The Therapeutic Community: Theory, Model, and Method
George De Leon PhD | 2000-04-07 00:00:00 | Springer Publishing Company | 472 | Compulsive Behavior
This volume provides a comprehensive review of the essentials of the Therapeutic Community (TC) theory and its practical "whole person" approach to the treatment of substance abuse disorders and related problems. Part I outlines the perspective of the traditional views of the substance abuse disorder, the substance abuser, and the basic components of this approach. Part II explains the organizational structure of the TC, its work components, and the role of residents and staff.
The chapters in Part III describe the essential activities of TC life that relate most directly to the recovery process and the goals of rehabilitation. The final part outlines how individuals change in the TC behaviorally, cognitively, and emotionally. This is an invaluable resource for all addictions professionals and students.
In this book George De Leon has set the bar very high for all future academic work on therapeutic communities. He provides the historical perspective as well as all current research up to the time of its publication. Both theory and practice are explained in detail. If you want to learn about the therapeutic community model, this is the book to read. Clearly, with its over 90% success rate, the therapeutic community model is the gold standard for addiction treatment across the world.
I have been working in the addiction treatment field for over 20 years, including in the Therapeutic Community setting. This book is the best overview of the model ever done. It provides a balance of the theory behind the philosophy and interventions of the TC, while also speaking to the specific activities which take place. If you really want to read about the premise of this approach, this book is the place to start.
As a rank amateur, a square who volunteers at a 'half-way house' for indigent returning ex-offenders and recovering addicts, I have found this book of immense value in suggesting ways in which group living can be combined with 'self help' and even cognitive-emotional-behavioral therapy as a positive force for personal change. But it also told me much more than I wanted to know about the details involved in running a large scale program with significant financial and residential resources and a professional staff. Its relatively brief discussion of the "stages of change" can be complimented by the excellent "Group Treatment for Substance Abuse, a Stages-of-Change Therapy Manual," by Mary Velasquez and her colleagues.I hope this author soon turns his considerable experience and expertise and abilities as a clear exponent of complex ideas to the problems faced by programs run on a shoe string, with no professional staff, but attempting to serve persons with problems and life circumstances exactly like those of the typical TC resident.
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