ABSTRACT

Therapists have few successes and many difficulties in treating borderline patients with addictive behavior problems. Often, therapists do not accurately identify addictive behaviors as such, nor do they fully understand the underlying borderline pathology, or adequately manage the treatment process. It is unfortunate that excessive overeating, compulsive sexual behavior, and alcoholism, for example, are all treated separately in the literature. Few attempts have been made by researchers in these areas to compile and share knowledge, or to formulate general theories of addiction (Miller, 1979). This contributes to the confusion and lack of integration in the field.