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Addiction Psychotherapy

Going Beyond Self-Medication

Bibliographic Data

ID15520546
AuthorsDaniel Feingold, Daniel L Feingold (0000-0002-3635-4586, Ariel University, corresponding author), Dana Tzur Bitan (0000-0002-7948-9616, Shalvata Mental Health Center)
Year2022
Volume13
Pages820660-820660
Publication date2022-02-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2022.820660
PMID35222121
OpenAlexW4210998407
LanguageEN
Citations received7
References cited16

Scientific and clinical work concerning the etiology of substance use and addiction has come a long way in the past decades. Current theories highlight the notion that addiction is rooted in deficits in neurobiological and psychological reward mechanisms, but also as a coping-oriented effort to contend with, or "self-medicate," negative emotional experiences. As such, contemporary approaches in the dynamic psychotherapy of addiction highlight the compensatory nature of addiction, encouraging clinicians to detect the mental suffering underlying addiction and promote alternative coping behaviors. In this perspective article, the authors advocate for an integrative approach toward understanding and addressing addiction in psychotherapy, acknowledging its biological, psychological and social aspects. We propose that in addition to the regulatory process of self-medication, in which negative emotions are being suppressed, compulsive substance use may also reflect a substitutive function, in which negative emotions are being 'acted-out' through the use of drugs or alcohol. We suggest an integrative clinical approach which addresses these psychological aspects in a sequential manner and discuss consequent benefits for clinicians and patients working with and through addiction

Addiction · Coping (psychology · Perspective (graphical · Psychiatry · Psychotherapist · Substance use · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Mental Health Research Topics · Neurotransmitter Receptor Influence on Behavior · Psychology

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    Open Access•Lee R J Hughes, Grant J Devilly•Substance Use & Misuse•2023

  • Explanatory models and coping with alcohol misuse among conflict-affected men in Ukraine

    Open Access•Sergiy Bogdanov, Kateryna Ko et al.•SSM - Mental Health•2025

  • Interactions Between Depressive Symptoms, Childhood Trauma, and Drug Craving in Chinese Men with Methamphetamine Use Disorder

    Deyang Li, Dongmei Wang et al.•Journal of Psychoactive Drugs•2025

  • Psychological rehabilitation of individuals with alcohol use disorder, drug addiction, gambling disorder, and codependency

    Open Access•Aidos Ibragim, Bakytgul B Issatayeva et al.•Acta Psychologica•2025

  • Mediating role of depression and gender in the relationship between daily video games exposure and internet gaming disorder (IGD) among college students

    Open Access•Lijin Wang, Li-Jin Wang et al.•BMC Psychology•2025

  • Proposing an integrative, dynamic and transdiagnostic model for addictions

    Open Access•Bibiana Bolten Lucion Loreto, Anne Orgler Sordi et al.•Frontiers in Psychiatry•2024

  • Üniversite Öğrencilerinin Çoklu Ekran Bağımlılıklarının Derse İlgi Düzeylerine Olan Etkisinin İncelenmesi

    Open Access•Mehmet Bilge•Afyon Kocatepe Üniversitesi…•2026

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    Open Access•Alan I Leshner•Science•1997

  • Neurobiologic Advances from the Brain Disease Model of Addiction

    Nora D Volkow, George F Koob et al.•New England Journal of Medicine•2016

  • The efficacy of motivational interviewing

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    Alistair D Sweet•The Scandinavian Psychoanalytic…•2012

Unique citing works7
Citations per year2,33
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 7

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