Acknowledgments                                                                                 

Chapter 1. Overview: Shame, Guilt, and Alcoholism                                

  Introduction and Definitions                                                                   

  Four Basic Distinctions Between Shame and Guilt                                  

Chapter 2. Models of Shame and Addiction                                            

  Introduction                                                                                         

  The Disease Model of Addiction                                                           

  Self Psychology                                                                                  

  Affect Theory                                                                                      

  Family Systems Model                                                                        

  Functional Theory                                                                                

Chapter 3. Shame, Vulnerability, and the Four Spheres of Self                

  Introduction                                                                                         

  The Presentation Self

  The Defensive Self

  The Comparative (Evaluative) Self

  Shame Waves, Cycles, and Spirals

  The Core Self

Chapter 4. Defenses Against Shame

  Introduction

  Withdrawal

  Denial

  Dissociation

  Projection

  Perfectionism

  Arrogance

  Shameless and Exhibitionism

  Rage

  Addiction As a Secondary Defense Against Shame

Chapter 5.  Guidelines for the Treatment of Shame

  Introduction

  Treatment Guidelines

Chapter 6. The Treatment of Shame with Alcoholic Clients

  Introduction

  The Linkages Between Shame, Alcoholism, and Addiction 

  Guidelines for the Treatment of Shame Issues with Alcoholic or Addicted Clients

Chapter 7.  Adaptive and Maladaptive Guilt As Related to Addiction

  Adaptive Guilt and Addiction

  Maladaptive Guilt and Addiction

  Defenses Against Guilt

  Guilt and Addiction

  The Guilt-Alcoholism Cycle

Chapter 8.  The Treatment of Guilt-General Considerations

  Introduction

  Suggested Sequence for the Treatment of Guilt

  Guidelines for the Treatment of Guilt

Chapter 9.  The Treatment of Guilt with Alcoholic or Addicted Clients

  Introduction

  The Role of Adaptive Guilt in Recovery

  Guidelines for the Treatment of Guilt Issues with Alcoholic or Addicted Clients

Chapter 10. Common Shame and Guilt Themes

  in Families Affected by Alcoholism or Addiction

  Introduction

  Transferred Shame and Guilt

  Helping Recovering Persons Face Their Shame and Guilt

Chapter 11.  Alcoholics Anonymous, Shame, and Guilt

  Introduction

  Alcoholics Anonymous and Shame

  The Recovering Alcoholic As a Responsible Member of the Community

Chapter 12.  Creative Approaches to Shame and Guilt: Helping the Adult Child of an Alcoholic

                     Patricia S. Potter-Efron

  Introduction

  Definitions of Guilt and Shame

  Approaches to Be Used

  Creative Methods for Dealing with Shame

  Guilt in Adult Children of Alcoholics

  Creative Methods for Dealing with Guilt

  Conclusion

References

Index