Moral development as a crucial treatment goal for young people in institutional care: a critical comparison between milieu therapy and cognitive behavioral therapy
Therapeutic Communities: The International Journal of Therapeutic Communities
ISSN: 0964-1866
Article publication date: 3 September 2012
Abstract
Purpose
This article aims to analyze and discuss the role of moral development in treatment of behavior problems and, further, to describe differences and similarities between two different methods – milieu therapy (MT) and cognitive behavioral therapy (CBT) – in terms of addressing criminogenic needs and promoting moral development.
Design/methodology/approach
By performing a literature review, the study shows that even though there are both pros and cons using MT and CBT in institutional care, relationships strong enough to restructure a young person's moral reasoning require time, and involves not only the young person's parents and social network members, but also a genuine therapeutic alliance with clinical staff at the institution.
Findings
These are central factors articulated in both CBT and MT, but are more explicitly expressed in MT. The results presented in this article highlight some important practical implications: in order to redevelop moral self and societal values, an overly narrow focus on criminogenic needs might exclude other components or processes of treatment and behavioral change. Together with a treatment program that views close staff‐resident interactions as of secondary importance, this could impair the possibility to obtain positive and long‐lasting treatment results.
Originality/value
In practice, moral development itself should be considered as an overall treatment goal, integrated into the daily life at the institution, 24 hours a day. Finally, the possibility to work with moral development in institutional settings is discussed.
Keywords
Citation
Ahonen, L. and Degner, J. (2012), "Moral development as a crucial treatment goal for young people in institutional care: a critical comparison between milieu therapy and cognitive behavioral therapy", Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. 33 No. 1, pp. 4-15. https://doi.org/10.1108/09641861211286285
Publisher
:Emerald Group Publishing Limited
Copyright © 2012, Emerald Group Publishing Limited