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COMMENTARY

Psychotherapy with Alcoholic Patients

A Self Psychological Approach

Pages 63-92 | Published online: 25 Sep 2008
 

Abstract

This paper demonstrates how use of the empathic mode in outpatient psychotherapy helped an alcoholic patient reduce his denial of the severity of his illness. Both the general psychoanalytic literature and, in particular, the self psychology literature concerning treatment of alcoholics is reviewed and evaluated. This paper also examines in depth how the empathic mode functions to promote selfobject transferences, which facilitate internalization processes that may lead to a reduction in the alcoholic patient's need to rigidly maintain his denial of the illness. The complexity of the relationship between alcoholism self-help groups and the professional psychotherapy community is also explored.

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