Lance Dodes

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

Biography

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

Prior to Dodes' work, psychological theories about addiction separated them from other common psychological symptoms.[5][6][7][8][9] Dodes was first to recognize that addictions are identical to the symptoms we call 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 a series of peer-reviewed academic articles, Dodes showed 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

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

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
  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.
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