healing.
- Sales Rank: #1043384 in Books
- Brand: Brand: Rowman Littlefield Publishers
- Published on: 2008-09-18
- Original language: English
- Number of items: 1
- Dimensions: 9.38" h x .69" w x 6.44" l, .85 pounds
- Binding: Hardcover
- 192 pages
- Used Book in Good Condition
Review
Doctors Khantzian and Albanese wrote this book directly from their experience with patients, as well as their close involvement with vast research. This blessedly brief and un-confusing volume, a tour de force that is original, useful, and wise. These two doctors, who have given their professional lives to understanding and helping those who are affected by addictions, now give to the world a consummate gift: what they know. Combining knowledge with love, the authors have moved the dialogue on addictions to an entirely new level. (Edward Hallowell, MD, author of Driven to Distraction)
Understanding Addiction as Self Medication provides a clear explanation of the reasons behind many addictions, emphasizing the pain experienced by many addicted people. This is an important and readable book that provides useful insights to professionals, families, and friends, as well as individuals suffering with addictions. (Kathleen T. Brady, MD, PhD, General Clinical Research Center)
Recommended. (W. Feigelman CHOICE, April 2009)
Understanding Addiction as Self-Medication is a worthwhile addition to the reading lists of counselors at all levels of experience....Understanding Addiction as Self-Medication pulls together a credible, non-judgmental theory of addiction. (Professional Counselor, April 2009)
This book clearly explains the self-medication hypothesis, updates and modernizes it, and provides very useful insights and tools for clinicians, patients, and their families....What makes this a special book is the skill, understanding, and attitudes of these very gifted, experienced, and creative therapists.... The writing is clear, enjoyable and a fast read. Moreover, the book is written at a level that can be easily comprehended by sophisticated patients, their families, and workers in allied fields. (Richard Frances, MD, Clinical Professor of Psychiatry, New York University)
This book is an admirably clear exposition of how a universal human need to manage distress and control emotions can take extreme forms in addicted individuals, leading to perilous solutions and chemical careers. Doctors Khantzian and Albanese creatively use the Self Medication Hypothesis to explain multiple pathways into addiction and describe various exist routes, signifying hope, help and resolution. (Martin Weegman, consultant clinical psychologist and group analyst, Gatehouse Drug Service)
Understanding Addiction is an easy and often engaging read and will primarily be useful for patients, families, and perhaps addiction therapists . . . [The authors] emphasize both the importance of other contributions to addictive disorders, such as genetic, social, and family influences, and the need to utilize a wide range of treatment approaches, including agonist therapies and other medications . . . Perhaps the most important contribution of Understanding Addiction is to remind us of the distinct experience, personal history, and intense suffering of the addicted patient. (Am J Pyschiatry, November 2009)
About the Author
Edward J. Khantzian, MD, is clinical professor of psychiatry at Harvard Medical School and associate chief of psychiatry at Tewksbury Hospital, Tewksbury, MA.
Mark J. Albanese, MD, is director of Addictions Treatment Services at Cambridge Health Alliance and assistant clinical professor of psychiatry at Harvard Medical School.
Most helpful customer reviews
15 of 15 people found the following review helpful.
A simple, elegant hypothesis
By Insight Counseling
I have been a practicing psychotherapist for over 20 years and I have had the privledge to know Dr. Khantzian and Dr. Albanese personally and to read their separate works. With that bias being disclosed, I highly recommend this book for anyone intersted in understanding the simple and elegant 'self medication hypothesis'(SMH) of addictive disorders. Although this phrase (coined by Dr. Khantzian over 30 years ago) is now part of our populist Zeitgist, I find it is often misunderstood and misquoted. In this volume, the authors reclaim the true meaning of the SMH and make it a usable tool to dissolve shame and empower and help clients to recover. In my own practice I find clients readily admit to their patterns of self medication and are very willing to learn and use other means to alleviate their suffering. They do not use "self medicating" as an excuse, but rather intuitively connect with how their patterns of destructive substance abuse (and process addictions)either consciously or unconscously were created and maintained. Even teenage clients grasp and use the concepts of SMH and respond to the idea that they are indeed suffering and deserve to both feel better and be freed from the destructive compulsions that have previously "worked" for them.
In this simple and very readable book, the SMH is presented in a practical and usuable manner. The authors provide empirical evidence for the SMH as a unifying theory of both etiology and treatment of the addictive disorders and the person suffering with addictive disorders is given both empathy and reverence. I have had the pleasure of hearing Dr. Khantzian teach over many years at the Harvard Medical School "Treating the Addictions" conference (This year's course can be viewed at: [...] and this volume contains many of his most wise teachings. The humility of the authors and well as their sincere caring and revernce for those suffering with addictions came through in a unique blend of theory and "how to" information.
This book now joins my list of top ten choices for training references and I hope clinical trainig programs will include it as a concise and practical text for those in both early and advanced clinical training.
0 of 0 people found the following review helpful.
Understanding Addiction as Self Medication: Finding Hope Behind the Pain [Kindle Edition]
By jack23011
This is required for SOWK grad school. It refreshingly easy to read, less jargon, I guess, is the best way to put it. A number of myths propagated by popular media and television shows are put to rest and one actually learns the real deal with AODs and SUDs.
2 of 3 people found the following review helpful.
Great Book
By Kimone M. Hinds
This book is easy to understand, and It helps me with my substance abuse psychology course Im doing.The chapters are short and they get to the point, in a simple understandable way
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