Self-destructive alcoholic personality

2403

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.

General Information

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

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2016240306

For citation: Shustov D.I., Tuchina O.D., Fedotov I.A., Novikov S.A. Self-destructive alcoholic personality. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2016. Vol. 24, no. 3, pp. 89–109. DOI: 10.17759/cpp.2016240306. (In Russ., аbstr. in Engl.)

References

  1. Agibalova T.V., Buzik O. Zh., Gurevich G.L. Znachenie lichnosti bol’nyh alkogoliz- mom v psihoterapevticheskom processe [Psychotherapy of alcoholics based on per- sonality traits]. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova [The Korsakov’s Journal of Neurology and Psychiatry], 2011, no. 11, pp. 39—43.
  2. Berne E. Igry v kotorye igrayut lyudi [Games people play]. Moscow-Saint-Petersburg: «Universitetskaya kniga» AST, 1998. 247 p. (in Russ.)
  3. Goulding M., Goulding R. Psikhoterapiya novogo resheniya. Teoriya i praktika [Changing Lives Through Redecision Therapy]. Moscow: Nezavisimaya firma “Klass”, 2001. 288 p. (in Russ.)
  4. Dvorshchenko V.P. Diagnosticheskij test lichnostnyh rasstrojstv [Personality Disor- ders Diagnostic Questionnaire]. Moscow: Rech, 2008. 112 p.
  5. Lichko A.E. Psikhopatii i aktsentuatsii kharaktera u podrostkov [Psychopathy and accentuations of character in teenagers]. Moscow: Meditsina, Leningrad. otd-nie, 1977. 208 p.
  6. Merinov A.V., Shustov D.I. Phenomen final’noj otkrytosti semejnoi sistemi v brakakh stradayushchikh alkogol’noj zavisimost’ju muzhchin [Phenomenon of the open final in the family systems of married men suffering from alcohol dependence]. Zhur- nal nevrologii i psikhiatrii imeni S.S. Korsakova [The Korsakov’s Journal of Neurology and Psychiatry], 2012, Vol. 112, no. 10, pp. 64—67.
  7. Steiner C. Lechenie alkogolizma [Healing alcoholism]. Moscow: Praim-evroznak, 2004. 224 p. (in Russ.)
  8. Shustov D.I. Autoagressivnoe povedenie i alkogolizm (Kliniko-terapevticheskoe issledovanie). Diss. dokt. med. nauk. [Self-destructive behavior and alcoholism: clinical and therapeutic study. Dr. Sci. (Medicine) Thesis]. Moscow, 2000.
  9. Shustov D.I. Autoagressiya i samoubiistvo pri alkogol’noi zavisimosti: klinika i psik- hoterapiya [Self-destruction and suicide in alcohol addiction: clinical picture and psychotherapy]. Saint-Petersberg: Spetslit, 2016. 207 p.
  10. Shustov D.I. Autoagressija, suicid i alkogolizm [Self-destructiveness, Suicide and Alcoholism]. Мoscow: Cogito-Center, 2005. 243 p.
  11. Shustov D.I., Agibalova T.V., Fedotov I.A. Obratnaya storona alkogol’noi zavisi- mosti: abstinenty i spontannye remissii [Reverse side of alcohol addiction: abstain- ers and natural recovery]. Voprosynarkologii [Problems of nacrology], 2014, no. 5, pp. 141—161.
  12. Shustov D.I., Merinov A.V., Valentik Y.V. Diagnostika autoagressivnogo povedenija pri alkogolizme metodom terapevticheskogo interv’ju [Diagnosing self-destructive- ness in patients with alcohol dependence using therapeutic interview]. Moscow: Ministry of Healthcare of the Russian Federation, 2000. 20 p.
  13. Bravo de Medina R., Echeburúa E., Aizpiri J. Características psicopatológicas y di- mensiones de personalidad en los pacientes dependientes del alcohol: un estudio comparative. Adicciones, 2007. Vol. 19, no. 4, pp. 373—380. doi: 10.20882/adiccio- nes.296.
  14. Chachamovich E., Ding Y., Turecki G. Levels of aggressiveness are higher among alcohol-related suicides: results from a psychological autopsy study. Alcohol, 2012. Vol. 46, no. 6, pp. 529—536. doi: 10.1016/j.alcohol.2012.03.007
  15. Cunningham J., Breslin C. Only one in three people with alcohol abuse or depen- dence ever seek treatment. Addict. Behav, 2004. Vol. 29, pp. 221—223. doi: 10.1016/ S0306-4603(03)00077-7
  16. Cunningham J., McCambridge J. Is alcohol dependence best viewed as a chron- ic relapsing disorder? Addiction, 2012. Vol. 107, pp. 6—12. doi: 10.1111/j.1360- 0443.2011.03583.x.
  17. Davis C., Loxton N.J. Addictive behaviors and addiction-prone personality traits: associations with a dopamine multilocus genetic profile. Addict. Behav., 2013. Vol. 38, no. 7, pp. 2306—2312. doi: 10.1016/j.addbeh.2013.02.012.
  18. Jiménez-Arriero M.A. et al. Alcoholic jealousy: an old and current dilemma. Adic- ciones, 2007. Vol. 19, no. 3, pp. 267—272. doi: 10.20882/adicciones.305.
  19. Kocic S. et al. Sex as suicidal risk factor. Medicinski Pregled, 2012. Vol. 65, no. 9—10, pp. 415—420. doi: 10.2298/MPNS1210415K
  20. Larkin C., Di Blasi Z., Arensman E. Risk factors for repetition of self-harm: a sys- tematic review of prospective hospital-based studies. PLoS ONE, 2014. Vol. 9, no. 1, pp. e84282. doi: 10.1371/journal.pone.0084282
  21. Lester D. Why people kill themselves: A 2000 summary of research on suicide. Charles C Thomas Publisher, 2000. 410 p.
  22. Magill M., Ray L. Cognitive-behavioral treatment with adult alcohol and illicit drug users: a meta-analysis of randomized controlled trials . J. Stud. Alcohol. Drugs, 2009. Vol. 70, pp. 516—527.
  23. Meehan P.J. Prevention: the endpoint of suicidology. Mayo Clin. Proc, 1990. Vol. 65, no. 1, pp. 115—118. doi: 10.1016/S0025-6196(12)62116-8
  24. Menninger K. Man against himself. New York: Harcourt, Brace, 1938.
  25. Najavits L. M. Creating change: a new past-focused model for PTSD and substance abuse. In P. Ouimette, J. P. Read (eds.). Handbook of Trauma, PTSD and Substance Use Disorder Comorbidity. Washington: American Psychological Association Press, 2014, p. 281—303.
  26. National epidemiologic survey on alcohol and related conditions / National Insti- tute on Alcohol Abuse and Alcoholism. (NIAAA), 2006.
  27. Niciu M., Arias A. Targeted opioid receptor antagonists in the treatment of alcohol use disorders. CNS Drugs, 2013. Vol. 27, no. 10, pp. 777—787. doi: 10.1007/s40263- 013-0096-4
  28. Pearl D. Happy family: Parenting through family rituals. Bombay: Alfreruby Pub- lishers, 1994.
  29. Pompili M. et al. Suicidal behavior and alcohol abuse. Int. J. Environ. Res. Public Health, 2011. Vol. 7, no. 4, pp. 1392—1431. doi: 10.3390/ijerph7041392.
  30. Preuss U.W., Koller G., Barnow S., Eikmeier M., Soyka M. Suicidal behavior in alcohol-dependent subjects: the role of personality disorders. Alcohol Clin. Exp. Res. 2006. Vol. 30, no. 5, pp. 866—877. doi: 10.1111/j.1530-0277.2006.00073.x
  31. Principles of drug addiction treatment: a research-based guide / NIDA. NIH Pub- lication No. 12—4180, 2012.
  32. Shustov D. I.., Merinov A.V., Tuchina O.D. Episcript transmission in families of alcohol-dependent men: models and clinical observations. Transactional Analysis Journal. 2016. Vol. 46, no. 1, pp. 13—16. doi: 10.1177/0362153715615120
  33. Stewart I., Joines V. Personality adaptations: A new guide to human understanding in psychotherapy and counseling. Nottingham and Chapel Hill: Lifespace Publ., 2002.
  34. Wedig M., Silverman M., Frankenburg F., Reich B., Fitzmaurice G., Zanarini M. Predictors of suicide attempts in patients with borderline personality disorder over 16 years of prospective follow-up. Psychol. Med, 2012. Vol. 42, no. 11, pp. 2395— 2404.  doi:  10.1017/S0033291712000517

Information About the Authors

Dmitri I. Shustov, Doctor of Medicine, Professor, Professor, Head of Psychiatry Department, I.P. Pavlov Ryazan State Medical University, Ryazan, Russia, ORCID: https://orcid.org/0000-0003-0989-6598, e-mail: dmitri_shustov@mail.ru

Olga D. Tuchina, Researcher, Moscow Research and Practical Centre for Narcology of the Department of Public Health, Moscow, Russia, ORCID: https://orcid.org/0000-0002-0683-9080, e-mail: shtuchina@gmail.com

Ilya A. Fedotov, PhD in Medicine, Candidate of Medical Sciences, Ryazan State Medical University, Ryazan, Russia, ORCID: https://orcid.org/0000-0002-2791-7180, e-mail: ifedotov@psychaitr.ru

Sergey A. Novikov, Candidate of Medical Sciences, Ryazan State Medical University, e-mail: novikovsa@inbox.ru

Metrics

Views

Total: 4706
Previous month: 90
Current month: 40

Downloads

Total: 2403
Previous month: 12
Current month: 4