Role of Diet in People-Work: Uses of Nutrition in Therapy with Substance Abusers

  • Mark Worden
  • Gayle Rosellini


From surveying the treatment literature, it is clear that nutritional factors and other related physiological considerations are generally overlooked or neglected in treatment planning and implementation. Instead, psychological treatment dominates alcohol and drug rehabilitation. There is a substantial bias in individual and group counseling that emphasizes intrapsychic conflict, problems of socialization and coping, relationships, authenticity, and other psycho-social variables. This practice has been aptly described by Wallace (1972):

. . .The symptomatology of the illness under scrutiny is assumed to be motivated behavior expressive of psychological conflicts and to some degree effective in reducing tension and anxiety; the symptoms are “interpreted” in terms of some deductive schema intended to lay bare the (usually assumed to be unconscious) conflicts...This procedure almost completely neglects the victim’s body; or, rather, it attributes to the victim’s psyche a virtually magical ability to control the state of its body, by uncritically assuming that almost any somatic expression can be satisfactorily explained merely by asserting a plausible concomitant intrapsychic conflict...Thus, even with regard to syndromes familiar to Western clinicians and conventionally (if not invariably) conceived as functional in etiology, the assumption that biological determinants are negligible is becoming an increasingly hazardous one to make. (p. 364)


Food Allergy Inborn Error Coffee Intake Food Addiction Drug Rehabilitation 
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Copyright information

© Plenum Press, New York 1981

Authors and Affiliations

  • Mark Worden
    • 1
  • Gayle Rosellini
    • 1
  1. 1.Douglas County Council on AlcoholismRoseburgUSA

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