ABSTRACT
In Part One of this two-part paper, a framework for understanding addictive disorders was presented that centered on the underlying addictive process: compulsive dependence on external actions as a means of regulating one's internal states. In Part Two, an integrated system for treatment of addictive disorders is outlined. This treatment system was designed to address both addictive behavior and the addictive process. Addictive behavior is addressed through behavioral symptom management, which includes relapse prevention and other cognitive-behavioral techniques. The addictive process is addressed through treatments that promote self-regulation and development of meaningful interpersonal connections. These include psychoanalytic (exploratory-expressive) psychotherapy and therapeutic group experience. The role of pharmacotherapy (medication treatment) also is discussed. The proposed treatment system brings together these therapeutic methods in one theoretically coherent, clinically unified approach. The paper then concludes by considering how our understanding of addiction can illuminate spiritual perspectives on our society and culture.