Perspectives on Substance Use, Disorders and Addiction, Second Edition, is a philosophical and clinical text that suggests new ways to think about the relationships, enjoyment, and troubles with substances of pleasure. The book is designed for students and clinicians who come in contact with and treat individuals and families struggling with the causes and consequences of substance use disorders and addiction. The second edition of Perspectives presents a refreshing blend of ancient and contemporary ideas on the natural pleasures and potential powers of alcohol and drugs in our everyday individual and collective lives.

Mild Substance Use Disorder

Mild Substance Use Disorder


This chapter, also a short one, includes two case studies of individuals who were concerned about their recent drinking patterns. Both had solid ego functions of self-care and developed more satisfying habits in less than a year.

Clinical Cases

Karen: Problematic Use at a Problematic Time to Social Use

Karen was a 42-year-old woman in psychotherapeutic treatment with me for 5 months. She had recently earned a master’s degree in clinical psychology, found a clinical therapy job at an outpatient clinic shortly thereafter, and was very well regarded by its director. As usual, I found myself instinctively registering her impact and quickly felt the energy of her strong ego functions of self-care.

She was eager to learn more about herself and ...

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