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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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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