ABSTRACT

This chapter focuses on a psychoanalytic theoretical framework to equine-assisted psychotherapy (EAP) substance abuse treatment. Specifically, an EAP object relations perspective will be applied to treatment of a young adult male with alcohol use disorder, cannabis use disorder, and an underlying persistent depressive disorder. EAP can help clients address both their substance abuse issues as well as the underlying pathology from which the substance abuse symptoms have arisen. When working with clients from different cultures, approaching sessions with an attitude of curiosity for that individual's experience, cultural values, and beliefs is paramount. One of the most apparent instances where object relations theory becomes evident in the arena is when the client is asked to observe and then interact with the horses and verbalize their reactions. The "join up" activity is adapted from the term used to describe exercises developed by natural horseman Monty Roberts.