I really enjoyed our first session tonight. I hope you did too.<\/p>\n
Tonight, we read “The Role of Psychiatry in the Treatment of Alcoholism” 1<\/sup> <\/span>.<\/p>\n In that paper,\u00a0Tiebout tells his fellow psychiatrists there are two reasons why the profession has failed to have success with alcoholics. First, he says psychiatrists tend to be discouraged by alcoholics because they are often difficult patients that don\u2019t respond to conventional treatment. The second and most important reason psychiatrists fail is that they treat alcoholism as the symptom of underlying mental disorder, rather than a disease in itself. He offers evidence for the disease nature of alcoholism in the fact that alcoholic patients can never drink again normally, no matter how much deep analysis they undergo. He points to the success of Alcoholics Anonymous in addressing drinking as the problem, rather than a symptom. Tiebout is looking primarily at steps one through three and AA\u2019s success in getting drunks to \u201cput the plug in the jug.\u201d He notes that the rest of the steps deal with maintaining sobriety, but he\u2019s looking at stopping drinking as an outstanding clinical success that conventional psychiatry has been unable to achieve.<\/p>\n Next up is “The Act of Surrender in the Therapeutic Process with Special Reference to Alcoholism”2<\/sup><\/span>\u00a0on page 13.<\/p>\n In this paper, Tiebout is going to look at surrender from a psychiatric point of view. He wants to understand what we in AA see as a spiritual transformation in psychological terms. He especially wants to understand what causes an individual to resist the act of surrender. He identifies \u201cdefiant individualism\u201d and \u201cgrandiosity\u201d as two personality traits in alcoholics that stand in the way of progress. He says they flow from the \u201cpersisting infantile ego.\u201d\u00a0Tiebout offers a definition of surrender \u201d \u2026 as\u00a0a moment when the unconscious forces of defiance and grandiosity actually cease to function effectively.<\/em>\u201d To surrender, an alcoholic must accept reality at both a conscious and unconscious level. Tiebout introduces the idea of compliance<\/em> which he defines as what happens when the alcoholic accepts reality\u00a0consciously but not unconsciously. (Hint: it doesn\u2019t work out well.)<\/p>\n The rest\u00a0of the paper consists of Tiebout\u2019s attempts to relate his\u00a0insight about surrender to practical aspects of psychotherapy.<\/p>\n “The Role of Psychiatry” was 7 pages long. “The Act of Surrender” \u00a0is 16 pages long. There’s a lot of meat on the bones here as well. We will probably take at least two meetings to finish it.<\/p>\n Looking forward to next week!<\/p>\n I really enjoyed our first session tonight. I hope you did too. Tonight, we read “The Role of Psychiatry in the Treatment of Alcoholism” 1 . In that paper,\u00a0Tiebout tells his fellow psychiatrists there are two reasons why the profession has failed to have success with alcoholics. 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