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This Book Is Dedicated to the Memory of Our Friend and Colleague

Edith Sabshin, M.D.

\nv\n\n\n

\n \n \n \n \n \n \n \n \n Acknowledgments\n ix\n \n \n Contributors\n xi\n \n \n Introduction\n \n \n \n \n Scott Dowling, M.D.\n xiii\n \n \n Section I. The\n Workshop Papers\n \n \n 1.\n Psychoanalytic Studies of Addictive Behavior: A\n Review\n \n \n \n \n Edith Sabshin, M.D.\n 3\n \n \n 2.\n Self-Regulation Vulnerabilities in Substance Abusers:\n Treatment Implications\n \n \n \n \n Edward J. Khantzian, M.D.\n 17\n \n \n 3.\n Compulsiveness and Conflict: The Distinction Between\n Description and Explanation in the Treatment of Addictive\n Behavior\n \n \n \n \n Leon Wurmser, M.D.\n 43\n \n \n 4.\n Disorders of Emotional Development in Addictive\n Behavior\n \n \n \n \n Henry Krystal, M.D.\n 65\n \n \n 5.\n Erotic Passion: A Form of Addiction\n \n \n \n \n Anna Ornstein, M.D.\n 101\n \n \n 6.\n Sexual Addiction\n \n \n \n \n Wayne A. Myers, M.D.\n 115\n \n \n \n

\n \n \n vii\n \n \n \n \n \n \n \n \n \n Section II. The\n Discussions\n \n \n 7.\n Psychic Helplessness and the Psychology of Addiction\n \n \n \n \n Lance M. Dodes, M.D.\n 133\n \n \n 8.\n A Child Analyst Looks at Addictive Behavior\n \n \n \n \n Dale R. Meers, Ph.D.\n 147\n \n \n 9.\n “Transitional” and “Autistic”\n Phenomena in Addictive Behavior\n \n \n \n \n David M. Hurst, M.D.\n 163\n \n \n 10.\n The Advantages of Multiple Approaches to Understanding\n Addictive Behavior\n \n \n \n \n Jacob G. Jacobson, M.D.\n 175\n \n \n References\n 191\n \n \n Name\n Index\n 215\n \n \n Subject\n Index\n 219\n \n \n \n

\n \n \nviii\n

Acknowledgments

This book is based on presentations at two Seminars for Clinicians conferences organized and sponsored by the American Psychoanalytic Association. The first of these conferences took place in Washington, DC, on October 13-14, 1990, cosponsored by the Washington Psychoanalytic Society, and the Baltimore-Washington Psychoanalytic Society and Institute. The second conference took place in Seattle, Washington, on March 16-17, 1991, cosponsored by the Seattle Psychoanalytic Society and Institute. These conferences and this volume would not have been possible without the active cooperation and support of all the organizations involved and by the members of both societies who contributed their time and effort to the undertaking. The hard work and initiative of Mrs. Helen Fischer, Executive Director of the American Psychoanalytic Association, and her staff were essential to the success of these conferences and to the production of this volume.

\nix\n\n

Contributors

Lance M. Dodes, M.D., Faculty, Boston Psychoanalytic Society and Institute; Assistant Clinical Professor of Psychiatry, Harvard Medical School

David M. Hurst, M.D., Secretary, American Psychoanalytic Association; Director, Training and Supervising Analyst, Denver Institute for Psychoanalysis; Clinical Professor of Psychiatry, University of Colorado School of Medicine

Jacob G. Jacobson, M.D., Training and Supervising Analyst, Denver Institute for Psychoanalysis; Clinical Professor of Psychiatry, University of Colorado, Department of Psychiatry

Edward J. Khantzian, M.D., President, American Academy of Psychiatrists in Alcoholism and The Addictions; Clinical Professor of Psychiatry, Harvard Medical School; Associate Chief of Psychiatry, Tewksbury Hospital, Tewksbury, Massachusetts; Principal Psychiatrist for Substance Abuse Disorders, Department of Psychiatry, The Cambridge Hospital, Cambridge, Massachusetts

Henry Krystal, M.D., Professor Emeritus of Psychiatry, Michigan State University; Lecturer, Michigan Psychoanalytic Institute

Dale R. Meers, Ph.D., Teaching Analyst, The Baltimore-Washington Institute for Psychoanalysis; Past President, The Consultation and Treatment Services of the Baltimore-District of Columbia Institute for Psychoanalysis, Inc.

Wayne A. Myers, M.D., Clinical Professor of Psychiatry, Cornell University Medical Center; Training and Supervising Psychoanalyst, Columbia University Center for Psychoanalytic Training and Research

\nxi\n

Anna Ornstein, M.D., Professor of Child Psychiatry, University of Cincinnati; Co-Director, International Center for the Study of Self Psychology in the Department of Psychiatry

Edith Sabshin, M.D. was a Training and Supervising Analyst of the Washington Psychoanalytic Institute, Washington, DC and Professorial Lecturer, Georgetown University, Washington, DC. Dr. Sabshin died on March 23, 1992.

Leon Wurmser, M.D., Training and Supervising Analyst, New York Freudian Society; Clinical Professor of Psychiatry, University of West Virginia

\nxii\n\n\n

References

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Abuse Treatment, 1, 37-45.\nWurmser, L. (1984b), The role of superego conflicts in substance abuse and their treatment. Internat. J. Psychoanal. Psychother., 10, 227-258.\nWurmser, L. (1987a), Shame: The veiled companion of narcissism. In: The Many Faces of Shame, ed. D. L. Nathanson. New York: Guilford Press, pp. 64-92.\nWurmser, L. (1987b), Flucht vor dem Gewissen. Analyse von Über-Ich und Abwehr bei schweren Neurosen. Heidelberg: Springer.\nWurmser, L. (1987c), Flight from conscience: Experiences with the psychoanalytic treatment of compulsive drug abusers. J. Subst. Abuse Treatment, 4, 157-179.\nWurmser, L. (1988a), Die zerbrochene Wirklichkeit. Psychoanalyse als das Studium von Konflikt und Komplementarität. Heidelberg: Springer.\nWurmser, L. (1988b), “The Sleeping Giant”: A dissenting comment about “borderline pathology.” Psychoanal. Inqu., 8, 373-397.\nWurmser, L. (1989), “Either-Or”: Some comments on Professor Grünbaum's critique of psychoanalysis. Psychoanal. Inqu., 9, 220-248.\nWurmser, L. (1990), Die Maske der Scham. Die Psychoanalyse von Schamaffekten und Schamkonflikten. Heidelberg: Springer.\nWurmser, L. (1993), Das Rätsel des Masochismus. Heidelberg: Springer.\nWurmser, L., Zients, A. (1982), The “return of the denied superego”—A psychoanalytic study of adolescent substance abuse. Psychoanal. Inqu., 2, 539-580.\n212\nZetzel, E. (1949), Anxiety and the capacity to bear it. In: The Capacity for Emotional Growth. New York: International Universities Press, 1970, pp. 33-52.\nZetzel, E. (1955), The incapacity to bear depression. In: The Capacity for Emotional Growth. New York: International Universities Press, 1970, pp. 82-114.\nZinberg, N. E. (1975), Addiction and ego function. The Psychoanalytic Study of the Child, 20, 567-588. New York: International Universities Press.\n213\n\n","document":"\n \n 1995\n \n The Psychology and Treatment of Addictive Behavior\n Workshop Series of the American Psychoanalytic\n Association\n International Universities Press, Inc. Madison Connecticut\n \n 79\n \n Workshop Series of APsA, Monograph #8\n \n 1-225\n Front Matter\n \n \n\n

This Book Is Dedicated to the Memory of Our Friend and Colleague

Edith Sabshin, M.D.

\nv\n\n\n

\n \n \nviii\n

Acknowledgments

\nix\n\n

Contributors

Lance M. Dodes, M.D., Faculty, Boston Psychoanalytic Society and Institute; Assistant Clinical Professor of Psychiatry, Harvard Medical School

Jacob G. Jacobson, M.D., Training and Supervising Analyst, Denver Institute for Psychoanalysis; Clinical Professor of Psychiatry, University of Colorado, Department of Psychiatry

Henry Krystal, M.D., Professor Emeritus of Psychiatry, Michigan State University; Lecturer, Michigan Psychoanalytic Institute

Wayne A. Myers, M.D., Clinical Professor of Psychiatry, Cornell University Medical Center; Training and Supervising Psychoanalyst, Columbia University Center for Psychoanalytic Training and Research

\nxi\n

Anna Ornstein, M.D., Professor of Child Psychiatry, University of Cincinnati; Co-Director, International Center for the Study of Self Psychology in the Department of Psychiatry

Leon Wurmser, M.D., Training and Supervising Analyst, New York Freudian Society; Clinical Professor of Psychiatry, University of West Virginia

\nxii\n\n\n

References

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New York: International Universities Press.\n213\n\n\n","docPagingInfo":{"page":null,"page_limit":null,"page_offset":0},"docLevel":1,"updated":"2026-09-04T21:30:58+00:00","score":1,"hitList":[],"hitCount":0,"rank":1,"stat":{"art_cited_5":0,"art_cited_10":0,"art_cited_20":0,"art_cited_all":0,"art_views_lastcalyear":2347,"art_views_lastweek":26,"art_views_last1mos":154,"art_views_last6mos":1443,"art_views_last12mos":3169,"reference_count":0,"art_fig_count":0,"art_tbl_count":2,"art_kwds_count":0,"art_words_count":7072,"art_citations_count":0,"art_ftns_count":0,"art_notes_count":0,"art_dreams_count":0},"translationSet":[{"documentID":"ZBK.079.0000A","docType":"TOC","documentRef":"Dowling, S. (1995) Front Matter. The Psychology and Treatment of Addictive Behavior 79:1-225","documentRefHTML":"

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