CONTENTS
 

Preface:
     Anthony Slater,
     Sonia Toteva, PhD.
..... 11 
..... 12 

Chapter one
Evolution of the therapeutic communities

..... 15 

Chapter two
Theoretical Approaches to addictions
     Bio-psycho-social approach
     Systemic approach
     Psychological approach
     Medico-epidemiological approach
     Sociological approach

..... 20 
..... 20 
..... 22 
..... 24 
..... 30 
..... 32 

Chapter three
Substance abuse treatment. General principles

..... 36 

Chapter four
The therapeutic community as a model and method
     Theoretical approaches to understanding
     the therapeutic community model.
     Psychosocial profiles of residents
     in the therapeutic community
     Basic concepts of the community as a method
     Philosophy of treatment

..... 41 

..... 41 

..... 46 
..... 50 
..... 53 

Chapter five
Program Stages
     Orientation
     Primary treatment
     Reentry

..... 56 
..... 56 
..... 56 
..... 57 

Chapter six
The therapeutic community as a treatment structure
     Rules in therapeutic community
     Daily regimen
     Hierarchical organization
     Procedures
     Communication in the therapeutic community
     Relations in the therapeutic community

..... 61 
..... 61 
..... 62 
..... 62 
..... 65 
..... 66 
..... 67 

Chapter seven
Therapeutic activities
     Community enhancement activities
          • the morning meeting
          • the evening meeting
          • the general meeting
          • seminars
     Therapeutic activities for bevaviour management
          • tools for support
          • sanctions
          • verbal correctives
          • disciplinary interventions
     Therapeutic groups
          • therapeutic group factors
          • stages of group dynamics
          • tools of group process
          • groups

..... 69 
..... 69 
..... 69 
..... 70 
..... 70 
..... 71 
..... 72 
..... 72 
..... 73 
..... 73 
..... 74 
..... 78 
..... 79 
..... 82 
..... 84 
..... 85 

Chapter eight
The process of change in the therapeutic community
     Individual change
     Mechanism of the change


..... 93 
..... 94 
..... 97 

Chapter nine
Integrating cognitive-behavioural therapy
in the therapeutic community model
     Cognitive theory
     Cognitive therapy practice
     Application of cognitive therapy in addictions


... 102 
... 102 
... 109 
... 110 

Chapter ten
Research of treatment effectiveness
in therapeutic communities
     Treatment effects on the use of psychoactive substances
     Treatment effects on psychological functioning
     Treatment effect on in therapeutic community
     criminal behaviour
     Treatment effect on social functioning


... 123 
... 124 
... 125 

... 126 
... 128 

Chapter eleven
Service standards for addiction therapeutic communities

... 134 

Bibliography
... 156 

Annotation in English
... 178 

 
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