skip navigation

PUBLICATIONS

Register for Latest Research

Stay Informed
Register with NCJRS to receive NCJRS's biweekly e-newsletter JUSTINFO and additional periodic emails from NCJRS and the NCJRS federal sponsors that highlight the latest research published or sponsored by the Office of Justice Programs.

NCJRS Abstract

The document referenced below is part of the NCJRS Virtual Library collection. To conduct further searches of the collection, visit the Virtual Library. See the Obtain Documents page for direction on how to access resources online, via mail, through interlibrary loans, or in a local library.

 

NCJ Number: 68730 Find in a Library
Title: THERAPEUTIC COMMUNITIES - TREATMENT PRACTICES IN VIEW OF DRUG DEPENDENCY THEORY
Journal: DRUG FORUM  Volume:7  Issue:1  Dated:(1978-79)  Pages:81-103
Author(s): D C IVERSON; S S WENGER
Date Published: 1979
Page Count: 23
Format: Article
Language: English
Country: United States of America
Annotation: BOTH THE CLINICAL TRADITION AND THE THERAPEUTIC TREATMENT COMMUNITY FAIL TO HELP DRUG-DEPENDENT PERSONS BECAUSE BOTH HAVE INFLEXIBLE RATIONALES AND IGNORE DRUG TREATMENT RESEARCH AND THEORY ADVANCEMENTS.
Abstract: ALTHOUGH STRUCTURED DRUG-TREATMENT COMMUNITIES, BASED ON THE MODEL DEVELOPED BY SYNANON, HAVE BECOME A FAVORITE FORM OF HELP FOR DRUG-DEPENDENT PERSONS, THEIR POOR RECORD OF SUCCESS SUGGESTS THAT SOMETHING IS WRONG. THESE FACILITIES ARE PRESENTED TO THE PATIENT AS A FORM OF FLEXIBLE SELF-HELP. IN REALITY, THEY ARE HIGHLY STRUCTURED BEHAVIOR MODIFICATION ORGANIZATIONS WHICH PRESSURE THE PERSON TO BE 'GOOD' AND QUICKLY PUNISH 'BAD' BEHAVIOR. THEY DO NOT RECOGNIZE THE UNDERLYING NEEDS WHICH MAKE THE ABUSER TURN TO MOOD-ALTERING DRUGS. USUALLY THERE IS LACK OF ONE-TO-ONE COUNSELING AND NO RECOGNITION OF ALTERNATIVE WAYS OF DEALING WITH STRESS, SUCH AS YOGA, MEDITATION, BIOFEEDBACK, AND THE LIKE. TO BE SUCCESSFUL, CLINICAL TRADITION NEEDS TO SHED ITS RIGID PERCEPTIONS OF THE CAUSES OF DRUG ABUSE. MEANWHILE, THE PARAPROFESSIONAL THERAPEUTIC COMMUNITY MUST BECOME MORE AWARE OF THE ALTERNATIVE DRUG TREATMENT THEORIES AVAILABLE. THE COMMUNITY MUST BE AWARE OF THE DOUBLE-BIND SITUATION IT PRESENTS, WHICH MAKES PATIENTS UNWILLING TO STAY VERY LONG. INDIVIDUALIZED TREATMENT MUST BE USED TO HELP INDIVIDUALS STAY WITH THE PROGRAM FOR THE OPTIMAL PERIOD OF TIME IF COMMUNITIES ARE NOT TO JOIN THE EVER-INCREASING LIST OF PROGRAMS THAT HAVE FAILED TO HELP DRUG ABUSERS. A TABLE COMPARING THE RESULTS OF 10 STUDIES WHICH EVALUATED THE EFFECTIVENESS OF VARIOUS THERAPEUTIC COMMUNITIES, AND A BIBLIOGRAPHY OF 33 ITEMS ARE INCLUDED IN THIS ARTICLE.
Index Term(s): Drug treatment programs; Effectiveness; Self-help programs; Treatment/Therapeutic Community
To cite this abstract, use the following link:
http://www.ncjrs.gov/App/publications/abstract.aspx?ID=68730

*A link to the full-text document is provided whenever possible. For documents not available online, a link to the publisher's website is provided. Tell us how you use the NCJRS Library and Abstracts Database - send us your feedback.