Gordian Knot of Addiction and Attachment Essay

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Ego Psychology

LaFond Padykula, N. And Conklin, P. (2010). The self-regulation model of attachment trauma and addiction. Clinical Social Work, 38(4), 351-360.

DOI: 10.1007/s10615-009-0204-6

LaFond Padykula theorized the self-regulation model (SRM) as a means of informing the practice of assessing and treating addiction and attachment trauma. dialectical philosophy John Bowlby[footnoteRef:1] (1988) developed the theory of attachment through his seminal work observing the distress of infants and young children who had been separated from their mothers. Bowlby asserted that attachment was not consciously controlled but was instead hard-wired in humans and many other animals. [1: Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York, NY: Basic Books.]

The theory builds on and integrates the attachment behavior research by Bowlby, positing addiction as the efforts of an individual to regulate their own attachment in the direction of more normal adaptive behavior.

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The theoretical foundation for the self-regulation model is multidisciplinary and includes those subsystems that are said to be inherent to the capacity of people for adaptation and self-regulation. These disciplines include behavior, cognition, emotions, physiology, and self-identity. Using the self-regulation model, a therapist is able to assess each subsystem in order to arrive at a comprehensive profile of self-regulation for a client, and from there, to develop an individualized treatment template. LaFond Padykula provides an example of the evaluation process and the development of a treatment plan through the use of the case study of a woman named Dixie who exhibits addiction that is resistant to treatment.

Flores, P.J. (2004, August 6). Addiction as an….....

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