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Lance M. Dodes is an American psychiatrist and psychoanalyst best known for his theory that all addictions are psychological compulsions.[1][2][3]

Biography[edit]

Dodes received an A.B. from Dartmouth College in 1966, his D.M.S. from Dartmouth's Geisel School of Medicine in 1968, and his M.D. from Harvard Medical School in 1970. He is a training and supervising analyst emeritus of the Boston Psychoanalytic Society and Institute, and a retired assistant clinical professor of psychiatry at Harvard Medical School.[4]

Work on addiction[edit]

Prior to Dodes' work, psychological theories about addiction separated them from other common psychological symptoms.[5][6][7][8][9] Dodes was first to characterize addictions as identical to the symptoms of compulsions,[10] a view that allows for understanding and treating addictions the same way as other compulsive symptoms. In his book The Heart of Addiction and peer-reviewed academic articles, Dodes argued that addiction is a symptom that reflects a need to reverse overwhelming feelings of helplessness.[11][12][13][14] His second book, Breaking Addiction: A 7-Step Handbook for Ending Any Addiction was honored as a Library Journal Best Book in its category.[15]

In The Sober Truth: Debunking the Bad Science Behind 12-Step Programs and the Rehab Industry,[16] Dodes and his co-author reviewed 50 years of research and said that most people who have experienced Alcoholics Anonymous (AA) have not achieved long-term sobriety, and only five to eight percent of the people who go to one or more AA meetings achieve sobriety for longer than one year.[17] The book was featured in a NPR segment[18] and a New York Times review.[19] The 5–8% figure put forward by Dodes is controversial.[20]

Other works[edit]

In 2004 Dodes appeared in an episode of Penn & Teller: Bullshit![21] In 2015 he appeared as an expert in the film "The Business of Recovery".[22] He contributed an essay to the 2017 book The Dangerous Case of Donald Trump,[23] and had an opinion letter expressing concerns about Trump's emotional stability published by The New York Times.[24]

Honors[edit]

In 2001, Dodes was honored by the Division on Addictions at Harvard Medical School for “Distinguished Contribution” to the study and treatment of addictive behavior.[25]

In 2009, Dodes was elected a Distinguished Fellow of the American Academy of Addiction Psychiatry.[26]

Dodes was awarded an Author Prize by Psychoanalytic Electronic Publishing for being in the top 5% of authors in 2011 and has remained in the top 5% through 2018 (the last year for which there are figures).[27]

References[edit]

  1. ^ Silverman, M. A. (2005). "THE HEART OF ADDICTION. By Lance Dodes, M.D. New York: Harper Collins, 2002. 258 pp". Psychoanal Q. 74 (3): 912–917.
  2. ^ Glyde, Tania (2014-07-01). "The recovery position". The Lancet Psychiatry. 1 (2): 119–120. doi:10.1016/S2215-0366(14)70295-0. ISSN 2215-0366. PMID 26360574.
  3. ^ "PEP Web - Statistics". pep-web.org. Retrieved 2020-02-12.
  4. ^ Furlong, Lisa (September–October 2014). "Lance Dodes '66, DMS'68". Dartmouth Alumni Magazine. Retrieved April 27, 2020.
  5. ^ Khantzian, E. J. (May 1977). "The ego, the self, and opiate addiction: theoretical and treatment considerations". NIDA Research Monograph (12): 101–117. ISSN 1046-9516. PMID 97531.
  6. ^ Krystal, H. (1982–1983). "Alexithymia and the effectiveness of psychoanalytic treatment". International Journal of Psychoanalytic Psychotherapy. 9: 353–378. ISSN 0091-0600. PMID 6185448.
  7. ^ McDougall, J. (July 1984). "The "dis-affected" patient: reflections on affect pathology". The Psychoanalytic Quarterly. 53 (3): 386–409. doi:10.1080/21674086.1984.11927074. ISSN 0033-2828. PMID 6473578.
  8. ^ Wurmser, L. (1984–1985). "The role of superego conflicts in substance abuse and their treatment". International Journal of Psychoanalytic Psychotherapy. 10: 227–258. ISSN 0091-0600. PMID 6511188.
  9. ^ Zinberg, N. E. (1975). "Addiction and Ego Function". Psychoanal. St. Child. 30: 567–588. doi:10.1080/00797308.1975.11823320. PMID 1197523.
  10. ^ Dodes, L. M. (1996). "Compulsion And Addiction". J. Amer. Psychoanal. Assn. 44 (3): 815–835. doi:10.1177/000306519604400307. PMID 8892189. S2CID 34260417.
  11. ^ "Nonfiction Book Review: THE HEART OF ADDICTION: A New Approach to Understanding and Managing Alcoholism and Other Addictive Behaviors by Lance M Dodes, Author HarperCollins $24.95 (272p) ISBN 0-06-019811-7". PublishersWeekly.com. Retrieved 2020-02-12.
  12. ^ Dodes, L. M. (July 1990). "Addiction, helplessness, and narcissistic rage". The Psychoanalytic Quarterly. 59 (3): 398–419. doi:10.1080/21674086.1990.11927278. ISSN 0033-2828. PMID 2399288.
  13. ^ Dodes, L. M. (2003). "Addiction and Psychoanalysis". Canadian J. Psychoanal.: 123–134.
  14. ^ Dodes, Lance M. (2009-11-01). "Addiction as a psychological symptom". Psychodynamic Practice. 15 (4): 381–393. doi:10.1080/14753630903230468. ISSN 1475-3634. S2CID 143922368.
  15. ^ "LJ's Best Books & Media of 2011". Library Journal. Retrieved 2020-10-14.
  16. ^ Flanagin, Jake (2014-03-25). "The Surprising Failures of 12 Steps". The Atlantic. Retrieved 2020-02-12.
  17. ^ Lance Dodes, M.D.; Zachary Dodes (2014). The Sober Truth: Debunking the Bad Science Behind 12-Step Programs and the Rehab Industry. ISBN 978-0-8070-3315-9. University of California professor Herbert Fingarette cited two [...] statistics: at eighteen months, 25 percent of people still attended AA, and of those who did attend, 22 percent consistently maintained sobriety. [Reference: H. Fingarette, Heavy Drinking: The Myth of Alcoholism as a Disease (Berkeley: University of California Press, 1988)] Taken together, these numbers show that about 5.5 percent of all those who started with AA became sober members.
  18. ^ "With Sobering Science, Doctor Debunks 12-Step Recovery".
  19. ^ Friedman, Richard A. (2014-05-05). "Taking Aim at 12-Step Programs". The New York Times.
  20. ^ Kelly, John F.; Beresin, Gene (7 April 2014). "In Defense of 12 Steps: What Science Really Tells Us about Addiction". WBUR's Common Health: Reform and Reality. Archived from the original on 2014-04-11. Retrieved 2018-01-05. studies show that 12-step treatment improves outcomes by up to 20% for as long as two years post-treatment via its ability to engage patients, and also tends to produce much higher rates of continuous abstinence than other forms of treatment
  21. ^ "Penn & Teller Bullshit! 12-Stepping (full cast and crew)". IMDb.
  22. ^ Munro, Dan (April 27, 2015). "Inside The $35 Billion Addiction Treatment Industry". Forbes. Retrieved February 12, 2020.
  23. ^ Lozada, Carlos. "Is Trump mentally ill? Or is America? Psychiatrists weigh in". Washington Post.
  24. ^ Dodes, Lance; Schachter, Joseph (2017-02-13). "Mental Health Professionals Warn About Trump". The New York Times.
  25. ^ "Modern Psychodynamic Understanding of Addiction". NPI. Retrieved 2020-10-14.
  26. ^ "Distinguished Fellows of AAAP - AAAP". American Academy of Addiction Psychiatry. Retrieved 2020-02-12.
  27. ^ "Top 400 Authors Downloaded in 2011". Psychoanalytic Electronic Publishing. Retrieved 2020-10-14.

External links[edit]

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