{"id":3946,"date":"2021-06-14T23:11:55","date_gmt":"2021-06-14T22:11:55","guid":{"rendered":"https:\/\/www.londonpsychotherapy.org\/?p=3946"},"modified":"2023-11-05T14:56:03","modified_gmt":"2023-11-05T14:56:03","slug":"shaking-free-of-dependency","status":"publish","type":"post","link":"https:\/\/www.londonpsychotherapy.org\/it\/shaking-free-of-dependency\/","title":{"rendered":"Liberarsi dalla dipendenza"},"content":{"rendered":"\n
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“I have come to see addiction not as a discrete, solid entity\u2014a case of \u201cEither you got it or you don\u2019t got it\u201d\u2014 but as a subtle and extensive continuum. Its central, defining qualities are active in all addicts, from the honoured workaholic at the apex of society to the impoverished and criminalised crack fiend who haunts Skid Row. Somewhere along that continuum I locate myself.” Gabor\u00a0Mat\u00e9<\/span><\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

On the rise<\/strong><\/h2>\n

Non-addicts do not get an\u00a0addictive\u00a0<\/em>hit from drugs as addicts do. Addiction is caused by a specific effect that only addicts get out of drugs. In a consumer-society in which pleasure has been turned into a dictatorship, we are all of us increasingly susceptible to addiction of all kinds.<\/p>\n

Meanwhile the social structures that bind us together and that have historically channelled us into facing life\u2019s difficulties, have been gradually falling away since the Nineteenth Century. Under neo liberalism, the regulatory functions of the law and institutions have been replaced by the functions of personal freedom. Our institutions no longer exert the permeating structures that bind us within a common pursuit *.<\/p>\n

What is revealed is a modern personality that is increasingly volatile, fragile and unregulated.\u00a0<\/p>\n

Modern man suffers a rising tide of psychosomatic symptoms: depression, anxiety, suicide, eating disorders, panic-attacks, addiction, self-harm and a growing sense of inadequacy and self-devaluation. The more we suffer\u00a0unpleasure as a by-product of our right to enjoy ourselves, the more we seek to find readily accessible solutions, either unconsciously through psychosomatic problems, or consciously through addiction. Either of these solutions provides a compensatory outlet in the body in the form of a psychosomatic symptoms, or in the case of addiction, the pursuit of a pleasurable effect. Both provide a solution to the problem of anxiety.<\/p>\n

Marooned<\/strong><\/h2>\n

Individualism under capitalism exists outside the social bond. As free agents we all operate at a distance from others and from the laws that were instated to mediate between us. Paradoxically we have become dependent on synthetic objects of pleasure that are readily available on the white and black markets. The self-administrations of narcotic effects that function independently of the Other, lead to an increase of addiction as a means of self-regulation.<\/p>\n

The nature of addiction<\/strong><\/h2>\n

It is the uniqueness of the addict that will determine the unique effect on him that the drug will have. Addicts are not addicted to drugs, but to their individual reaction to the\u00a0effects\u00a0of drugs. The addict does not seek the substance of the drug for its own sake, but for the sake of the unique \u2018hit\u2019 that he derives from it. The \u2018hit\u2019 is not the same for any two addicts of the same drug and nor are two people\u2019s addiction to the same drug indicative of the same psychological factors that foment their addiction.<\/p>\n

Dismissing addictions as \u201cbad habits\u201d or \u201cself-destructive behaviour”\u00a0<\/em>comfortably hides their functionality in the life of the addict.<\/em><\/p>\n

Drugs are the\u00a0means\u00a0of addiction; they are neither the goal or the object of pleasure. The core problem in substance dependence lies not in the substance, but in the dependency.<\/p>\n

This suggests that there is a unique cause of addiction in every addict and that his addiction is not located in the drug, but in the psychic structures that give rise to his dependency. The phrase \u201caddictive personality\u201d belongs to common parlance, but in reality it takes us nowhere in understanding the particularities of a sufferer\u2019s addiction or how to help him towards an effective and lasting cure.<\/p>\n<\/div>\n

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What constitutes the addict<\/strong><\/h2>\n

The energies of the drives or body can become toxic when for a variety of reasons, they cannot be psychically processed or symbolically represented through language. The sufferer cannot mediate his suffering either through structured thinking or through psychosomatic symptoms. This lack of psychic processing has consequences for the constitution of the individual, both in the psyche and in the body. Here there is a connection between addiction, anxiety and depression. The retention of unmetabolised infant deficit or conflict is retained in the body as something toxic and susceptible to later addiction.<\/p>\n

The\u00a0drug of choice<\/strong><\/h2>\n

Different substances \u2018repair\u2019 or \u2018fix\u2019 different kinds of internal deficit. It is possible through the mass of clinical data available to make the following (schematic) assertions: people with aggression and rage tend to favour opiates (eg heroine); people with problems of self-esteem and depression are prone to favour cocaine, amphetamines and other stimulants; people with troubling inhibitions, social phobia or paranoia, incline towards alcohol or sedatives. Psychedelic drugs characteristically counteract feelings of emptiness, boredom and futility.<\/p>\n<\/div>\n

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Resolving a deficit<\/h2>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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For some, drug-use is a replacement for a deficit in the individual\u2019s psychological structure. In this case, the object of addiction is to use the drug\u2019s effect to supplement something that is felt to be missing. The drug serves as a calibration that restores a transitory equilibrium or balance that only the effect of the drug can supply.<\/p>\n

The addict\u2019s drug of choice\u00a0\u2018replaces those parts no other drug (or person) can reach\u2019. The addict who seeks to replace a deficit, self-administers an\u00a0economy of pleasure. The pleasurable effect is the solution to a felt absence and so is a means of self-regulation. A person who seeks to replace a deficit within himself might view his addiction in an imaginary way, as an integral part of his personality. He would be likely to defend his addiction against criticism or the Other\u2019s exhortation through \u2018positive thinking\u2019. He\u00a0\u00a0might defend his drug-use as a legitimate form of self-medication that meets his internal deficit.<\/p>\n

Resolving a conflict<\/strong><\/h2>\n

In a hardened and long established dependency, addiction becomes a compromise solution to an internal conflict. In this case the addict is motivated by a sense of powerlessness or helplessness with respect to his own conflicted feelings. The effect of the drug serves as an artificial defence against what can\u2019t be managed internally. Unlike in the \u2018deficit model\u2019, these difficulties do not disappear under the effect of the drug. The effect here is not desired as such, but viewed as a compromise solution to the unmanageability of the internal conflict.<\/p>\n<\/div>\n

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Pleasure without words<\/strong><\/h2>\n

We could say that the non-addict is more attached to\u00a0structure\u00a0than is the addict.<\/em>\u00a0The non-addict resides in the sobriety of citizenship and collective responsibility to which he is attached. This comes with the promise of benefit and rewards, however as trade-off, the same structural bond that ties him to the Other imposes limits on his pleasure. This over-arching structure that binds him to the Other is first and foremost the structure of\u00a0language.<\/strong>\u00a0As Lacan says, we are born into the \u201cbath of language\u201d.<\/p>\n

Through speech and language we learned to mediate (first through the mother) our love and hate, pleasure and frustration. Any infant deficit or conflict that was not resolved or mitigated through language, is retained in the body, unmetabolised and toxic. It is this toxicity that is receptive to addiction.\u00a0<\/p>\n

The infant\u2019s unthought and unmediated difficulties hold the potential for a uniquely reactive and addictive response in later life to the effects of drugs. Tragically, the addict opts out of the structure that binds him to society, his best and only chance of health. He turns away from the external, and in doing so, he turns away from symbolisation in preference for self-administering a solution that has foreclosed on the Other. As has been said, \u201che avoids capture by the space of the speaking-Other\u201d [Lacan 1973\/4; 13\/11\/73].<\/p>\n

The example of an addiction to pornography\u00a0<\/strong><\/h2>\n

Thus the addict makes an uncompromising choice for pleasure which disavows the Other. The effect that is sought produces a transitory state of relief in the body that is free of any intimacy or external conflict. Many addicts describe their hit as equivalent to a masturbatory ejaculation. An all-too fleeting \u00a0climax to which all else is subordinated. Let us \u00a0take up the case of \u00a0addiction to pornography.\u00a0<\/p>\n

This addiction by-passes the Other, providing a direct route from an agitating libidinal drive, to discharge of the drive. This agitation, as I describe it, is not the same as\u00a0desire. In order to experience desire, the individual must have the capacity to symbolise, a capacity that is vitiated by the compelling effects of drugs.\u00a0<\/p>\n

In pornography and masturbation, the link to the Other is avoided or broken in preference for a route to satisfaction that is omnipotent in its control and predictable in its outcome. The addiction to the effect sidesteps any possibility of impingement by the Other. Structure, which links the non-addict to the Other, does not pertain for the addict. Structure doesn\u2019t stick and therefore nor does his link to the Other as a separate mind.<\/p>\n

It\u2019s hard to get enough of something that almost works<\/em><\/h2>\n

The early stages of addiction are characterised by an escapist search for bodily pleasure and emotional relief. The sufferer is compelled by an illusion of completeness which relieves him, for the duration of the drug’s effects, of an unbearable feeling of lack.<\/p>\n

The later stages of hardened addiction on the other hand, are best described by a process of self-destruction from which the drug offers no escape. The addict is seen as a masochist who\u00a0wants\u00a0to suffer, or as a suicidal case who\u00a0wants\u00a0to cease feeling altogether. Thus what the addict wants from drug use is hardly ever aligned with what he gets. Depending on how far he is into his addiction, the effects sought and those actually achieved can look and feel very different.\u00a0<\/p>\n

In both cases, of hedonism and self-destruction, the addict is motivated by the\u00a0effect of the drug, be it pleasure or self-harm. Having turned away from structure\/ the Other, the addict places pleasure before desire. In his addiction, he is a\u00a0slave to pleasure. The word\u00a0addictus\u00a0has been used in reference to \u2018debt slaves\u2019, people enslaved to their creditor.<\/p>\n

Addiction pushes to the forefront the question of how to live with \u2018something missing\u2019, with a feeling of \u2018too much\u2019, or a life permeated with the presence of death. Participation in human life demands enormous sacrifices. The effects of drugs and alcohol can provide the illusion of monadic escape from society\u2019s impingements.\u00a0<\/p>\n

The effects of drugs are an idealisation, but an ideal (drug) that is replaceable with another, as long as it provides the right effect. Anything can be sacrificed to this ideal as long as the compensatory effect is available. The addict therefore is cast adrift between the tyranny of pleasure on the one hand, and his unmoderated castration by the Other (of culture) on the other. He turns away from one, only to enslave himself to the other.<\/p>\n

The scope of psychoanalysis<\/strong><\/h2>\n

Psychoanalysis seeks to address addiction at the level of the individual\u2019s unconscious which is the seat of his dependency. It must seek to do so without recourse to generic, pharmacological or moralistic \u2018solutions\u2019. These false solutions include so-called \u2018positive thinking\u2019 which seeks in vain to exhort the addict to change his ways. Exhortation is the desire of the therapist, not of the patient. Desire for change needs to be located and kept alive in the patient.<\/p>\n

The work<\/strong><\/h2>\n

Psychoanalysis brings into focus the Other-of the analyst, whose task it is to nurture a process of regeneration of those links to structure that have been broken. Psychoanalysis engages the addict in a way that co-opts him into developing his own internal solution to his current entrapment. The work of analysis is fundamentally a restructuring through language that will enable the addict to moderate his suffering psychically, without recourse to the economies of self-administering pleasure. Surviving addiction is hard won. If the addict is to move from a tyrannical pleasure to a reinstatement of his desire, he can only do so by facing his\u00a0\u00a0anxiety. It is the job of the analyst to facilitate and to help sustain his desire for structural change.<\/p>\n

End<\/strong>.<\/p>\n

* Witness the storming of the Capitol on January 6th 2021 and \u00a0the proroguing of Parliament in the UK in 2019, a no less brazen attempt within a western democracy \u00a0to avoid parliamentary scrutiny, debate and legislation.\u00a0<\/p>\n<\/div> <\/div>\n<\/div>\n <\/div>\n

\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n","protected":false},"excerpt":{"rendered":"

“I have come to see addiction not as a discrete, solid entity\u2014a case of \u201cEither you got it or you don\u2019t got it\u201d\u2014 but as a subtle and extensive continuum. Its central, defining qualities are active in all addicts, from the honoured workaholic at the apex of society to the impoverished and criminalised crack fiend […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3946","post","type-post","status-publish","format-standard","hentry","category-psychoanalytic-perspective","has-post-title","has-post-date","has-post-category","has-post-tag","has-post-comment","has-post-author",""],"yoast_head":"\nAddiction Article | Psychotherapy North London | Giovanni del Vecchio<\/title>\n<meta name=\"description\" content=\"In this article Giovanni del Vecchio looks at different types of addiction and the effect that Psychotherapy can have on addiction.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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Vecchio","image":{"@type":"ImageObject","inLanguage":"it-IT","@id":"https:\/\/secure.gravatar.com\/avatar\/d1f0e04459f5f6f28ea54cae7e0ba3c89d0a7bb5e4fdb04aa6cea8d36d8b0fc0?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/d1f0e04459f5f6f28ea54cae7e0ba3c89d0a7bb5e4fdb04aa6cea8d36d8b0fc0?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/d1f0e04459f5f6f28ea54cae7e0ba3c89d0a7bb5e4fdb04aa6cea8d36d8b0fc0?s=96&d=mm&r=g","caption":"Giovanni del Vecchio"},"sameAs":["http:\/\/londonpsychotherapy.org"],"url":"https:\/\/www.londonpsychotherapy.org\/it\/author\/gdv\/"}]}},"builder_content":"<img src=\"https:\/\/www.londonpsychotherapy.org\/wp-content\/uploads\/2021\/06\/Addiction_transference-768x513-2.jpg\" title=\"Addiction_transference-768x513\" alt=\"Addiction_transference-768x513\" srcset=\"https:\/\/www.londonpsychotherapy.org\/wp-content\/uploads\/2021\/06\/Addiction_transference-768x513-2.jpg 768w, https:\/\/www.londonpsychotherapy.org\/wp-content\/uploads\/2021\/06\/Addiction_transference-768x513-2-300x200.jpg 300w, https:\/\/www.londonpsychotherapy.org\/wp-content\/uploads\/2021\/06\/Addiction_transference-768x513-2-16x12.jpg 16w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\n<p style=\"text-align: center;\"><em>\"I have come to see addiction not as a discrete, solid entity\u2014a case of \u201cEither you got it or you don\u2019t got it\u201d\u2014 but as a subtle and extensive continuum. Its central, defining qualities are active in all addicts, from the honoured workaholic at the apex of society to the impoverished and criminalised crack fiend who haunts Skid Row. Somewhere along that continuum I locate myself.\" Gabor\u00a0Mat\u00e9<\/em><\/p>\n<h2><strong>On the rise<\/strong><\/h2> <p>Non-addicts do not get an\u00a0addictive<em>\u00a0<\/em>hit from drugs as addicts do. Addiction is caused by a specific effect that only addicts get out of drugs. In a consumer-society in which pleasure has been turned into a dictatorship, we are all of us increasingly susceptible to addiction of all kinds.<\/p> <p>Meanwhile the social structures that bind us together and that have historically channelled us into facing life\u2019s difficulties, have been gradually falling away since the Nineteenth Century. Under neo liberalism, the regulatory functions of the law and institutions have been replaced by the functions of personal freedom. Our institutions no longer exert the permeating structures that bind us within a common pursuit *.<\/p> <p>What is revealed is a modern personality that is increasingly volatile, fragile and unregulated.\u00a0<\/p> <p>Modern man suffers a rising tide of psychosomatic symptoms: depression, anxiety, suicide, eating disorders, panic-attacks, addiction, self-harm and a growing sense of inadequacy and self-devaluation. The more we suffer\u00a0unpleasure as a by-product of our right to enjoy ourselves, the more we seek to find readily accessible solutions, either unconsciously through psychosomatic problems, or consciously through addiction. Either of these solutions provides a compensatory outlet in the body in the form of a psychosomatic symptoms, or in the case of addiction, the pursuit of a pleasurable effect. Both provide a solution to the problem of anxiety.<\/p> <h2><strong>Marooned<\/strong><\/h2> <p>Individualism under capitalism exists outside the social bond. As free agents we all operate at a distance from others and from the laws that were instated to mediate between us. Paradoxically we have become dependent on synthetic objects of pleasure that are readily available on the white and black markets. The self-administrations of narcotic effects that function independently of the Other, lead to an increase of addiction as a means of self-regulation.<\/p> <h2><strong>The nature of addiction<\/strong><\/h2> <p>It is the uniqueness of the addict that will determine the unique effect on him that the drug will have. Addicts are not addicted to drugs, but to their individual reaction to the\u00a0effects\u00a0of drugs. The addict does not seek the substance of the drug for its own sake, but for the sake of the unique \u2018hit\u2019 that he derives from it. The \u2018hit\u2019 is not the same for any two addicts of the same drug and nor are two people\u2019s addiction to the same drug indicative of the same psychological factors that foment their addiction.<\/p> <p><em>Dismissing addictions as \u201cbad habits\u201d or \u201cself-destructive behaviour\"\u00a0<\/em><em>comfortably hides their functionality in the life of the addict.<\/em><\/p> <p>Drugs are the\u00a0means\u00a0of addiction; they are neither the goal or the object of pleasure. The core problem in substance dependence lies not in the substance, but in the dependency.<\/p> <p>This suggests that there is a unique cause of addiction in every addict and that his addiction is not located in the drug, but in the psychic structures that give rise to his dependency. The phrase \u201caddictive personality\u201d belongs to common parlance, but in reality it takes us nowhere in understanding the particularities of a sufferer\u2019s addiction or how to help him towards an effective and lasting cure.<\/p>\n<h2><strong>What constitutes the addict<\/strong><\/h2> <p>The energies of the drives or body can become toxic when for a variety of reasons, they cannot be psychically processed or symbolically represented through language. The sufferer cannot mediate his suffering either through structured thinking or through psychosomatic symptoms. This lack of psychic processing has consequences for the constitution of the individual, both in the psyche and in the body. Here there is a connection between addiction, anxiety and depression. The retention of unmetabolised infant deficit or conflict is retained in the body as something toxic and susceptible to later addiction.<\/p> <h2><strong>The\u00a0drug of choice<\/strong><\/h2> <p>Different substances \u2018repair\u2019 or \u2018fix\u2019 different kinds of internal deficit. It is possible through the mass of clinical data available to make the following (schematic) assertions: people with aggression and rage tend to favour opiates (eg heroine); people with problems of self-esteem and depression are prone to favour cocaine, amphetamines and other stimulants; people with troubling inhibitions, social phobia or paranoia, incline towards alcohol or sedatives. Psychedelic drugs characteristically counteract feelings of emptiness, boredom and futility.<\/p>\n<h2>Resolving a deficit<\/h2>\n<p>For some, drug-use is a replacement for a deficit in the individual\u2019s psychological structure. In this case, the object of addiction is to use the drug\u2019s effect to supplement something that is felt to be missing. The drug serves as a calibration that restores a transitory equilibrium or balance that only the effect of the drug can supply.<\/p> <p>The addict\u2019s drug of choice\u00a0\u2018replaces those parts no other drug (or person) can reach\u2019. The addict who seeks to replace a deficit, self-administers an\u00a0economy of pleasure. The pleasurable effect is the solution to a felt absence and so is a means of self-regulation. A person who seeks to replace a deficit within himself might view his addiction in an imaginary way, as an integral part of his personality. He would be likely to defend his addiction against criticism or the Other\u2019s exhortation through \u2018positive thinking\u2019. He\u00a0\u00a0might defend his drug-use as a legitimate form of self-medication that meets his internal deficit.<\/p> <h2><strong>Resolving a conflict<\/strong><\/h2> <p>In a hardened and long established dependency, addiction becomes a compromise solution to an internal conflict. In this case the addict is motivated by a sense of powerlessness or helplessness with respect to his own conflicted feelings. The effect of the drug serves as an artificial defence against what can\u2019t be managed internally. Unlike in the \u2018deficit model\u2019, these difficulties do not disappear under the effect of the drug. The effect here is not desired as such, but viewed as a compromise solution to the unmanageability of the internal conflict.<\/p>\n<h2><strong>Pleasure without words<\/strong><\/h2> <p>We could say that the non-addict is more attached to\u00a0structure\u00a0than is the addict<em>.<\/em>\u00a0The non-addict resides in the sobriety of citizenship and collective responsibility to which he is attached. This comes with the promise of benefit and rewards, however as trade-off, the same structural bond that ties him to the Other imposes limits on his pleasure. This over-arching structure that binds him to the Other is first and foremost the structure of\u00a0<strong>language.<\/strong>\u00a0As Lacan says, we are born into the \u201cbath of language\u201d.<\/p> <p>Through speech and language we learned to mediate (first through the mother) our love and hate, pleasure and frustration. Any infant deficit or conflict that was not resolved or mitigated through language, is retained in the body, unmetabolised and toxic. It is this toxicity that is receptive to addiction.\u00a0<\/p> <p>The infant\u2019s unthought and unmediated difficulties hold the potential for a uniquely reactive and addictive response in later life to the effects of drugs. Tragically, the addict opts out of the structure that binds him to society, his best and only chance of health. He turns away from the external, and in doing so, he turns away from symbolisation in preference for self-administering a solution that has foreclosed on the Other. As has been said, \u201che avoids capture by the space of the speaking-Other\u201d [Lacan 1973\/4; 13\/11\/73].<\/p> <h2><strong>The example of an addiction to pornography\u00a0<\/strong><\/h2> <p>Thus the addict makes an uncompromising choice for pleasure which disavows the Other. The effect that is sought produces a transitory state of relief in the body that is free of any intimacy or external conflict. Many addicts describe their hit as equivalent to a masturbatory ejaculation. An all-too fleeting \u00a0climax to which all else is subordinated. Let us \u00a0take up the case of \u00a0addiction to pornography.\u00a0<\/p> <p>This addiction by-passes the Other, providing a direct route from an agitating libidinal drive, to discharge of the drive. This agitation, as I describe it, is not the same as\u00a0desire. In order to experience desire, the individual must have the capacity to symbolise, a capacity that is vitiated by the compelling effects of drugs.\u00a0<\/p> <p>In pornography and masturbation, the link to the Other is avoided or broken in preference for a route to satisfaction that is omnipotent in its control and predictable in its outcome. The addiction to the effect sidesteps any possibility of impingement by the Other. Structure, which links the non-addict to the Other, does not pertain for the addict. Structure doesn\u2019t stick and therefore nor does his link to the Other as a separate mind.<\/p> <h2><em>It\u2019s hard to get enough of something that almost works<\/em><\/h2> <p>The early stages of addiction are characterised by an escapist search for bodily pleasure and emotional relief. The sufferer is compelled by an illusion of completeness which relieves him, for the duration of the drug's effects, of an unbearable feeling of lack.<\/p> <p>The later stages of hardened addiction on the other hand, are best described by a process of self-destruction from which the drug offers no escape. The addict is seen as a masochist who\u00a0wants\u00a0to suffer, or as a suicidal case who\u00a0wants\u00a0to cease feeling altogether. Thus what the addict wants from drug use is hardly ever aligned with what he gets. Depending on how far he is into his addiction, the effects sought and those actually achieved can look and feel very different.\u00a0<\/p> <p>In both cases, of hedonism and self-destruction, the addict is motivated by the\u00a0effect of the drug, be it pleasure or self-harm. Having turned away from structure\/ the Other, the addict places pleasure before desire. In his addiction, he is a\u00a0slave to pleasure. The word\u00a0addictus\u00a0has been used in reference to \u2018debt slaves\u2019, people enslaved to their creditor.<\/p> <p>Addiction pushes to the forefront the question of how to live with \u2018something missing\u2019, with a feeling of \u2018too much\u2019, or a life permeated with the presence of death. Participation in human life demands enormous sacrifices. The effects of drugs and alcohol can provide the illusion of monadic escape from society\u2019s impingements.\u00a0<\/p> <p>The effects of drugs are an idealisation, but an ideal (drug) that is replaceable with another, as long as it provides the right effect. Anything can be sacrificed to this ideal as long as the compensatory effect is available. The addict therefore is cast adrift between the tyranny of pleasure on the one hand, and his unmoderated castration by the Other (of culture) on the other. He turns away from one, only to enslave himself to the other.<\/p> <h2><strong>The scope of psychoanalysis<\/strong><\/h2> <p>Psychoanalysis seeks to address addiction at the level of the individual\u2019s unconscious which is the seat of his dependency. It must seek to do so without recourse to generic, pharmacological or moralistic \u2018solutions\u2019. These false solutions include so-called \u2018positive thinking\u2019 which seeks in vain to exhort the addict to change his ways. Exhortation is the desire of the therapist, not of the patient. Desire for change needs to be located and kept alive in the patient.<\/p> <h2><strong>The work<\/strong><\/h2> <p>Psychoanalysis brings into focus the Other-of the analyst, whose task it is to nurture a process of regeneration of those links to structure that have been broken. Psychoanalysis engages the addict in a way that co-opts him into developing his own internal solution to his current entrapment. The work of analysis is fundamentally a restructuring through language that will enable the addict to moderate his suffering psychically, without recourse to the economies of self-administering pleasure. Surviving addiction is hard won. If the addict is to move from a tyrannical pleasure to a reinstatement of his desire, he can only do so by facing his\u00a0\u00a0anxiety. It is the job of the analyst to facilitate and to help sustain his desire for structural change.<\/p> <p><strong>End<\/strong>.<\/p> <p>* Witness the storming of the Capitol on January 6th 2021 and \u00a0the proroguing of Parliament in the UK in 2019, a no less brazen attempt within a western democracy \u00a0to avoid parliamentary scrutiny, debate and legislation.\u00a0<\/p>","_links":{"self":[{"href":"https:\/\/www.londonpsychotherapy.org\/it\/wp-json\/wp\/v2\/posts\/3946","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.londonpsychotherapy.org\/it\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.londonpsychotherapy.org\/it\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.londonpsychotherapy.org\/it\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.londonpsychotherapy.org\/it\/wp-json\/wp\/v2\/comments?post=3946"}],"version-history":[{"count":125,"href":"https:\/\/www.londonpsychotherapy.org\/it\/wp-json\/wp\/v2\/posts\/3946\/revisions"}],"predecessor-version":[{"id":4687,"href":"https:\/\/www.londonpsychotherapy.org\/it\/wp-json\/wp\/v2\/posts\/3946\/revisions\/4687"}],"wp:attachment":[{"href":"https:\/\/www.londonpsychotherapy.org\/it\/wp-json\/wp\/v2\/media?parent=3946"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.londonpsychotherapy.org\/it\/wp-json\/wp\/v2\/categories?post=3946"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.londonpsychotherapy.org\/it\/wp-json\/wp\/v2\/tags?post=3946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}