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  • This perspective is deeply viagra generic cheapest rooted in clinical practice and in psychodynamic concepts developed in a contemporary perspective in relation to substance use disorders. Preoccupation/ anticipation, binge/intoxication, and withdrawal/ negative affect. Drug addiction has been conceptualized as a disorder that progresses from impulsivity to compulsivity in a collapsed cycle of addiction comprised of three stages.

    1.4). Psychodynamic View of Addiction A psychodynamic view of addiction that integrates well with the neurobiology of addiction is that of Khantzian and colleagues with a focus on the factors leading to vulnerability for addiction. It is important to note that this contemporary perspective contrasts with a classic but not abundant psychoanalytic literature on the subject which emphasizes the pleasurable aspects of drugs and the regressive aspects of drug use.

    The focus of this approach is on developmental difficulties, emotional disturbances, structural (ego) factors, personality organization, and the building of the self. Different theoretical perspectives ranging from experimental psychology, social psychology, and neurobiology can be superimposed on these three stages which are conceptualized as feeding into each other, becoming more intense, and ultimately leading to the pathological state known as addiction (Koob and Le Moal, 1995) (Fig.

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