Cited by 34Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentGambling Behavior and Treatments

Understanding Addiction as Self Medication: Finding Hope Behind the Pain

Khantzian, Edward J., Albanese, Mark J.·2008

Abstract

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.

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Crossref · 10.5040/9798881816117

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  • Addiction can be understood as a psychologically coping-oriented mechanism in which hurt and traumatized individuals try to cope or self-medicate their distress by using psychoactive substances.

    “writers such as Eduard Khantzian and Gabor Maté have emphasized the nature of addiction as a psychologically coping-oriented mechanism, in which hurt and traumatized individuals try to cope or “self-medicate” their distress by using psychoactive substances (6, 7).”

    From Addiction Psychotherapy: Going Beyond Self-Medication (2022) · cites this paper as [6]

  • Coping-oriented substance use has a paradoxical nature: the psychoactive effect may offer temporary relief from mental pain, but in the long run suffering may be augmented by intensive substance use and its consequences, while natural and acquired psychological coping mechanisms are often inhibited.

    “According to these authors, coping-oriented substance use has a paradoxical nature: While the psychoactive effect caused by the drug may at times offer temporary relief from mental pain, in the long run suffering may be augmented by intensive substance use and its physical and psychological consequences, while natural and acquired psychological coping mechanisms are often inhibited.”

    From Addiction Psychotherapy: Going Beyond Self-Medication (2022) · cites this paper as [6]

Cited by

Sorted by citations

Authors
Khantzian, E. J., & Albanese, M. J.
Published
2008
OpenAlex
W4410662650
Cited by
34
References
0
Citations by year
2026: 4 · 2025: 4 · 2024: 2 · 2023: 1 · 2020: 1 · 2018: 4 · 2017: 6 · 2016: 6 · 2015: 3 · 2013: 1
FWCI
0.86
Type
book
Language
en
Open access
closed
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Keywords
addiction, self-medication hypothesis, addictive behavior, alcohol abuse, substance abuse, emotional pain, anxiety, causes of addiction, addiction treatment

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