Skip to main navigation menu Skip to main content Skip to site footer

Saggi, Studi e Ricerche

No. 51 (2018)

Substance addiction as means of deactivation of the attachment system: a study on a sample of patients in therapeutic community

Submitted
marzo 7, 2019
Published
2019-03-09

Abstract

Aim of this work is to show the association between insecure attachment pattern and drug or alcohol addiction development in a population of four therapeutic facilities inpatients. Particularly disorganized attachment is postulated being the most frequent internal working model, nonetheless poorly investigated by literature about substance use disorder. Attachment disorganization causes a lack of coping strategies and a vulnerability for depersonalization state of mind or other dissociative symptoms. The addiction substances or alcohol dopaminergic effect may deactivate the attachment system, preventing the depersonalization experience. Separation Anxiety Test (SAT) was administered to ascertain attachment patterns. Results show that disorganized attachment clearly prevail over ambivalent, avoidant and secure patterns. No appreciable differences between alcohol and drug addicted samples is noticed.

References

  1. Allen J.G., Fonagy P., Bateman A W. (2008). Trad. it. La mentalizzazione nella pratica clinica. Milano: Raffaello Cortina, 2010.
  2. Attili G. (2001). Ansia da separazione e misura dell’attaccamento normale e patologico. Versione modificata e adattamento italiano del Separation Anxiety Test (SAT). Milano: Unicopli.
  3. Attili G. (2007). Attaccamento e costruzione evoluzionistica della mente. Milano: Raffaello Cortina.
  4. Bartholomew K., Horowitz L.M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61(2): 226-44.
  5. Bateman A. W., Fonagy P. (2004). Il trattamento basato sulla mentalizzazione. Trad. it. Milano: Raffaello Cortina, 2006.
  6. Becoña Iglesias E., del Río E.F., Calafat A., Fernández-Hermida J.R. (2014). Attachment and substance use in adolescence: A review of conceptual and methodological aspects. Addiciones, 26(1): 77-86.
  7. Bowlby J. (1969). Attachment and loss, Vol. 1: Attachment. London: Hogart Press (trad. it. Attaccamento e perdita, Vol. 1: L’attaccamento alla madre. Torino: Boringhieri, 1972).
  8. Bowlby J. (1973). Attachment and loss, Vol. 2: Fear and Anxiety. London: Hogart Press (trad. it. Attaccamento e perdita, Vol. 2: La separazione dalla madre. Torino: Boringhieri, 1978).
  9. Bowlby J. (1988). A secure base: Parent-child attachment and healthy human development. London: Routledge (trad. it. Una base sicura. Milano: Raffaello Cortina, 1989).
  10. Cantwell R., Brewin J., Glazebrook C., Dalkin T., Fox R., Medley I., Harrison G. (1999). Prevalence of substance misuse in first-episode psychosis. Br. J. Psychiatry, 174.
  11. Caspers K.M., Yucuis R., Troutman B., Spinks R. (2006). Attachment as an organizer of behavior: implications for substance abuse problems and willingness to seek treatment. Substance Abuse Treatment, Prevention, and Policy, 1(32): 1-10.
  12. Cirillo S., Berrini R., Cambiaso G., Mazza R. (2016). La famiglia del tossicodipendente. Milano: Raffaello Cortina.
  13. Crittenden P. (1999). Attaccamento in età adulta. L’approccio dinamicomaturativo alla Adult Attachment Interview. Milano: Raffaello Cortina.
  14. De Palo F., Capra N., Simonelli A., Salcuni S., Di Riso D. (2014). Parenting quality in drug-addicted mothers in a therapeutic motherchild community: the contribution of attachment and personality assessment. Frontiers in Psychology, Articolo 1009, 5, settembre.
  15. Dixon L., Haas G., Weiden P.J., Sweeney, Frances A.J. (1991). Drug abuse in schizophrenic patients: clinical correlates and reasons for use. American Journal of Psychiatry, 148(2): 224-230.
  16. Dixon L. (1999). Dual diagnosis of substance abuse in schizophrenia: prevalence and impact on outcomes. Schizophrenia Research, 35(Supplement 1): 93-100.
  17. Fonagy P., Target M. (1995). Attaccamento e funzione riflessiva. Trad. it. Milano: Raffaello Cortina, 2001.
  18. Fowler J.-C., Groat M., Ulanday M. (2013). Attachment style and treatment completion among psychiatric inpatients with substance use disorders. American Journal of Addiction, Jan, 22(1): 14-7.
  19. George C., Kaplan N., Main M. (1985). Adult Attachment Interview, manoscritto non pubblicato, Department of Psychology, University of California, Berkeley, CA.
  20. Gerra G., Leonardi C., Cortese E., Zaimovic A., Dell’Agnello G., Manfredini M. (2007). Childhood neglect and parental care perception in cocaine addicts: relation with psychiatric symptoms and biological correlates. Neuroscience & Biobehavioral Reviews,
  21. (4): 601-610.
  22. Gerra G., Leonardi C., Cortese E., Zaimovic A., Dell’Agnello G., Manfredini M. (2008). Adrenocorticotropic hormone and cortisol plasma levels directly correlate with childhood neglect and depression measures in addicted patients. Addiction Biology, 13(1): 95-104.
  23. Grilo C.M., Martino S., Walker M.L., Becker D.F., Edell W.S., McGlashan T.H. (1997). Controlled study of psychiatric comorbidity in psychiatrically hospitalized young adults with substance use disorders. Am. J. Psychiatry, 154(9).
  24. Janet P. (1889). L’automatismo psicologico. Trad. it. Milano: Raffaello Cortina, 2013.
  25. Karpman S. (1968). Fairy tales and script drama analysis. Transactional Analysis Bulletin, 26(7): 39-43.
  26. Linehan M. (1993). Trattamento cognitivo-comportamentale del disturbo borderline. Trad. it. Milano: Raffaello Cortina, 2011.
  27. Liotti G. (1992). Disorganizzazione dell’attaccamento e predisposizione ai disturbi funzionali della coscienza. In: Ammaniti M., Stern D. (a cura di). Attaccamento e psicoanalisi (pp. 219-232). Bari: Laterza.
  28. Liotti G., Farina B. (2011). Sviluppi traumatici. Eziopatogenesi, clinica e terapia della dimensione dissociativa. Milano: Raffaello Cortina.
  29. Lyons-Ruth K., Dutra L., Schuder M.R., Bianchi I. (2009). Il legame tra disorganizzazione dell’attaccamento e dissociazione in età adulta. In: Williams R. (Ed.). Trauma e relazioni (pp. 313-343). Milano: Raffaello Cortina.
  30. Main M., Hesse E. (1990), Parents unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behaviour the linking mechanism? In: Greenberg M., Cicchetti D., Cummings E.M. (a cura di). Attachment in the preschool years: Theory, research and intervention. Chicago, IL: University of Chicago Press.
  31. Main M. (1991). Metacognitive knowledge, metacognitive monitoring, and singular (coeherent) vs. multiple (incoherent) model of attachment. In: Parkes C.M., Stevenson-Hinde J., Marris P. Attachment across life cycle. London-New York: Routledge.
  32. Mantovani A., Azzalin F., Fabbri M. (2015). Dipendenze e modelli operativi dell’attaccamento. Dal Fare al Dire, 2: 38-47.
  33. Maremmani I. (1999). Mantenimento metadonico. Dosaggio di stabilizzazione in pazienti con comorbilità psichiatrica. Boll. Farmacodip. Alcolis., XXII(2).
  34. Monjaras M.A., Mayes L.C., Potenza M.C., Rutherford H.J.V. (2018). A developmental model of addictions: integrating neurobiological and psychodynamic theories through the lens of attachment. Attachment & Human Development. doi: 10.1080/14616734.2018.1498113.
  35. Porges S.W. (2001). The polyvagal theory: phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42: 123-146.
  36. Schindler A., Thomasius R., Petersen K., Sack P.M. (2009). Heroin as an attachment substitute? Differences in attachment representations between opioid, ecstasy and cannabis abusers. Attachment & Human Development, 11(3): 307-330.
  37. Schindler A., Broning S. (2015). A Review on Attachment and Adolescent Substance Abuse: Empirical Evidence and Implications for Prevention and Treatment. Substance Abuse, 36: 304-313.
  38. Shaner A., Khalsa M.E., Roberts L., Wilkins J., Anglin D., Hsieh S.C. (1993). Unrecognized cocaine use among schizophrenic patients. Am. J. Psychiatry, 150.
  39. Skodol A.E., Oldham J.M., Gallaher P.E. (1999). Axis II comorbidity of substance use disorders among patients referred for treatment of personality disorders. Am. J. Psychiatry, 156.
  40. Torresani S. (2000). Parental representations in drug-dependent patients and their parents. Comprehensive Psychiatry, Mar-Apr, 41(2): 123-9.
  41. Zimberg S. (1999). A dual diagnosis typology to improve diagnosis and treatment of dual disorder patients. Journal of Psychoactive Drugs, 31(1): 47-51.

Metrics

Metrics Loading ...