Self-destructive alcoholic personality

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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.)

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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

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