ABSTRACT
The optimal therapy for persons with an addiction remains a mystery. Rather than finding tributaries of clinical experience leading to deeper rivers of knowledge–the empiricist fantasy of scientific progress, or ever more coherence in locating addictions on a conceptual mapping of psychopathology–the rationalist fantasy of a comprehensive science, prescribed treatment options seem without either of these moorings. Under the guidance of policy makers and researchers, the contemporary trend is to see addiction as a medical health issue. The addicted subject, it should be noted, may have little interest in being the focus of treatment. They may have very legitimate concerns about speaking to anyone about their addiction, lest they find themselves in the crosshairs of the "war". Other subjects may of course also have little interest in being the focus of treatment. This chapter describes a clinical case of Jack.
