Treating Addiction

In Treating Addiction: Beyond the Pain, Khantzian (Harvard Medical School) presents a collection of his previously published, seminal articles that explore the relevance of psychodynamic theory to the current understanding of addictions and their treatment. He traces the evolution of his thinking and provides supporting evidence specifically related to the self-medication hypothesis of addiction. In contrast to some other hypotheses, including recent neurobiological formulations, Khantzian posits that addictions are rooted in suffering and pain as opposed to pleasure. In his formulation, he humanizes those with substance use disorders, acknowledging their psychological vulnerabilities, quest to alleviate pain, and resiliency in the face of challenges. Through his use of case examples and vignettes, he fosters readers' empathy for people struggling with substance use disorders. This perspective is greatly needed at a time when such people continue to be stigmatized and judged. In presenting complex ideas about addictions, Khantzian uses a conversational style that promotes understanding and openness rather than defensiveness regarding alternative views. Throughout the book, he champions the idea of a “kinder understanding of addicted individuals” alongside a more integrated, humanistic approach to treatment.



Summing Up: Recommended. Graduate students through faculty and professionals.

* Choice Reviews *
I would recommend Khantzian’s book to beginners and practitioners alike. It shows beginners the person behind this disorder, while serving as a reminder for experienced practitioners of the human suffering associated with drug misuse. -- Martin Weegmann, psychologist, psychotherapist, and author, United Kingdom
Few patients suffer as much as those with addictive disorders and few doctors understand the pain and suffering these patients go through as much as Dr. Khantzian. This book is a must read for all healthcare professionals and families helping their patients deal better with their aching souls. -- Richard Frances, Clinical Professor of Psychiatry, New York University, MD, clinical professor of Psychiatry, New York University
It has been my joy and privilege to work with and learn from Ed Khantzian for more than a quarter century. These collected works flesh out the many facets of the self-medication hypothesis, as I have heard Ed clearly and patiently articulate them over the years. At its heart, the approach to understanding and treating people suffering with addictions that Ed has pioneered is empathic and compassionate. It sees beyond the stigmata of addiction to the vulnerability and suffering at its core. Reading this book is bound to make us all better companions and caregivers of those we know and love who struggle with addiction. -- Mark Albanese, director, Adult Outpatient Psychiatry & Addiction Service, Cambridge Health Alliance
This is a masterful, humanistic perspective on addiction and its treatment from a thought leader who helped define the very nature of this field. It’s a must read for anyone who wants an understanding of where we have been and where we are heading with treatment. -- Marc Galanter, M.D., professor of psychiatry, New York University School of Medi