Based on an understanding of the psychological vulnerabilities of addicts, the MDGT model addresses the modifications in psychodynamic technique that are necessary for addicts' needs. It focuses on four main areas of difficulty involving self-regulation; affect, self-esteem, relationship, and self-care problems. Both supportive and expressive, the approach helps group members identify, process, and modify the characterological traits that mask addict's vulnerabilities.

Reader: With the exception of Nancy Friday's JEALOUSY, not since Bradshaw's HOMECOMING, published in 1991, has a book with a psychological theme sent such powerful vibrations through me, forcing me to look again at my life.

"A tour de force, a spectacular effort of research and understanding. This book gives us the courage to bypass disease notions to deal with intrapsychic, family system, and social and cultural dynamics in addiction." (David Cook, Counseling and Psychological Services, University of Wisconsin)