Untangling the skein: From substance dependence to trust in the relationship

Abstract

In this clinical case, some of knowledge acquired after 30 years of working in the world of addictions as an integrative psychotherapist is condensed. The theory (the map) is not the territory. By using relational methods can transcend the label of “addict” and get to know the human being behind it; is facilitated bond development and internal contact. The client recognizes himself, and is re-integrated, in the mirror that is offered. The relational failures experienced, especially early ones, shape the internal processes and the relationship with the outside world. The substance takes on the function of stabilizing, regulating...in the face of emotional pain. And a secure psychotherapeutic relationship is required to obtain this same thing. A conscious and non-reactive countertransference is crucial, and the managing of the shadows, prejudices, fantasies, internalized models of help. This way the client can show his vulnerability, and have a true and reparative encounter. And overcome his addiction, his life script.