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. Doctors Khantzian and Albanese see addictions primarily as a kind of 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 years of clinical practice, this book looks at the underlying reasons behind many addictions and provides a pathway to hope.
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.
Chapter 1 Foreword Chapter 2 Why Self Medication? Chapter 3 Addiction: Disease or Disorder Chapter 4 The Self-Medication Hypothesis and Addiction as a Problem in Self-Regulation Chapter 5 Self-Medication Hypothesis Research Chapter 6 Contexts and Models for Understanding Addiction-A Brief Overview Chapter 7 Suffering and Self-Medication Chapter 8 Self-Medication, Psychiatric Disorders, and Emotional Pain Chapter 9 Trauma and the Self-Medication Hypothesis Chapter 10 Addiction and the Perpetuation of Suffering Chapter 11 Nicotine, Marijuana and the Self-Medication Hypothesis Chapter 12 Gambling and Other Behavioral Disorders Chapter 13 The Neurobiology of Addictions Chapter 14 How the Self-Medication Hypothesis Can Guide Treatment and Recovery Chapter 15 Conclusion Chapter 16 Afterword