Psychodynamic theories of opiate addiction: New directions for research

McDonald, Cathy; Sugarman, Alan; Wilber, Charles G.

doi:10.1016/0272-7358(84)90027-8

Cited by 24 publications

(16 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Choosing a quite different procedure, a depressed type of opiate addict could be identified in our study, thus confirming earlier attempts at opiate abuser typology (Blatt et al 1984;Blatt and Berman 1990;Rounsaville et al 1991). The early identification of the patients of this type appears mandatory: In spite of their younger age they have a history of severe suicide attempts.…”

Section: Discussionsupporting

confidence: 90%

“…As Blatt and Berman (1990) stated, opiate addicts have traditionally been viewed as a relatively homogeneous population and a great deal of research has been devoted to the identification of psychopathology characteristics of the typical addict. Nevertheless, analyzing the literature, three different types of opiate abusers emerged (Blatt et al 1984), briefly characterized as a group with a borderline level of pathology, a group with narcissistic pathology and a depressed group. On the basis of the results of psychological tests, Blatt and Berman (1990) themselves succeeded in identifying three somewhat different opiate addicted personality types, characterized as character disordered, borderline psychotic, and depressed.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Two types of classification for male opioid dependence: Identification of an opioid addict with depressive features

Modestin

Matutat

Würmle

2005

Eur Arch Psychiatry Clin Neurosci

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Two types of classification for male opioid dependence: Identification of an opioid addict with depressive features

Modestin

Matutat

Würmle

2005

Eur Arch Psychiatry Clin Neurosci

View full text Add to dashboard Cite

show abstract

“…In turn, this anger may translate to increased tension, emotional, and somatic pain that is escaped and avoided through misuse of opioids, and other health risk behaviors. [9][10][11] In clinical settings, anger and pain may intersect and manifest at times in patientprovider conflict.…”

mentioning

confidence: 99%

Geopersonality of Preventable Death in the United States: Anger-Prone States and Opioid Deaths

Gerhart

Duberstein

Paull

et al. 2020

Am J Hosp Palliat Care

View full text Add to dashboard Cite

Background: Opioid overdoses have reached epidemic levels in the United States and have clustered in Northeastern and “Rust Belt” states. Five Factor Model (FFM) personality traits also vary at the state level, with anger-prone traits clustered in the Northeast region. This study tested the hypothesis that state-level anger proneness would be associated with a greater increase in rates of opioid overdose death. Methods: This was a secondary analysis of state-level data on FFM traits, opioid overdose deaths, and other classes of preventable death. Robust mixed models tested whether change in rates of opioid overdose death from 2008 to 2016 was moderated by state-level anger proneness. Results: State-level anger proneness was significantly associated with greater increases in rates of opioid overdose deaths (B = 1.01, standard error = 0.19, P < .001, 95% confidence interval: 0.63-1.39). The slope of increase in opioid overdose death rates was 380% greater in anger-prone states and held after adjustment for potential confounders such as state-level prevalence of major depressive disorder, number of mental health facilities, and historical patterns of manufacturing decline. A similar pattern was observed between state-level anger proneness and benzodiazepine overdose deaths but was not significant for the latter after adjustment for potential confounders. Conclusion: These findings suggest that states characterized as more anger prone have experienced greater increases in opioid overdose deaths.

show abstract

“…This refers to orgasmic pleasure which is derived from the consumption and digestion of food. However, for the most part this concept gained little recognition from later theorists (24). Nevertheless, his second essay (23) is regarded as a seminal work for the later development of the ego-psychological conceptualization of this disorder (3).…”

Section: Classical Drive Theory Approaches To Sud Etiologymentioning

confidence: 99%

Childhood Trauma, Personality, and Substance Use Disorder: The Development of a Neuropsychoanalytic Addiction Model

Fuchshuber¹,

Unterrainer

2020

Front. Psychiatry

View full text Add to dashboard Cite

Background: While traditional psychoanalysis has been criticized as insufficient for the treatment of substance use disorder (SUD), recent progress in the field of neuropsychoanalysis has generated new and promising hypotheses regarding its etiology. However, empirical research applying this framework has been sparse. Aim and Scope: The present overview aims at developing and empirically validating a neuroscientifically informed psychodynamic framework regarding the etiology of SUD. For this purpose, this review provides a concise overview of the most relevant historical and contemporary psychoanalytic theories on SUD etiology. Furthermore, the original research summarized in this paper consists of three studies investigating connections between childhood trauma, primary emotions, personality structure and attachment, as well as their relation to SUD development and treatment. Conclusions: The results highlight the empirical validity of the neuropsychoanalytic approach towards SUD etiology. In particular, the findings underscore the conceptualization of SUD as a disorder related to dysfunctional attachment and affect regulation abilities especially linked to increased SADNESS and ANGER dispositions, which mediated the relationship between SUD and traumatic childhood relationships. Based on these findings, a refined model of SUD etiology is proposed, which should be tested in future studies.

show abstract

Psychodynamic theories of opiate addiction: New directions for research

Cited by 24 publications

References 63 publications

Two types of classification for male opioid dependence: Identification of an opioid addict with depressive features

Two types of classification for male opioid dependence: Identification of an opioid addict with depressive features

Geopersonality of Preventable Death in the United States: Anger-Prone States and Opioid Deaths

Childhood Trauma, Personality, and Substance Use Disorder: The Development of a Neuropsychoanalytic Addiction Model

Contact Info

Product

Resources

About