Abstract
The article presents an innovative concept of psychotherapy for addictive disorders, named Transfigurative Psychotherapy (Lviv Model). The authors formulate the theoretical foundations of a psychotherapeutic practice that takes into account the neurobiological, psychological, sociocultural, and existential dimensions of the addiction phenomenon. The proposed model views addiction as a specific state of excessive psychic stability, formed on the basis of a ingrained imagination of "paradisiacal" calm. Ingrained imagination functions as a motivational core that determines repetitive addictive behavior, emotional isolation from reality, and a loss of psychic flexibility. The authors highlight critical directions in psychotherapeutic work: the development of constructive narcissistic regulation (as the restoration of an internal sense of dignity, significance, and self-worth) and the formation of autonomy (the capacity to make responsible decisions based on one’s own needs and values). Narcissistic regulation and autonomy are considered key self-regulation systems that are impaired in the addictive structure. A special place in the model is given to the concept of narcissistic drive — a motivational force that complements the classical psychoanalytic drives (libido and aggression). The narcissistic drive is realized in the personality’s striving to leave a mark in society, gain recognition, and experience a sense of meaningful existence. Constructive regulation of the narcissistic drive integrates libidinal and aggressive impulses into socially acceptable forms of behavior and self-expression, which are necessary for the restoration of personality functioning. Transfigurative Psychotherapy moves addiction treatment beyond traditional models of abstinence, focusing instead on deep psychic and symbolic transformation of the personality.