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The author draws upon several models to illuminate this work. Khantzian's ego-deficit model describes areas of self-regulation vulnerability associated with addiction and conversely pathways to growth in treatment. Winnicott's concept of false self is translatable to the addictive self, while psychotherapy allows true self to emerge. Krystal's description of psychic trauma relates directly to the fragmentation and dissociation of experience in addictive illness. Clinical vignettes illustrate the themes discussed. Psychodynamic therapy
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