This paper presents an annotated bibliography of three key texts addressing the relationship between attachment theory, ego psychology, and addiction. The first annotation examines LaFond Padykula and Conklin's self-regulation model (SRM), which integrates multiple subsystems — behavior, cognition, emotion, physiology, and self-identity — to guide individualized addiction assessment and treatment. The second reviews Flores's argument that attachment disorders rooted in infancy and childhood are intrinsically linked to addictive processes, advocating for attachment-based psychotherapy focused on healthy interpersonal relationships. The third covers Erikson's foundational contribution to ego psychology, emphasizing the role of culture, society, and an autonomous ego in shaping personality and adaptive functioning.
The following annotations review three foundational texts that address the intersection of attachment theory, ego psychology, and addiction. Together, they offer a multidisciplinary framework for understanding how early relational experiences shape the development of addictive behavior and inform clinical treatment approaches.
LaFond Padykula, N., & Conklin, P. (2010). The self-regulation model of attachment trauma and addiction. Clinical Social Work, 38(4), 351–360. DOI: 10.1007/s10615-009-0204-6
LaFond Padykula theorized the self-regulation model (SRM) as a means of informing the practice of assessing and treating addiction and attachment trauma. John Bowlby (1988) developed the theory of attachment through his seminal work observing the distress of infants and young children who had been separated from their mothers. Bowlby asserted that attachment was not consciously controlled but was instead hard-wired in humans and many other animals.
The SRM builds on and integrates Bowlby's attachment behavior research, positing addiction as the efforts of an individual to regulate their own attachment in the direction of more normal, adaptive behavior. The theoretical foundation for the self-regulation model is multidisciplinary and includes those subsystems said to be inherent to the capacity of people for adaptation and self-regulation. These disciplines include behavior, cognition, emotions, physiology, and self-identity. Using the self-regulation model, a therapist is able to assess each subsystem in order to arrive at a comprehensive profile of self-regulation for a client, and from there to develop an individualized treatment template. LaFond Padykula provides an example of the evaluation process and the development of a treatment plan through the use of a case study involving a woman named Dixie, who exhibits addiction that is resistant to treatment.
Flores, P. J. (2004, August 6). Addiction as an attachment disorder. New York, NY: Jason Aronson, Inc. Publishers.
Flores integrates theory and clinical practice in the treatment of addiction. He argues that problems with attachment, which arise and are exacerbated in infancy and childhood, are integrally associated with addictive processes. Flores's theory postulates that relationships with people are subservient to relationships with substances in the addictive personality. According to the theoretical framework he utilizes in his clinical practice, addiction and attachment are related at the levels of human biology, psychology, and social relations.
Flores explains abstract theoretical concepts in experiential terms and in terms of clinical practice, thereby providing a model for attachment-based psychotherapy. Regardless of whether relational problems are viewed as the cause of addictive behaviors or as the consequence of maladaptive behaviors, Flores advocates for treatment that is focused on developing healthy interpersonal relationships.
Erikson, E. H. (1950). Childhood and society. New York, NY: Norton.
"Ego's role in personality, culture, and social adaptation"
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