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.
"Doctors Khantzian and Albanese wrote this book directly from their experience with patients, as well as their close involvement with vast research. This blessedly brief and un-confusing volume, a tour de force that is original, useful, and wise. These two doctors, who have given their professional lives to understanding and helping those who are affected by addictions, now give to the world a consummate gift: what they know. Combining knowledge with love, the authors have moved the dialogue on addictions to an entirely new level."—Edward Hallowell, M.D., author of Driven to Distraction
"Understanding Addiction as Self Medication provides a clear explanation of the reasons behind many addictions, emphsizing the pain experienced by many addicted people. This is an important and readable book that provides useful insights to professionals, families, and friends, as well as individuals suffering with addictions. "—Kathleen T. Brady, M.D., Ph.D., General Clinical Research Center
"This book is an admirably clear exposition of how a universal human need to manage distress and control emotions can take extreme forms in addicted individuals, leading to perilous solutions and chemical careers. Doctors Khantzian and Albanese creatively use the Self Medication Hypothesis to explain multiple pathways into addiction and describe various exist routes, signifying hope, help and resolution."—Martin Weegman, consultant clinical psychologist and group analyst, Gatehouse Drug Service
About the Authors
Edward J. Khantzian, MD, is clinical professor of psychiatry at Harvard Medical School and associate chief of psychiatry at Tewksbury Hospital, Tewksbury, MA.
Mark J. Albanese, MD, is director of Addictions Treatment Services at Cambridge Health Alliance and assistant clinical professor of psychiatry at Harvard Medical School.