Alcohol consumption disorder as a product of intrapsychic conflict

Abstract

Alcohol use disorder consists of a maladaptive pattern of substance use that leads to clinically significant impairment or discomfort, in a continuous period of 12 months. It implies the presence of a series of physical, cognitive, affective and social symptoms and signs, among these are the development of tolerance; withdrawal syndrome; consumption in larger amounts or over a longer period than initially intended; unsuccessful efforts to control or discontinue use; much time is spent in activities related to obtaining the drug; and there is a reduction in important social work or recreational activities due to consumption. Also, the substance continues to be taken despite being aware of persistent psychological or physical problems related to use. From a psychodynamic perspective, intrapsychic and unconscious personality conflicts are determining factors for the development of alcohol dependence. These conflicts arise from the need to reduce tension and the inhibition of basic instinctual impulses where the consumption of the drug serves as a means of reducing tension, it is then a regressive defense mechanism and avoidance that constitutes a maladaptive, self-destructive and debilitating behavior.