Psychoanalysis.  2025 Jan;36(1):9-13. 10.18529/psychoanal.2025.36.1.9.

Relationship Between Non-Suicidal Self-Injury and Substance Addiction in Modern Society: Exploration and Comprehension Through a Psychoanalytic Perspective

• Lee H
• Song J
• Lee HS

• KMID: 2564783
• DOI: http://doi.org/10.18529/psychoanal.2025.36.1.9

Abstract

Non-suicidal self-injury (NSSI) and substance addiction have seen a significant rise among adolescents and young adults in re-cent years. This increase is closely linked to digitalization of the modern society, which has dramatically altered how young in-dividuals interact and communicate. Although the use of smartphones, social media, and online interactions has facilitated fast information exchange and increased connectivity, it has also contributed to heightened emotional distress, isolation, and a sense of inner emptiness. NSSI and addiction are seemingly distinct issues. However, they share underlying psychological mecha-nisms such as emotional dysregulation and the reliance on harmful behaviors to cope with psychological pain. These behaviors often serve as attempts to manage unprocessed negative emotions and unresolved inner conflicts. This paper explores NSSI and addiction from a psychoanalytic perspective, focusing on psychological complexities that drive these behaviors. It also exam-ines how the lack of real-object experiences in a digital environment can lead to inner voids that individuals attempt to fill through self-destructive behaviors. The importance of understanding these phenomena from a psychoanalytic standpoint is em-phasized. It provides deeper insight into underlying causes and guides therapeutic approaches. By acting as a developmental ob-ject, a therapist can help patients address unmet developmental needs, mitigate inner conflicts, and establish healthier selfboundaries. This approach is crucial for enabling effective intervention and fostering long-term emotional stability.

Keyword

Non-suicidal self-injury; Substance-related disorders; Adolescent mental health; Social media; Object relations; Psychoanalysis