[Show abstract][Hide abstract] ABSTRACT: Family therapy takes a special position in the therapeutic community for substance abusers (TC). In the early therapeutic communities, the family of origin was not considered as important for the substance abuser's recovery process, and was even labelled as part of the problem. It was only in the 1970s that the TC acknowledged the significance of family involvement in treatment. Nowadays, the contextual vision of Ivan-Boszormenyi-Nagy seems to have a strong impact on family counselling activities in Belgian TCs.
In this article, the integration of contextual thinking in the TC is discussed. By means of a case study, it is shown that there are some clear parallels between the treatment evolutions in family counselling and the peer group community. The central position of trust both in contextual therapy and the TC treatment model is an important common ground for stimulating integration. Some obstacles that can disrupt this integration process are discussed.
No preview · Article · Jul 2004 · Journal of Family Therapy
[Show abstract][Hide abstract] ABSTRACT: Some literature indicates an evolution in the concept underlying therapeutic communities (TC, for substance abusers), where encounter group methods evolved from harsh confrontation to dialogue and discussion. The literally transcribed proceedings of two similar encounter groups, held at a 20-year interval, were systematically analyzed on four main variables: direction of communication sequences and associated behavior, emotions, and attitudes of all participants (staff members and "older" and "newer" residents). In general, "toward" and "back" messages are relatively more balanced in the "new" encounter (2000) as compared with the "old" encounter (1980). Furthermore, associated behavior in the "new" encounter is found to be more supportive, whereas ventilated emotions are more negative than in the "old" encounter. The number of communication units within the "old" and "new" encounter, characterizing a positive or negative attitude, seems to have remained stable over the years. These findings support the reported evolution in encounter groups, where the focus has moved from mutual confrontation toward balanced and respectful dialogue.
No preview · Article · Mar 2004 · Addictive Behaviors