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Counseling Psychology and Psychotherapy

Publisher: Moscow State University of Psychology and Education

ISSN (printed version): 2075-3470

ISSN (online): 2311-9446

DOI: http://dx.doi.org/10.17759/cpp

License: CC BY-NC 4.0

Started in 1992

Published quarterly

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Self-destructive alcoholic personality

Shustov D.I., Head of Psychiatry Department, Ryazan State Medical University, dmitri_shustov@mail.ru
Tuchina O.D., Psychologist, Assistant Lecturer, Peoples’ Friendship University of Russia, shtuchina@gmail.com.
Fedotov I.A., Candidate of Medical Sciences, Ryazan State Medical University, ifedotov@psychiatr.ru
Novikov S.A., Candidate of Medical Sciences, Ryazan State Medical University, novikovsa@inbox.ru
Abstract
The article presents the findings of а study investigating a relationship between personality types developing under the influence of negative parental messages (injunctions) and different types of self-destructive behaviors in alcohol-dependent patients. The study was carried out in 2009—2012 in Ryazan in a sample of 190 outpatient male clients who received psychotherapy for alcohol-dependence. The authors assumed that the choice of self-destructive behaviors was linked to the alcohol-dependent patients’ personality organization and depended on а combination of different injunctions with the main self-destructive injunction — “Don’t be”. The authors describe parental injunctions, which contributed to the devel- opment of “the alcoholic personality”. The main contributing injunctions were “Don’t be” which formed the basis for self-destructiveness, and “Don’t think”, which reinforced alcohol abuse as a maladaptive coping strategy. The other injunctions, when combined with “Don’t be”, were mediating personality type de- velopment and the related groups of self-destructiveness. The authors identified statistically significant correlations between the most frequent personality types and specific groups of self-destructive behavior in alcohol-dependent patients: thus, borderline personality organization was linked to suicidal behavior, dissocial personality organization — to antisocial behaviors, and narcissistic — to self- destructiveness in the professional sphere.

Keywords: psychotherapy, alcohol dependence, self-destructive behavior, suicide

Column: Empirical researches

DOI: http://dx.doi.org/10.17759/cpp.2016240306

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