중독의 자기 심리학적 이해와 중독 회복 환경의 자기대상 기능

• Published in: 정신분석, 30(2) pp. 19 - 24
• Main Authors: 백수현, 이준석
• Format: Journal Article
• Language: Korean
• Published: 한국정신분석학회 01.04.2019
• Subjects: 정신과학
• ISSN: 1226-7503; 2383-7624
• DOI: 10.18529/psychoanal.2019.30.2.19

Addiction is characterized as uncontrolled and excessive use of addictive substance or behavior, and consequential functional impairment. Since the addict’s psychic structure, known as “self,” is defective and may jeopardize psychic functions, mere abstinence cannot be the ultimate therapeutic goal. Rather, it is crucial to facilitate the growth of the “self” through long-term continuous care in the addiction recovery environment. This article provides an overview of self-psychological perspectives of addiction, and proposes selfobject functions of the addiction recovery environment. From the perspective of self-psychology, addiction is perceived as ‘deficit of self’, and is one of the symptoms of narcissistic behavior disorder. Addictive substances or behavior, also known as addictive trigger mechanisms (ATMs), have served as mirroring and idealizing selfobjects, though ending in futile attempts. The addiction recovery environment, which needs to substitute ersatz selfobject functions of ATM, should 1) consist of predictable and consistent settings, as an idealizing selfobject, 2) reflect and reward appropriately, as addicts achieve abstinence and realistic goals, as a mirroring selfobject, and 3) consist of other addicts desiring to stop using addictive substances or aberrant behavior, and share goals of total abstinence and the growth of the self as a twin-ship/alter ego selfobject. Though it takes substantial time and much effort, optimal selfobject functions provided by the addiction recovery environment, would facilitate recovery as a continuous process of the growth of the mature self. KCI Citation Count: 4