Podcast by psychoanalyst and writer Adam Phillips
Adam Phillips · Against Self-Criticism Self-criticism can be our most unpleasant – our most sadomasochistic – way of loving ourselves.
- Category: General Interest
Sexual and Other Addictions
What is the disease concept of addiction? It says simply that addiction is a disease. Many treatments of addiction are based on this idea. Most experts working in the field of addiction and the general public believe this is the best way of understanding the clinical nature of addiction. The disease concept states that addiction is a specific disease to which some people are vulnerable. It was first proposed in the late 1930's in America when it was only applied to alcoholism. The disease is progressive, because those who are vulnerable to it, start with normal social drinking, they then progress to ever greater amounts, to private and secret drinking, to developing an increased tolerance to alcohol and to experiencing withdrawal distress if drinking is interrupted; they begin to have blackouts and forget the previous day's drinking. Those who have the disease will eventually not be able to control their drinking, because the disease produces the disability of "loss of control" or "powerlessness" over drinking. Addiction progresses stage by stage in a regular and standard fashion. This standard course is the same for everyone who is sick and is therefore transindividual. Once the disease takes hold difference goes out the door. Eventually every addict will hit "rock-bottom" in the form of a physical and/or emotional breakdown and premature death in the final step, unless with luck, or God's puce or indeed the help of AA, NA, GA, SA, etc., or another kind of treatment the addict manages a radical conversion to total abstinence. Abstinence is the only hope as the disease is incurable.
- Category: General Interest
From the Other Side of the Couch
by Audrey Cantlie
To repeat the introduction, without having to consider which is more ‘true’, it remains instructive to see the experience of treatment from two different points of view. It is in this spirit that I offer some remembered fragments from my analyses.
I say ‘fragments’ advisedly. I have had four analyses with four distinguished analysts (Rickman, Gillespie, Bion, Segal), each at one time President of the British Society. Although many patients, even analysts themselves, undertake a second analysis (Derrida’s la tranche), usually from a different ‘school’, four bites of the cherry is unusual and it has often been suggested to me that I should write about my experiences. ‘Yes, yes,’ I reply, ‘I am thinking about it, when I can find time.’ But that is not the reason. I have had more than 25 years of analysis, ending some 30 years ago, 50 minute sessions 5 times a week, altogether thousands of hours. But what I recall from my analyses can be counted on my fingers.
- Category: From the Couch
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