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Accessible and practical, Deconstructing Psychopathology provides a critical perspective on the institutions, practices, and presuppositions that underlie the study of psychopathology. The authors, who come from such areas as clinical psychology, psychiatric social work, psychoanalysis, and action research, challenge the traditions of the field in three ways: First, they analyze the notion of psychopathology as a conventional term in psychology and psychiatry, through the language and institutions that keep it in place. Next, they explore the deconstructive responses and resources and their implications for the theoretical practices that sustain clinical treatments. And finally, they offer an alternative way of seeing psychopathology along with practical models for critical professional work and good practice.
A book like no other on the subject of Therapeutic Community (TC). The book is not only an elaboration of the principles and practices of the TC, but an exposition of its original concepts and their relevance to current practices in the treatment of addiction. It provides numerous examples that add clarity and experiential flavor to the entire presentation. There is a dearth of literature on the Concept-Based TC, particularly a standard of practice in the applications of its methods and approaches. Historically, most TC practitioners rely on experiential knowledge in implementing TC programs and disseminating information to clients. It is a book for all practitioners of the arts and science of healing and recovery from substance abuse and other addictions, including some mental afflictions. It covers a wide range of subjects related to evidence-based practices in the treatment of addiction. Besides tackling important issues and challenges facing the TC, it also provides ideas on how to bring the TC approach up to date with current understanding of addiction and treatment practices. Included in the book are client Workbooks, one on Orientation and Introduction of the TC and another on the Encounter Group, both of which are designed to help clients adapt to the TC environment more rapidly. The book is written both from experience and deep understanding of the rich traditions and philosophy of the TC and its potentials for healing addiction and other modern human maladies.
The Therapeutic Community: Research and Practice brings together the diverse lens of these communities, illuminating and challenging current practice models and research. The book seeks to demonstrate the working collaboration between research-based and practice-based research, as well as filling the gaps for professions in behavioral health, neurobiology, corrections and workforce development. Each chapter explores how both environment and modality work together to change the quality of an individual's life. The reader is provided with a foundation and introduction to the language of 'Democratic' and 'Concept-based' TCs. This book presents case studies, protocols, fidelity measures and emerging research to help readers incorporate applications into their own practice. - Provides a foundation, including historical perspective to present day therapeutic communities - Presents case studies, protocols and fidelity measures, including emerging research to help guide application towards a more unified practice - Addresses future implications, including modifications and/or adaptations for expanding treatment settings and populations
This book aims to explore the evidence supporting the therapeutic community (TC) modality as a uniquely effective approach to care of individuals living with opioid use disorder and other addictions, and also to identify salient mediators of improved outcome, including long-term treatment and removal from the opioid-associated environment. The book includes multiple international perspectives and is designed for worldwide appeal—for countries that have established some TCs with success, those looking to improve care, and those looking to build them for the first time. Written by experts in addiction psychiatry and medicine, this book describes the unique role of therapeutic communities in treating substance use disorders, how the model has changed over time and adapted to diverse sociocultural contexts and systems of care, and how the TC model may serve an important population in the context of the current opioid epidemic. The chapters are written so as to be accessible for clinicians across specialties and professions. The Opioid Epidemic and the Therapeutic Community Model is an excellent resource for all professionals interested in diverse and effective models of care to treat opioid use disorder and other addictions, including addiction medicine specialists, psychiatrists, psychologists, rehabilitation administrators, hospitalists, social workers, public health workers, students, and the interested public
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.
Stigma continues to play an integral role in the multifaceted issues facing mental health. While identifying a clear operational definition of stigma has been a challenge in the field, the issues related to stigma grossly affect not only the mental health population but society as a whole. Deconstructing Stigma in Mental Health provides emerging research on issues related to stigma as a whole including ignorance, prejudice, and discrimination. While highlighting issues such as stigma and its role in mental health and how stigma is perpetuated in society, this publication explores the historical context of stigma, current issues and resolutions through intersectional collaboration, and the deconstruction of mental health stigmas. This book is a valuable resource for mental health administrators and clinicians, researchers, educators, policy makers, and psychology professionals seeking information on current mental health stigma trends.
Addiction is increasingly being recognized as a major global public health issue, and an ever-growing number of medical specialties, psychological and social science training programs, and professional associations are including addiction as part of their training and continuing education curricula. The first edition of this book presented an overview of the spectrum of addiction-related problems across different cultures around the globe. Sharing the experience and wisdom of more than 260 leading experts in the field, and promoted by the International Society of Addiction Medicine, it compared and contrasted clinical practices in the field of addiction medicine on the basis of neurobiological similarities as well as epidemiological and socio-cultural differences. Building on the success of this inaugural edition, and taking into account the formal and informal comments received as well as an assessment of current need, this textbook presents general updated information while retaining the most requested sections of the first edition as demonstrated by the number of chapter downloads. It also provides a basic text for those preparing for the ISAM annual certification exam. Written by some 220 international experts, it is a valuable reference resource for anyone interested in medicine, psychology, nursing, and social science.
The Handbook of Applied System Science is organized around both methodological approaches in systems science, and the substantive topic to which these approaches have been applied. The volume begins with an essay that introduces three system science methods: agent-based modeling, system dynamics, and network analysis. The remainder of the volume is organized around three broad topics: (1) health and human development, (2) environment and sustainability, and (3) communities and social change. Each part begins with a brief introductory essay, and includes nine chapters that demonstrate the application of system science methods to address research questions in these areas. This handbook will be useful for work in Public Health, Sociology, Criminal Justice, Social Work, Political Science, Environmental Studies, Urban Studies, and Psychology.
Dr. Perfas provides an intriguing account of the history, dispersion, and evolution of the therapeutic community (TC). His discussion of the TC's transformations, which he refers to as hybridization, is insightful. He cautions, however, practitioners of the perils of the TC culture beginning to drift farther and farther from its fundamental principles as it is adopted and adapted in different settings. The delineation of the TC's practice principles provides guidelines for keeping the TC true to its substance while variations of its form are taking place. The issues involved in integrating evidence-based practices into the TC are discussed while underscoring the importance of keeping the fidelity to TC practice. His description of a bi-modal TC comprised of a social system and a treatment model, offers a fresh perspective for understanding the workings of the TC and designing outcome studies. Grounding the TC on psychological theories is an important step for moving the TC forward into the future. He explains how the principles of attachment theory can enrich the theoretical base of the TC model and reinforce its relevance in the treatment of addictive disorders.
Drawing upon original qualitative research with prisoners in three democratic therapeutic communities (TCs), this book provides a unique sociological portrayal and new criminological understanding of the TC's rehabilitative regime and culture.