Abstract

This discussion reaffirms the connection between addiction and underlying unconscious fantasy process. It suggests that unconscious fantasies play a determining role in persisting patterns of substance abuse and addiction. Within this context, addiction is understood both as a derivative of thepersistence of these unresolved fantasies and an inadequate compromise formation. It suggests that relapse is a manifestation of the episodic reassertion and influence of these powerful fantasies. Consequently, successful treatment requires the working through of the underlying fantasy process and the establishment of healthier compromise formations.

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