Dinamika srama u psihoterapiji osoba ovisnih o alkoholu / Dynamics of Shame in Psychotherapy of Alcoholics (original) (raw)
Related papers
Dynamics of Shame in Psychotherapy of Alcoholics
Socijalna psihijatrija =, 2019
Cilj ovog članka je naglasiti psihodinamsku ulogu srama u alkoholizmu te njegovu važnost u procesu psihoterapijskog liječenja osoba s dijagnosticiranim sindromom ovisnosti o alkoholu. Velika većina osoba ovisnih o alkoholu emocionalno je nezrela, a sram je snažno utjecao na izgradnju njihovih ličnosti. Sram je odredio razvoj njihovih identiteta te je potaknuo nastanak duboko ukorijenjenih emocija nepovjerenja, krivnje, inferiornosti i izolacije. Grupna psihoterapija prva je linija psihoterapijskog liječenja alkoholizma. No, njezin pozitivan ishod ograničen je činjenicom da se, upravo zbog sustava scenarija zasnovanog na sramu te često popratne anksioznosti i emocionalne labilnosti, osobe ovisne o alkoholu nerado pridružuju grupi, a ako joj se i pridruže, najčešće je to kratkoročno. U ovom članku razmatramo stilove grupnih psihoterapija koji bi mogli imati pozitivniji ishod u liječenju osoba ovisnih o alkoholu. Analiza objavljene literature ukazala je na nedostatak integrativnog psihoterapijskog pristupa liječenju. / The aim of this article is to highlight the psychodynamic role of shame in alcoholism and its importance in the psychotherapeutic treatment of alcoholics. Alcoholics are often emotionally immature and have a shame-based personality. Shame has strongly influenced the development of their identity and led to deeply ingrained feelings of mistrust, guilt, inferiority, and isolation. Group psychotherapy is the first line of psychotherapeutic treatment of alcoholism, but its successfulness is limited by the fact that alcoholics find joining and staying in a group quite difficult due to a shame-based script system and accompanying anxiety and emotional lability. We discuss the styles of psychotherapeutic groups that may be more effective with alcoholics. A review of published literature indicated the lack of integrative psychotherapeutic treatment.
The dynamics of shame: implications for counsellors working in alcohol and other drug settings.
The aim of this paper is to observe the impact of shame and stigma on the therapeutic process through the perceptions and experiences of counselors and alcohol and other drug (AOD) workers. This includes the relationship between chronic shame and the multiple axis of treatment, such as: the prevalence of shame in the stories of problematic drug use; the stigmatisation of AOD clients; and ultimately the treatment setting. Greater awareness of this dynamic may help to create a space to counteract barriers in a way that enhances the relationship between client and counselor, and ultimately increase the opportunities for the client in their recovery. Data presented here are drawn from qualitative interviews with frontline workers to contextualise the extensive literature on shame. Emerging themes from in depth interviews are discussed through the practice implications of person-centred counseling.
Is shame a barrier to sobriety? A narrative analysis of those in recovery
Drugs: Education, Prevention and Policy, 2019
Aims: Experiencing shame can be a risk factor for relapse for people recovering from alcohol dependence, but for some it may act as a necessary protective factor for preventing relapse. Knowing how best to manage shame is therefore an important issue, yet the precise nature of the relationship between shame and alcohol dependence remains largely unexplored. Research questions: (1) In what ways do participants tell their stories of shame? (2) How is shame experienced and/or understood by those in recovery from alcohol dependence? Method: Eight participants were recruited from Alcoholic Anonymous (AA) groups and invited to tell their story of recovery. Stories were then analysed using a narrative analysis, focusing on how participants narrated their stories and made sense of their experiences of shame in particular. Findings: Participants spoke about an inherent deep-rooted negative view about themselves, which was present long before alcohol dependence developed. Alcohol served as a means of connection to others and a way of artificially relieving feelings of worthlessness. Recovery was about finding somewhere safe to talk about feelings of shame and make sense of these experiences. Conclusions: The results indicate that management of shame is an important component of recovery programmes for alcohol dependence.
The Role of Shame in Women's Recovery from Alcoholism
Journal of Social Work Practice in The Addictions, 2001
This study compares the recovery experience of female members of Alcoholics Anonymous (AA) who reported a history of childhood sexual abuse (68%) with those who did not report experiencing childhood sexual abuse. A sample of 53 women was obtained from AA. A significant relationship was found between shame and two measures of difficulties in recovery-problems in social adjustment and relapse. Though the hypothesis that experiences of child sexual abuse predicted difficulty in recovery was not supported, these data suggest that shame may be an important variable in both the etiology and treatment of alcoholism in women.
The Philosophies and Practices of Alcoholics Anonymous From a Psychodynamic Perspective
2015
Although predominantly ignored in the existing literature, psychodynamic perspectives on addiction are relevant to understanding the twelve-step program known as Alcoholics Anonymous (AA). This dissertation analyzes specific psychodynamic perspectives on addiction including ego psychology, object relations theory, self-psychology, and attachment theory, as well as their derivations and the philosophies and practices of AA outlined in AA literature. These literatures are integrated to inform the findings and recommendations section, justifying certain AA practices while offering recommendations to improve the overall effectiveness of AA. Findings concentrate on AA helping members transition from utilizing primitive to mature defense mechanisms; manage volatile emotions in early recovery; increase humility in addressing alcoholism; establish consistency in the recovery program; participate in a nurturing holding environment; strengthen object permanence; establish transitional objects...
Personality and Individual Differences, 2012
Shame and guilt are closely related emotions of negative affect that give rise to considerably divergent motivational and self-regulatory behaviors. While shame-proneness has demonstrated replicable relationships with increased alcohol use disorder symptomatology, guilt-proneness appears to protect an individual against development of problematic alcohol use. One prominent but untested hypothesis is that shame-prone individuals are motivated to consume alcohol in order to down-regulate experiences of negative affect. The present study aimed to test this hypothesis by exploring relationships between shame and guilt-proneness with motivations for consuming alcohol. University students (N = 281) completed measures of shame and guilt-proneness, measures of alcohol use disorder symptomatology, and a measure assessing five motivational domains for consuming alcohol. Shame-proneness was positively associated with problematic alcohol use and drinking as a means of coping with anxiety and depression-related symptomatology. In contrast, guilt-proneness was inversely related to alcohol problems and drinking to cope with depression. This study provides initial support for the hypothesis that shame-prone individuals are inclined to consume alcohol in order to cope with negative affect states. These findings may help explain the inverse relationship between guilt-proneness and alcohol problems and the apparent positive relationship between shame-proneness and problematic alcohol use.
Individuals with an alcohol use disorder suffer from numerous health conditions including, but not limited to, gastrointestinal tract deficiencies, liver disease, cardiovascular disease, cancer, and mental disorders. Alcohol consumption is also one of the top leading causes for death and disability and is the third leading cause in preventable deaths (Anton, R., 2010). Current treatment methods for alcohol use disorders include pharmacological treatments, participation in Alcoholics Anonymous, and a variety of counseling approaches. Despite the array of available treatment options, it is estimated that anywhere from 70% to 80% of individuals with an alcohol use disorder will relapse after treatment (Anton, R., 2010). This article discuses a brief history of alcohol in our society, various treatment methods, and suggests that the integration of harm reduction principles coupled with the relational psychoanalytic approach to counseling may be effective for the treatment of individuals with an alcohol use disorder.