Purpose As a tribute to Eric Broekaert, the purpose of this paper is to look back at a 2004 paper he wrote on the integration of paradigms of care and reports on how this is reflected in an ongoing multidisciplinary study at Ghent University. Design/methodology/approach In 2014, the authors began a research project to develop multidisciplinary strengths-based strategies for a vulnerable group of people, in this case people with a mental illness who offend. The authors chose a strength-based research design for the study, in order to focus on individuals’ capabilities, qualities and assets, rather than on deficits, incapacities or problems. Findings Three elements from Eric Broekaert’s work have inspired the research project. First, it is not possible to carry out research and interact with vulnerable persons devoid of the political, social and cultural context. Second, the authors should not restrict to one discipline or one paradigm when building (academic) knowledge and in practice. Third, the central aim of any practice should be to empower vulnerable people, improve their quality of life and challenge aspects of society that alienate and exclude them. Originality/value Eric Broekaert’s belief in the power of encounter and integration, reflected in his 2004 paper, continues to influence this work. As an open-minded enabler and critical integrator, he has left very visible traces in the research environment at Ghent University and beyond. Inspired by his thoughts and personality, new generations of researchers across many disciplines follow in his footsteps, jointly searching for what unites us as human beings rather than what divides us.
{"title":"The search for integrated paradigms of care for people with mental illness who offend: the enabling personality of Eric Broekaert","authors":"F. V. Laenen, T. Beken","doi":"10.1108/TC-01-2017-0001","DOIUrl":"https://doi.org/10.1108/TC-01-2017-0001","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000As a tribute to Eric Broekaert, the purpose of this paper is to look back at a 2004 paper he wrote on the integration of paradigms of care and reports on how this is reflected in an ongoing multidisciplinary study at Ghent University. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000In 2014, the authors began a research project to develop multidisciplinary strengths-based strategies for a vulnerable group of people, in this case people with a mental illness who offend. The authors chose a strength-based research design for the study, in order to focus on individuals’ capabilities, qualities and assets, rather than on deficits, incapacities or problems. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000Three elements from Eric Broekaert’s work have inspired the research project. First, it is not possible to carry out research and interact with vulnerable persons devoid of the political, social and cultural context. Second, the authors should not restrict to one discipline or one paradigm when building (academic) knowledge and in practice. Third, the central aim of any practice should be to empower vulnerable people, improve their quality of life and challenge aspects of society that alienate and exclude them. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000Eric Broekaert’s belief in the power of encounter and integration, reflected in his 2004 paper, continues to influence this work. As an open-minded enabler and critical integrator, he has left very visible traces in the research environment at Ghent University and beyond. Inspired by his thoughts and personality, new generations of researchers across many disciplines follow in his footsteps, jointly searching for what unites us as human beings rather than what divides us.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"37 1","pages":"163-168"},"PeriodicalIF":0.2,"publicationDate":"2017-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73346227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Vanderplasschen, S. Vandevelde, F. D’Oosterlinck, Dirk Vandevelde, J. Naert, Rowdy Yates
Purpose Eric Broekaert passed away shortly after the XVIth European Working group on Drug-Oriented Research (EWODOR)-conference in Rome on 28 September 2016. He was one of the great TC pioneers in Europe, who founded the first TC for addictions in Belgium (De Kiem) and co-founded the European Federation of Therapeutic Communities and EWODOR. He was a respected Professor of “Orthopedagogics” at Ghent University and a Member of the Editorial Collective of Therapeutic Communities: the International Journal of Therapeutic Communities. The paper aims to discuss the overview of the career of Eric Broekaert. Design/methodology/approach In this obituary, the authors provide an overview of his career, major achievements and theoretical, methodological and integrative ideas, clustered around four typologies: university professor and scholar; manager and source of inspiration; TC pioneer and believer, and integrative thinker. Findings Besides his obvious merits as a TC researcher and advocate, one of his major theoretical contributions has been the introduction of the holistic, integrative approach and the idea that diverse types of interventions, as well as methodological approaches can alternatively go together. Originality/value He regarded TCs as the ultimate integration of various educational and therapeutic approaches to promote growth and quality of life among severely disadvantaged populations, such as drug addicts and children and adults with emotional and behavioural disorders.
Eric Broekaert于2016年9月28日在罗马举行的第十六届欧洲药物导向研究工作组(EWODOR)会议后不久去世。他是欧洲伟大的TC先驱之一，他在比利时(De Kiem)创立了第一个针对成瘾的TC，并共同创立了欧洲治疗社区联合会和EWODOR。他是根特大学(Ghent University)受人尊敬的“骨科”教授，也是国际治疗社区杂志(International Journal of Therapeutic Communities)治疗社区编辑集体的成员。本文旨在探讨埃里克·布罗卡尔特的职业生涯概况。在这篇讣告中，作者概述了他的职业生涯、主要成就以及理论、方法和综合思想，主要分为四类:大学教授和学者;管理者和灵感的源泉;TC的开创者和信奉者，一体化思想家。除了他作为技术干预研究者和倡导者的明显优点外，他的主要理论贡献之一是引入了整体、综合的方法，以及不同类型的干预措施和方法方法可以相互结合的想法。他认为技术培训是各种教育和治疗方法的最终结合，以促进严重处境不利人群的成长和生活质量，例如吸毒成瘾者以及患有情绪和行为障碍的儿童和成人。
{"title":"Eric Broekaert (1951-2016): the life and legacy of a TC pioneer and integrative thinker","authors":"W. Vanderplasschen, S. Vandevelde, F. D’Oosterlinck, Dirk Vandevelde, J. Naert, Rowdy Yates","doi":"10.1108/TC-02-2017-0008","DOIUrl":"https://doi.org/10.1108/TC-02-2017-0008","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000Eric Broekaert passed away shortly after the XVIth European Working group on Drug-Oriented Research (EWODOR)-conference in Rome on 28 September 2016. He was one of the great TC pioneers in Europe, who founded the first TC for addictions in Belgium (De Kiem) and co-founded the European Federation of Therapeutic Communities and EWODOR. He was a respected Professor of “Orthopedagogics” at Ghent University and a Member of the Editorial Collective of Therapeutic Communities: the International Journal of Therapeutic Communities. The paper aims to discuss the overview of the career of Eric Broekaert. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000In this obituary, the authors provide an overview of his career, major achievements and theoretical, methodological and integrative ideas, clustered around four typologies: university professor and scholar; manager and source of inspiration; TC pioneer and believer, and integrative thinker. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000Besides his obvious merits as a TC researcher and advocate, one of his major theoretical contributions has been the introduction of the holistic, integrative approach and the idea that diverse types of interventions, as well as methodological approaches can alternatively go together. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000He regarded TCs as the ultimate integration of various educational and therapeutic approaches to promote growth and quality of life among severely disadvantaged populations, such as drug addicts and children and adults with emotional and behavioural disorders.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"11 1","pages":"125-135"},"PeriodicalIF":0.2,"publicationDate":"2017-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88116627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose In drug-free Therapeutic Communities (TCs), people with addictions live together in order to achieve recovery in terms of a modified drug-free lifestyle. Central to the TC approach is the assumption that this shift is only achievable when “identity change” has taken place. However, this claim has rarely been addressed in TC research. Further insight into the nature and realization of such identity change might help to understand how this community approach contributes to long-term recovery. The paper aims to discuss these issues. Design/methodology/approach The present qualitative interview study explores the perspectives of ten former TC residents on their treatment and their process of change. To organize the interview data, Lacanian psychoanalytic theory on identity formation/change is used as a framework. Findings The common thread in the participants’ process of change is presented in three parts: their life before, in and after the TC. The substeps within these parts are illustrated with several quotes. Originality/value The findings highlight the value of innovative qualitative research designs to address the many challenges to addiction treatment research. A Lacanian reading of the data makes it possible to describe the subjective logic of the process of change in the TC, focusing on how substance (mis)use functions as an attempted solution in dealing with identity issues. By linking crucial TC ingredients such as the TC law and TC tools to the process of the identity change, a new reading of this long-term group approach is achieved.
{"title":"Identity change in a drug-free Therapeutic Community: a Lacanian interpretation of former residents’ perspectives on treatment process and outcome","authors":"Virginie Debaere, P. Verhaeghe, S. Vanheule","doi":"10.1108/TC-01-2017-0004","DOIUrl":"https://doi.org/10.1108/TC-01-2017-0004","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000In drug-free Therapeutic Communities (TCs), people with addictions live together in order to achieve recovery in terms of a modified drug-free lifestyle. Central to the TC approach is the assumption that this shift is only achievable when “identity change” has taken place. However, this claim has rarely been addressed in TC research. Further insight into the nature and realization of such identity change might help to understand how this community approach contributes to long-term recovery. The paper aims to discuss these issues. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000The present qualitative interview study explores the perspectives of ten former TC residents on their treatment and their process of change. To organize the interview data, Lacanian psychoanalytic theory on identity formation/change is used as a framework. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000The common thread in the participants’ process of change is presented in three parts: their life before, in and after the TC. The substeps within these parts are illustrated with several quotes. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000The findings highlight the value of innovative qualitative research designs to address the many challenges to addiction treatment research. A Lacanian reading of the data makes it possible to describe the subjective logic of the process of change in the TC, focusing on how substance (mis)use functions as an attempted solution in dealing with identity issues. By linking crucial TC ingredients such as the TC law and TC tools to the process of the identity change, a new reading of this long-term group approach is achieved.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"17 1","pages":"147-155"},"PeriodicalIF":0.2,"publicationDate":"2017-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86927218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose Deviant behavior was punished during the middle ages. In the seventeenth century, people were locked up in asylums. A first step towards humanization was taken by the founders of the moral treatment movement in the nineteenth century, but it declined at the end of that century. What we today call “milieu therapy” represents a new phase in treating mental illness and deviance. After the Second World War, the therapeutic community (TC) method was widely implemented in Europe, but the needs of different target populations were not dealt with equally. The paper aims to discuss these issues. Design/methodology/approach In this contribution, the treatment needs of diverse populations of female drug abusers are addressed. Selected literature and research findings for women in mixed and gender-specific treatment are presented. Findings The conclusion is that we need a women and family perspective in substance abuse treatment and research. Moreover, a holistic and multidisciplinary treatment approach is needed since so many factors and aspects are involved. Originality/value Treatment programs should focus on long-term lifestyle changes and be tailored to the specific needs of diverse target populations. Modified TCs for women and men with children and/or dual diagnosis are definitely the future for TCs.
{"title":"Women’s treatment on men’s conditions: a critical evaluation of selected literature and research findings","authors":"V. Segraeus","doi":"10.1108/TC-01-2017-0002","DOIUrl":"https://doi.org/10.1108/TC-01-2017-0002","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000Deviant behavior was punished during the middle ages. In the seventeenth century, people were locked up in asylums. A first step towards humanization was taken by the founders of the moral treatment movement in the nineteenth century, but it declined at the end of that century. What we today call “milieu therapy” represents a new phase in treating mental illness and deviance. After the Second World War, the therapeutic community (TC) method was widely implemented in Europe, but the needs of different target populations were not dealt with equally. The paper aims to discuss these issues. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000In this contribution, the treatment needs of diverse populations of female drug abusers are addressed. Selected literature and research findings for women in mixed and gender-specific treatment are presented. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000The conclusion is that we need a women and family perspective in substance abuse treatment and research. Moreover, a holistic and multidisciplinary treatment approach is needed since so many factors and aspects are involved. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000Treatment programs should focus on long-term lifestyle changes and be tailored to the specific needs of diverse target populations. Modified TCs for women and men with children and/or dual diagnosis are definitely the future for TCs.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"32 1","pages":"187-192"},"PeriodicalIF":0.2,"publicationDate":"2017-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76669729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Vanderplasschen, S. Vandevelde, L. V. Damme, Rowdy Yates
{"title":"A search for integrating science, arts and practice: the legacy of Professor Eric Broekaert","authors":"W. Vanderplasschen, S. Vandevelde, L. V. Damme, Rowdy Yates","doi":"10.1108/TC-06-2017-0019","DOIUrl":"https://doi.org/10.1108/TC-06-2017-0019","url":null,"abstract":"","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"90 1","pages":"121-124"},"PeriodicalIF":0.2,"publicationDate":"2017-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78970765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Roets, P. Smeyers, M. Vandenbroeck, M. B. Bie, I. Derluyn, R. Roose, B. Vanobbergen, Lieve Bradt, A. V. Gorp
Purpose The purpose of this paper is to reflect on how Eric Broekaert perceived “Ortho-pedagogy” as an academic discipline. Design/methodology/approach The authors try to get a grasp on Broekaert’s point of view while cross-reading three central articles in which he explains his integrated and holistic paradigm of education. Findings One could argue that, while claiming that the different epistemological, ontological and methodological approaches underlying Eric Broekaert’s paradigm of holistic education are not easily integrated, the potential paradoxes he produced in this claim also enabled a “choc des idees” and challenged and enlightened a wide diversity of researchers and practitioners in taking a partial, locatable, critical, reflexive and temporary stance in educational praxis (Lather, 1991). Originality/value The authors discuss how Broekaert, as a companion in life, enabled them to cautiously embrace tensions, paradoxes and complexities in the development of an educational praxis.
{"title":"Du choc des idées jaillit la lumière : thinking with Eric Broekaert’s integrated and holistic paradigm of education","authors":"G. Roets, P. Smeyers, M. Vandenbroeck, M. B. Bie, I. Derluyn, R. Roose, B. Vanobbergen, Lieve Bradt, A. V. Gorp","doi":"10.1108/TC-03-2017-0010","DOIUrl":"https://doi.org/10.1108/TC-03-2017-0010","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000The purpose of this paper is to reflect on how Eric Broekaert perceived “Ortho-pedagogy” as an academic discipline. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000The authors try to get a grasp on Broekaert’s point of view while cross-reading three central articles in which he explains his integrated and holistic paradigm of education. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000One could argue that, while claiming that the different epistemological, ontological and methodological approaches underlying Eric Broekaert’s paradigm of holistic education are not easily integrated, the potential paradoxes he produced in this claim also enabled a “choc des idees” and challenged and enlightened a wide diversity of researchers and practitioners in taking a partial, locatable, critical, reflexive and temporary stance in educational praxis (Lather, 1991). \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000The authors discuss how Broekaert, as a companion in life, enabled them to cautiously embrace tensions, paradoxes and complexities in the development of an educational praxis.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"24 1","pages":"169-176"},"PeriodicalIF":0.2,"publicationDate":"2017-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74415691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose Developing therapeutic community (TC) programs in Australia for individuals on opioid substitution treatment (OST) has been a process spanning 16 years for the We Help Ourselves (WHOS) organization. Supported reduction of OST and stabilization services for those remaining on OST are offered to this population and continue to break down barriers of discrimination in offering the same services to all drug using populations. The paper aims to discuss these issues. Design/methodology/approach A number of research projects have been undertaken with the WHOS Opioid Treatment Program (OTP) TC services profiling clients accessing the services; looking at health benefits whilst in the programs; looking at retention and completion rates and conducting an evaluation post-treatment for one of the two programs currently being offered. Findings The excerpts from the research findings are presented identifying the complexity of individuals accessing WHOS services; highlighting the benefits for individuals on OST and assessing the effectiveness of the TC model for the client groups. Originality/value Working with multiple complex needs clients on OST in a residential TC environment offers many challenges and opportunity to work with an array of issues that present before during and after the residential stay. Provision of a history and overview of the WHOS OTP TC services and recent enhancements to these programs highlight a continuum of care for the individual on OST.
{"title":"Providing therapeutic community initiatives for individuals on opioid substitution treatment","authors":"C. Stubley, Garth Popple","doi":"10.1108/TC-04-2016-0009","DOIUrl":"https://doi.org/10.1108/TC-04-2016-0009","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000Developing therapeutic community (TC) programs in Australia for individuals on opioid substitution treatment (OST) has been a process spanning 16 years for the We Help Ourselves (WHOS) organization. Supported reduction of OST and stabilization services for those remaining on OST are offered to this population and continue to break down barriers of discrimination in offering the same services to all drug using populations. The paper aims to discuss these issues. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000A number of research projects have been undertaken with the WHOS Opioid Treatment Program (OTP) TC services profiling clients accessing the services; looking at health benefits whilst in the programs; looking at retention and completion rates and conducting an evaluation post-treatment for one of the two programs currently being offered. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000The excerpts from the research findings are presented identifying the complexity of individuals accessing WHOS services; highlighting the benefits for individuals on OST and assessing the effectiveness of the TC model for the client groups. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000Working with multiple complex needs clients on OST in a residential TC environment offers many challenges and opportunity to work with an array of issues that present before during and after the residential stay. Provision of a history and overview of the WHOS OTP TC services and recent enhancements to these programs highlight a continuum of care for the individual on OST.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"18 1","pages":"79-86"},"PeriodicalIF":0.2,"publicationDate":"2017-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89500418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose Therapeutic communities (and many other residential services) have been effectively marginalised in recent years with the increasing popularity of community-based outpatient responses to a variety of social issues including addiction, learning difficulties, mental health issues, etc. The paper aims to discuss this issue. Design/methodology/approach This has inevitably led to a low profile and has resulted in a lack of knowledge about therapeutic communities and how the methodology differs significantly from other approaches. Findings This situation is beginning to change in a number of fields and it is important that the therapeutic community movement adapts its methodology to the needs of their respective client groups and clarifies its approach (and the efficacy of that approach) to funders and service commissioners. Originality/value This paper is a personal contribution.
{"title":"The rise and fall and rise again of the therapeutic community","authors":"Rowdy Yates","doi":"10.1108/TC-05-2017-0014","DOIUrl":"https://doi.org/10.1108/TC-05-2017-0014","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000Therapeutic communities (and many other residential services) have been effectively marginalised in recent years with the increasing popularity of community-based outpatient responses to a variety of social issues including addiction, learning difficulties, mental health issues, etc. The paper aims to discuss this issue. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000This has inevitably led to a low profile and has resulted in a lack of knowledge about therapeutic communities and how the methodology differs significantly from other approaches. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000This situation is beginning to change in a number of fields and it is important that the therapeutic community movement adapts its methodology to the needs of their respective client groups and clarifies its approach (and the efficacy of that approach) to funders and service commissioners. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000This paper is a personal contribution.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"17 1","pages":"57-59"},"PeriodicalIF":0.2,"publicationDate":"2017-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75514794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose The therapeutic community (TC) is a widely used intervention program in treating substance use disorders. Despite its documented utility, researchers and practitioners are still perplexed on how it exactly works. The purpose of this paper is to suggest the role of attachment styles and treatment motivation in the TC process. Design/methodology/approach Applying an explanatory correlational research, this notion was tested by examining the responses of 200 patients with substance use disorder in a TC using mediation analysis. Findings The results revealed that attachment styles indirectly affect client’s clinical progress by the path of treatment motivation. Although the current study cannot conclude causality, the results provide empirical evidence suggesting that attachment activates motivation in treatment within the social dynamics of the TC, thus influencing clinical progress. Originality/value From these findings, recommendations for the modification of TCs along with considerations for further research, and socio-political implications are discussed.
{"title":"Attachment, motivation, and clinical progress in a Filipino therapeutic community: a mediation analysis","authors":"Sixtus Dane A Ramos","doi":"10.1108/TC-12-2016-0026","DOIUrl":"https://doi.org/10.1108/TC-12-2016-0026","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000 \u0000The therapeutic community (TC) is a widely used intervention program in treating substance use disorders. Despite its documented utility, researchers and practitioners are still perplexed on how it exactly works. The purpose of this paper is to suggest the role of attachment styles and treatment motivation in the TC process. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000 \u0000Applying an explanatory correlational research, this notion was tested by examining the responses of 200 patients with substance use disorder in a TC using mediation analysis. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000 \u0000The results revealed that attachment styles indirectly affect client’s clinical progress by the path of treatment motivation. Although the current study cannot conclude causality, the results provide empirical evidence suggesting that attachment activates motivation in treatment within the social dynamics of the TC, thus influencing clinical progress. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000 \u0000From these findings, recommendations for the modification of TCs along with considerations for further research, and socio-political implications are discussed.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"59 Pt B 1","pages":"108-118"},"PeriodicalIF":0.2,"publicationDate":"2017-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78923439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Capone, Louise G. Braham, T. Schröder, Nima G. Moghaddam
Purpose: This study aimed to explore staff and service users’ perceptions of therapeutic principles within a unique male high secure learning disability therapeutic community (LDTC). Design/methodology/approach: A qualitative approach was adopted using deductive content analysis and inductive thematic analysis. Twelve participants took part in a semi-structured interview to explore their perceptions of Haigh’s (2013) quintessence principles and any further additional therapeutic features in the environment not captured by the theory. Findings: All five quintessence principles were identified in the LDTC environment. Some limits to the principle of ‘agency’ were highlighted, with specific reference to difficulties implementing a flattened hierarchy in a forensic setting. Additional therapeutic features were identified including; security and risk, responsivity, and more physical freedom which appear to aid implementation of the quintessence principles. Research limitations/implications: The study was performed within a single case study design. Therefore results remain specific to this LDTC. However, the finding of these principles in such a unique setting may indicate Haigh’s (2013) quintessence principles are evident in other TC environments. Originality/value: This is the first research paper that has attempted to test whether Haigh’s (2013) quintessence principles are evident within a given therapeutic community. The research provides empirical evidence for the quintessence principles in a novel TC setting and suggests recommendations for future research.
{"title":"Perceptions of therapeutic principles in a therapeutic community","authors":"G. Capone, Louise G. Braham, T. Schröder, Nima G. Moghaddam","doi":"10.1108/TC-02-2017-0009","DOIUrl":"https://doi.org/10.1108/TC-02-2017-0009","url":null,"abstract":"Purpose: This study aimed to explore staff and service users’ perceptions of therapeutic principles within a unique male high secure learning disability therapeutic community (LDTC). \u0000Design/methodology/approach: A qualitative approach was adopted using deductive content analysis and inductive thematic analysis. Twelve participants took part in a semi-structured interview to explore their perceptions of Haigh’s (2013) quintessence principles and any further additional therapeutic features in the environment not captured by the theory. \u0000Findings: All five quintessence principles were identified in the LDTC environment. Some limits to the principle of ‘agency’ were highlighted, with specific reference to difficulties implementing a flattened hierarchy in a forensic setting. Additional therapeutic features were identified including; security and risk, responsivity, and more physical freedom which appear to aid implementation of the quintessence principles. \u0000Research limitations/implications: The study was performed within a single case study design. Therefore results remain specific to this LDTC. However, the finding of these principles in such a unique setting may indicate Haigh’s (2013) quintessence principles are evident in other TC environments. \u0000Originality/value: This is the first research paper that has attempted to test whether Haigh’s (2013) quintessence principles are evident within a given therapeutic community. The research provides empirical evidence for the quintessence principles in a novel TC setting and suggests recommendations for future research.","PeriodicalId":43236,"journal":{"name":"Therapeutic Communities","volume":"44 1","pages":"60-78"},"PeriodicalIF":0.2,"publicationDate":"2017-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87555375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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