Term
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Definition
| Making up for the deprivation of abstinence by overindulging in another pleasure (a recovering drug addict becomes compulsive about gambling...or jelly beans) |
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Term
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Definition
| inability to perceive an unacceptable reality. ex: an employee denies he is suffering from alcoholism when confronted with bottle in his desk) |
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Term
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Definition
| directing pent-up feelings of hostility toward objects less dangerous than the real source of anger (ex. a man yells at wife after a confrontation during group counseling) |
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Term
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Definition
| gaining gratification from the loss of intoxicants by reliving or imagining the fun of one's past use (a group of addicts experience cravings remembering the 'good ol days.' |
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Term
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Definition
| withdrawing into a passive state to avoid more hurt. ex: a depressed addict refuses to talk during group. |
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Term
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Definition
| assuming others think poorly of them, although never expressed. Also, when one projects undesirable personal characteristics onto others ex: an alcoholic says to counselor,'I know you think I'm worthless.' |
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Term
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Definition
| trying to justify one's mistakes or misdeeds by presenting rationales and explanations (an addict says he missed NA because he had a call from atty.) |
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Term
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Definition
| retreating to an earlier, less mature developmental level, with less mature responses (a person in rehab yells at staff when she learns there is no ice tea for lunch) |
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Term
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Definition
| making up for an unacceptable act.(ex. an alcoholic arrives home with flowers for his wife after coming home smashed and belligerant the night before) |
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Term
| The Preferred Defense Structure of Alcoholics (Wallace, 1978) (6- DACSOB) |
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Definition
| 1.D-denial 2.A-all or nothing thinking 3.Conflict minimization & avoidance 4.self-centered selective attention (obsessed with self) 5. preference for non-analytic modes of thinking 6. obsessional focusing |
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Term
A psycho-analytic view of treatment stages
1 of 3
Stage 1 |
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Definition
Client status: 'I can't drink of drug'
-need for external control
Treatment: detox, antabuse, drug-testing, AA/NA, family therapy |
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Term
A psycho-analytic view of treatment stages
1 of 2
Stage 2 |
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Definition
Client Status: I won't drink or drug'
control becomes internalized
Treatment: directive or supportive psychotherapy, AA/NA, drug testing and antabuse can be discontinued |
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Term
A psycho-analytic view of treatment stages
1 of 3
Stage 3 |
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Definition
Client status: 'I don't have to drink or drug' (conflict over abstinence resolved)
psychoanalytic psychotherapy |
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