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Director, L. (2002). Reply to Commentaries. Psychoanal. Dial., 12(4):593-598.

(2002). Psychoanalytic Dialogues, 12(4):593-598

Reply to Commentaries Related Papers

Lisa Director, Ph.D.

In my reply to commentaries by Glen Gabbard and Mark Gerald I offer further views on the implications of an integrative approach to treatment of substance-using patients, and the role of countertransference in that approach. I also address the phenomenon of “leverage,” examined by Gerald for the particular role it plays in the treatment of chronic drug use. I consider the use of leverage within the context of discussing the broader therapeutic effort to help substance-using patients achieve integration.

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