Table of Contents
Foreword John Swinton ix
Acknowledgments xiii
Introduction 1
Addiction across the Board 4
Addiction Organized 7
Terms and Conditions 10
1 Addiction as Soul-Sickness 14
Addiction, Relationality, and Soul-Sickness 16
How We See Addictions: A Brief History 18
Limits of the Moral and Medical Models 23
The Emergence of Addiction 24
Symptoms of the Sickness 28
Desire, Pleasure, and Soul-Sickness 31
The Framework of a Soul-Sickness 34
2 This Is Your Brain on Drugs 37
Drugs Inside and Outside the Self 40
The Rewiring of the Brain 42
"Your Mind Is an Unsafe Neighborhood; Don't Go There Alone" 45
The Progress into Possession 48
Chronic Stress in Addiction 50
Excursus: Porn Addiction 52
The Brain in Pastoral Care 54
3 Addiction, Attachment, and Trauma 57
Attachment and Self-Regulation 60
Resistant, Avoidant, and Disorganized Attachment Relationships 63
Childhood Trauma and Disorganized Attachment 66
Post-traumatic Stress Disorder 67
Excursus: Eating Disorders 70
Putting the Pieces Together 72
Christian Practices of Self-Regulation 77
A Slower Resurrection 78
4 Addiction and Social Suffering 83
Racism, Homophobia, and Distress 85
Social Stress and the Crossover Effect 91
Socioeconomic Insecurity 93
The War on Drugs 97
Social Sin in Pastoral Care 99
5 Soul-Sickness and the Legion 104
The Social Demoniac 109
Bargaining with a Demon 112
Healing and Restoration 114
The Soul in Soul-Sickness 116
Untangling the Demoniac from God 121
Meaning-Making through Moral Complexity 124
Incarnational Grace 127
6 Motivational Interviewing and Change 130
The Balancing Act of Change 133
Intrinsic Motivation and Cultural Values 141
Frames Brief Intervention 144
Frames Feedback and the "Elicit-Provide-Elicit" Model of Intervention 145
Excursus: The Loved Ones of a Legion 148
Pastoral Care and the Self 150
7 Moving into Change 152
Encounters with Change 155
The Precontemplation Stage 156
The Contemplation Stage 161
The Preparation Stage 164
The Action Stage 166
Maintaining Recovery 169
Relapse Prevention 170
Supporting Spiritual Growth 173
Excursus: Mental-Health Conditions 175
Opening to Change 177
Notes 183
Bibliography 203
Index of Authors 219
Index of Subjects 221
Index of Scripture Citations 226
