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A Meaning-Based Intervention for Addiction: Using Narrative Therapy and Mindfulness to Treat Alcohol Abuse

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The Experience of Meaning in Life

Abstract

This chapter presents a meaning-based framework for addressing substance abuse in psychotherapy. It demonstrates how narrative identity theory and narrative-based therapy can be combined with mindfulness techniques to treat a woman in her 30s who is abusing alcohol. It first presents some key principles of narrative identity theory, focusing specifically on the concept of narrative scripts that become repetitive maladaptive responses to interpersonal stress. It discusses the identification and treatment of these dysfunctional scripts in psychotherapy. It then presents a case study of a woman who engaged in self-destructive drinking binges after perceived rejection in relationships. Once the therapist assessed her maladaptive script connected to her drinking, he employed several mindfulness techniques to preempt the script and provide her with alternative cognitive attributions and coping strategies.

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References

  • American Psychiatric Association (2011) Proposed substance abuse guidelines. http://www.google.com/search?sourceid=navclient&aq=0h&oq=DSM+&ie=UTF-8&rlz=1T4ADRA_enUS390US432&q=dsm+5+proposed+definition+of+addiction

  • Bauer JJ, McAdams DP (2004) Personal growth in adults’ stories of life transitions. J Pers 72(3):573–602

    Article  PubMed  Google Scholar 

  • Beck A, Beck J (2011) Cognitive behavior therapy: basics and beyond, 2nd edn. Guilford Press, New York

    Google Scholar 

  • Blagov PS, Singer JA (2004) Four dimensions of self-defining memories (specificity, meaning, content, and affect) and their relationships to self-restraint, distress, and repressive defensiveness. J Pers 72(3):481–511

    Article  PubMed  Google Scholar 

  • Bluck S, Habermas T (2001) Extending the study of autobiographical memory: thinking back about life across the life span. Rev Gen Psychol 5(2):135–147

    Article  Google Scholar 

  • Bowen S, Marlatt A (2009) Surfing the urge: brief mindfulness-based intervention for college student smokers. Psychol Addict Behav 23(4):666–671

    Article  PubMed  Google Scholar 

  • Bruner J (1986) Actual minds, possible worlds. Harvard University Press, Cambridge, MA

    Google Scholar 

  • Chen G (2010) The meaning of suffering in drug addiction and recovery from the perspective of existentialism, Buddhism, and the 12-step program. J Psychoactive Drugs 42:363–375

    Article  PubMed  Google Scholar 

  • Conway MA, Singer JA, Tagini A (2004) The self and autobiographical memory: correspondence and coherence. Soc Cogn 22(5):491–529

    Article  Google Scholar 

  • Crane R (2009) Mindfulness-based cognitive therapy. Routledge, London

    Google Scholar 

  • Dahl H, Teller V (1994) The characteristics, identification, and applications of FRAMES. Psychother Res 4(3–4):253–276

    Article  Google Scholar 

  • Demorest AP (1995) The personal script as a unit of analysis for the study of personality. J Pers 63(3):569–592

    Article  Google Scholar 

  • Demorest AP, Alexander IE (1992) Affective scripts as organizers of personal experience. J Pers 60(3):645–663

    Article  Google Scholar 

  • Demorest A, Popovska A, Dabova M (2011) The role of scripts in personal consistency and individual differences. J Pers. doi:10.1111/j.1467-6494.2011.00727.x

  • Fernandez AC, Wood MD, Stein LAR, Rossi JS (2010) Measuring mindfulness and examining its relationship with alcohol use and negative consequences. Psychol Addict Behav 24(4):608–616

    Article  PubMed  Google Scholar 

  • Freud S (1920/1973) Beyond the pleasure principle. In: Strachey J (ed) The complete works of Sigmund Freud, standard edition, vol 20. Hogarth, London

    Google Scholar 

  • Hart KE, Singh T (2009) An existential model of flourishing subsequent to treatment for addiction: the importance of living a meaningful and spiritual life. Illn Crisis Loss 17:125–147

    Article  Google Scholar 

  • Hempel CG (1965) Aspects of scientific explanation. Free Press, New York

    Google Scholar 

  • Hicks JA, King LA (2007) Meaning in life and seeing the big picture: positive affect and global focus. Cogn Emotion 21(7):1577–1584

    Article  Google Scholar 

  • Hoelzer M, Dahl H (1996) How to find FRAMES. Psychother Res 6:177–197

    Article  Google Scholar 

  • Hoffman SG, Sawyer AT, Witt AA, Oh D (2010) The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. J Consult Clin Psychol 78(2):169–183

    Article  Google Scholar 

  • Kabat-Zinn J (1990) Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. Dell Publishing, New York

    Google Scholar 

  • King LA, Hicks JA (2006) Narrating the self in the past and the future: implications for maturity. Res Hum Dev 3:121–138

    Google Scholar 

  • King LA, Scollon CK, Ramsey CM, Williams T (2000) Stories of life transition: happy endings, subjective well-being, and ego development in parents of children with Down syndrome. J Res Personal 34:509–536

    Article  Google Scholar 

  • Kingston T, Dooley B, Bates A, Lawlor E, Malone K (2007) Mindfulness-based cognitive therapy for residual depressive symptoms. Psychol Psychother Theory Res Pract 80:193–203

    Article  Google Scholar 

  • Linehan MM (1993) Cognitive-behavioral treatment of borderline personality disorder. Guilford Press, New York

    Google Scholar 

  • Loevinger J (1976) Ego development: conceptions and theories. Jossey-Bass Inc. Publishing, San Francisco

    Google Scholar 

  • Madigan S (2011) Narrative therapy. American Psychological Association, Washington, DC

    Google Scholar 

  • Marlatt GA, Witkiewitz K (2005) Relapse prevention for alcohol and drug problems. In: Marlatt GA, Donovan DM (eds) Relapse prevention: maintenance strategies in the treatment of addictive behaviors. Guilford Press, New York, pp 1–44

    Google Scholar 

  • McAdams DP (1988) Power, intimacy, and the life story: personological inquiries into identity. Guilford Press, New York

    Google Scholar 

  • McAdams DP (2001) The psychology of life stories. Rev Gen Psychol 5(2):100–122

    Article  Google Scholar 

  • McAdams DP (2006) The redemptive self: stories Americans live by. Cambridge University Press, New York

    Book  Google Scholar 

  • McAdams DP, Pals JL (2006) A new big five: fundamental principles for an integrative science of personality. Am Psychol 61(3):204–217

    Article  PubMed  Google Scholar 

  • McAdams DP, Reynolds J, Lewis M, Patten AH, Phillip J (2001) When bad things turn good and good things turn bad: sequences of redemption and contamination in life narrative and their relation to psychosocial adaptation in midlife adults and in students. Pers Soc Psychol Bull 27(4):474–485

    Article  Google Scholar 

  • McLean KC (2008) Stories of the young and the old: personal continuity and narrative identity. Dev Psychol 44(1):254–264

    Article  PubMed  Google Scholar 

  • McLean KC, Fournier MA (2008) The content and processes of autobiographical reasoning in narrative identity. J Res Personal 42(3):527–545

    Article  Google Scholar 

  • McLean KC, Pasupathi M, Pals JL (2007) Selves creating stories creating selves: a process model of self-development. Pers Soc Psychol Rev 11(3):262–278

    Article  PubMed  Google Scholar 

  • Miller WR, Rose GS (2009) Toward a theory of motivational interviewing. Am Psychol 64(6):527–537

    Article  PubMed  Google Scholar 

  • Nichols MP (2010) The essentials of family therapy, 5th edn. Pearson, Boston

    Google Scholar 

  • Parry A, Doan RE (1994) Story re-visions: narrative therapy in the post-modern world. Guilford Press, New York

    Google Scholar 

  • Routledge C, Arndt J (2009) Creative terror management: creativity as a facilitator of cultural exploration after mortality salience. Pers Soc Psychol Bull 35:493–505

    Article  PubMed  Google Scholar 

  • Santorelli S (2000) Heal thyself: lessons on mindfulness in medicine. Bell Tower, New York

    Google Scholar 

  • Sarbin TR (1986) Narrative psychology: the storied nature of human conduct. Praeger Publishers/Greenwood Publishing Group, Westport

    Google Scholar 

  • Segal ZV, Williams JMG, Teasdale JD (2002) Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. Guilford Press, New York

    Google Scholar 

  • Segal ZV, Teasdale JD, Williams JMG (2004) Mindfulness based cognitive therapy: theoretical rationale and empirical status. Guilford Press, New York

    Google Scholar 

  • Siegel P, Demorest A (2010) Affective scripts: a systematic case study of change in psychotherapy. Psychother Res 20(4):369–387

    Article  PubMed  Google Scholar 

  • Siegel PF, Sammons M, Dahl H (2002) FRAMES: the method in action and the assessment of its reliability. Psychother Res 12(1):59–77

    Article  PubMed  Google Scholar 

  • Singer JA (1997) Message in a bottle: stories of men and addiction. The Free Press, New York

    Google Scholar 

  • Singer JA (2001) Living in the amber cloud: a life story analysis of a heroin addict. In: McAdams DP, Josselson R, Lieblich A (eds) Turns in the road: narrative studies of lives in transition. American Psychological Association, Washington, DC, pp 253–277

    Chapter  Google Scholar 

  • Singer JA (2004) Narrative identity and meaning making across the adult lifespan: an introduction. J Pers 72(3):437–459

    Article  PubMed  Google Scholar 

  • Singer BF (2006) A mindful recovery. Addict Prof 4:30–35

    Google Scholar 

  • Singer BF (2007) Narrative acts: utilizing dramaturgical structure for case conceptualization and clinical intervention. Doctoral Dissertation, Department of Education and Psychology, Pepperdine University

    Google Scholar 

  • Singer BF (2009) Transforming fear: a new guided mindfulness meditation can be a useful tool in early recovery. Addict Prof 7:22–25

    Google Scholar 

  • Singer JA, Bluck S (2001) New perspectives on autobiographical memory: the integration of narrative processing and autobiographical reasoning. Rev Gen Psychol 5(2):91–99

    Article  Google Scholar 

  • Singer JA, Conway MA (2011) Reconsidering therapeutic action: Leowald, cognitive neuroscience and the integration of memory’s duality. Int J Psychoanal 92:1183–1207

    Article  PubMed  Google Scholar 

  • Solomon S, Greenberg J, Pyszczynski T (1991a) A terror management theory of social behavior: the psychological functions of esteem and cultural worldviews. In: Zanna MP (ed) Advances in experimental social psychology, vol 24. Academic, New York, pp 93–159

    Google Scholar 

  • Solomon S, Greenberg J, Pyszczynski T (1991b) Terror management theory of self-esteem. In: Snyder C, Forsyth DR (eds) Handbook of social and clinical psychology: the health perspective. Pergamon Press, Elmsford, pp 21–40

    Google Scholar 

  • Staudinger UM (2001) Life reflection: a social-cognitive analysis of life review. Rev Gen Psychol 5(2):148–160

    Article  Google Scholar 

  • Tomkins SS (1979) Script theory: differential magnification of affects. Nebr Symp Motiv 26:201–236

    Google Scholar 

  • Tomkins SS (1987) Script theory. In: Aronoff J, Albert I, Robert A (eds) The emergence of personality. Springer, New York, pp 147–216

    Google Scholar 

  • Vess M, Routledge C, Landau MJ, Arndt J (2009) The dynamic of death and meaning: the effects of death-relevant cognitions and personal need for structure on perceptions of meaning in life. J Pers Soc Psychol 97(4):728–744

    Article  PubMed  Google Scholar 

  • Wells A (2002) GAD, meta-cognition, and mindfulness: an information processing analysis. Clin Psychol Sci Pract 9(1):95–100

    Article  Google Scholar 

  • White M (2004) Folk psychology and narrative practices. In: Angus L, McLeod J (eds) The handbook of narrative and psychotherapy: practice, theory, and research. Sage, Thousand Oaks, pp 15–51

    Google Scholar 

  • White M, Epston D (1990) Narrative means to therapeutic ends. WW Norton, New York

    Google Scholar 

  • Witkiewitz K, Bowen S (2010) Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. J Consult Clin Psychol 78(3):362–374

    Article  PubMed  Google Scholar 

  • Witkiewitz K, Marlatt GA (2005) Mindfulness-based relapse prevention for alcohol and substance use disorders: the meditative tortoise wins the race. J Cogn Psychother 19:221–230

    Article  Google Scholar 

  • Wong PTP (2011) Meaning-centered counseling and therapy: an integrative and comprehensive approach to motivational counseling and addiction treatment. In: Cox WM, Klinger E (eds) Handbook of motivational counseling: concepts, approaches, and assessment, 2nd edn. Wiley, Chichester

    Google Scholar 

  • Wong PTP, Fry P (eds) (1998) The human quest for meaning: a handbook of psychological research and clinical applications. Lawrence Erlbaum Associates, Mahwah

    Google Scholar 

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Correspondence to Jefferson A. Singer PhD .

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Singer, J.A., Singer, B.F., Berry, M. (2013). A Meaning-Based Intervention for Addiction: Using Narrative Therapy and Mindfulness to Treat Alcohol Abuse. In: Hicks, J., Routledge, C. (eds) The Experience of Meaning in Life. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6527-6_28

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