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THE THERAPEUTIC COMMUNITY PERSPECTIVE

PHASE 1

VIEW OF DISORDER

Drug misuse is a disorder of the whole person involving some or all the areas of functioning

  • Cognitive, behavioral, emotional, medical, social, and spiritual problems.
  • Physical dependency must be seen in the context of the individual psychological status and lifestyle.
  • The problem is the person, not the drug

PHASE 2

VIEW OF PERSON

Rather than drug use patterns, individuals are distinguished along dimensions of psychological dysfunction and social deficits. Some shared characteristics.

  • Poor tolerance for frustration/discomfort/delay of gratification.
  • Low self-esteem
  • Problems with authority
  • Problems with responsibility
  • Poor impulse control
  • Unrealistic
  • Coping with feelings
  • Dishonesty/Manipulation/self-decetion.
  • Guilt (self, others, community)
  • Deficits (reading, writing, attention, communication)

PHASE 3

VIEW OF RECOVERY

The goal of treatment is global changes is lifestyle and identity. Some assumptions about recovery

  • Recovery is a developmental learning
  • Self-help and mutual self-help
  • Motivation
  • Social Learning
  • Treatment is an episode in the recovery process

PHASE 4

VIEW OF RIGHT LIVING

Certain precepts, beliefs, and values are essential to self-help recovery, social learning, personal growth, and healthy loving. Some example

  • Truth/Honesty
  • Hears and now
  • Personal responsibility(“brother’s/sister’s keeper”)
  • Moral code concerning right and wrong behavior
  • Work ethic
  • The inner person is “good”, but behavior can be “bad”
  • Change is the only certainty
  • Learning to learn
  • Economic self-reliance
  • Community involvement
  • Good citizenry