The psychodynamics of opiate addiction. 1984

S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber

Opiate addicts and polydrug, but nonopiate, substance abusers were assessed for depression on the Raskin rating scale for a clinical interview and several self-report measures of depression including the Hamilton, SCL-90, and the recently developed Depressive Experiences Questionnaire (DEQ), which differentially assesses depression focused around neediness from a depression focused around self-criticism (guilt and shame). Opiate addicts were consistently more depressed than polydrug drug abusers on all the measures. On the DEQ, opiate addicts were significantly (p less than .001) more depressed than normals and even somewhat more depressed than psychiatric patients. This depression, however, was focused primarily around issues of self-criticism, guilt, and shame rather than issues of dependency, abandonment, rejection, and neglect. Even further, depression focused around self-criticism, as measured on the DEQ, was significantly correlated (p less than .001) with the extent to which the polydrug, non-opiate-addicted substance abusers had begun to experiment with opiates. These data suggest that intense depression, particularly depression focused around issues of self-criticism, has an important role in opiate addiction.

UI MeSH Term Description Entries
D008297 Male Males
D008950 MMPI A personality inventory consisting of statements to be asserted or denied by the individual. The patterns of response are characteristic of certain personality attributes. Minnesota Multiphasic Personality Inventory
D009293 Opioid-Related Disorders Disorders related to or resulting from abuse or misuse of OPIOIDS. Opiate Addiction,Opiate Dependence,Opioid Misuse,Opioid Use Disorder,Prescription Opioid Abuse,Prescription Opioid Misuse,Addiction, Opioid,Dependence, Opioid,Opiate Abuse,Opioid Abuse,Opioid Addiction,Opioid Dependence,Abuse, Opiate,Abuse, Opioid,Abuse, Prescription Opioid,Addiction, Opiate,Dependence, Opiate,Disorder, Opioid Use,Misuse, Opioid,Misuse, Prescription Opioid,Opiate Abuses,Opioid Abuse, Prescription,Opioid Abuses,Opioid Addictions,Opioid Dependences,Opioid Misuses,Opioid Related Disorders,Opioid Use Disorders,Opioid-Related Disorder,Prescription Opioid Abuses,Prescription Opioid Misuses
D009892 Opium The air-dried exudate from the unripe seed capsule of the opium poppy, Papaver somniferum, or its variant, P. album. It contains a number of alkaloids, but only a few - MORPHINE; CODEINE; and PAPAVERINE - have clinical significance. Opium has been used as an analgesic, antitussive, antidiarrheal, and antispasmodic. Omnopon,Papaveretum,Pantopon
D011569 Psychiatric Status Rating Scales Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness. Factor Construct Rating Scales (FCRS),Katz Adjustment Scales,Lorr's Inpatient Multidimensional Psychiatric Rating Scale,Wittenborn Scales,Edinburgh Postnatal Depression Scale,Mini International Neuropsychiatric Interview
D003858 Dependency, Psychological The tendency of an individual or individuals to rely on others for advice, guidance, or support. Dependency Burden,Dependency, Psychology,Psychological Dependence,Psychological Dependency,Burden, Dependency,Dependence, Psychological
D003863 Depression Depressive states usually of moderate intensity in contrast with MAJOR DEPRESSIVE DISORDER present in neurotic and psychotic disorders. Depressive Symptoms,Emotional Depression,Depression, Emotional,Depressive Symptom,Symptom, Depressive
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber
September 1968, The Journal of the Florida Medical Association,
S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber
May 1986, Minerva medica,
S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber
January 1974, The American journal of drug and alcohol abuse,
S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber
January 2021, Psychodynamic psychiatry,
S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber
September 1964, Lancet (London, England),
S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber
April 1964, Lancet (London, England),
S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber
November 1969, The Journal of the Kansas Medical Society,
S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber
March 1964, Lancet (London, England),
S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber
June 1965, Proceedings of the Royal Society of Medicine,
S J Blatt, and B Rounsaville, and S L Eyre, and C Wilber
December 1993, American journal of psychoanalysis,
Copied contents to your clipboard!