{"value"=>"<p> <span class=\"title\">Understanding Addiction in a Patient Diagnosed as Schizophrenic</span></p> <p>This thesis is concerned with a 32 year old male psychiatric patient whose substance abuse was not given primary attention. Before hospitalization, the patient abused drugs and alcohol. His use of mood-altering substance did not cease upon admission to the hospital but rather switched from illegal to legal and readily available substances.</p> <p>The literature review includes reading on alcoholism, nicotine abuse, caffeinism, inhalant and food abuse. The disease concept of alcoholism is used as a point of departure to examine the patient's abuse of perfume, cigarettes, coffee, nasal inhalers and food as well as his self-anesthetizing neck choking behavior. A report of this male patient in 24 individual dance therapy sessions that were viewed within a theoretical framework of schizophrenia is presented. The critique of the case study reviews the initial working process, examines the signals of substance dependence that the therapist did not know how to address and concludes that many of the bizarre behaviors attributed to this psychiatric patient are actually addictive behaviors. The critique suggests changes in approach for the dance therapy sessions and stresses that the healing process of the patient is impeded unless his substance dependence is treated.</p>"}