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Article
Publication date: 14 February 2022

Sixtus Dane Asuncion Ramos and Allan B. I. Bernardo

The therapeutic community (TC) is a widely used treatment approach for substance use disorders. Several psychological theories have been used to explain its processes but have put…

Abstract

Purpose

The therapeutic community (TC) is a widely used treatment approach for substance use disorders. Several psychological theories have been used to explain its processes but have put less emphasis on the specific contributions of the person’s cognitive resources. This paper aims to offer a theoretical conceptualization using the locus-of-hope theory which expounds on the person’s goal-directed thinking and how it bolsters the TC process.

Design/methodology/approach

This paper reviewed contemporary theoretical perspectives on TCs and studies on locus-of-hope theory to provide arguments for locus-of-hope’s utility in understanding TCs. From this review, this paper discusses a formal conceptualization of TCs using the locus-of-hope model.

Findings

In this conceptualization, the authors explained that the TC becomes a co-agent in the person’s goal-pursuit by strengthening the individual’s beliefs regarding one’s capability to develop goals together with the will and strategies to attain these important recovery goals. The person’s hopeful thinking boosts the TC protocols in a dynamic fashion.

Originality/value

This paper offers a locus-of-hope perspective that considers the person’s contributions in bolstering the TC process. Reflections on clinical and research implications were provided. This paper aids further in unboxing of the TC.

Details

Therapeutic Communities: The International Journal of Therapeutic Communities, vol. 43 no. 1
Type: Research Article
ISSN: 0964-1866

Keywords

Article
Publication date: 12 June 2017

Sixtus Dane Ramos

The therapeutic community (TC) is a widely used intervention program in treating substance use disorders. Despite its documented utility, researchers and practitioners are still…

Abstract

Purpose

The therapeutic community (TC) is a widely used intervention program in treating substance use disorders. Despite its documented utility, researchers and practitioners are still perplexed on how it exactly works. The purpose of this paper is to suggest the role of attachment styles and treatment motivation in the TC process.

Design/methodology/approach

Applying an explanatory correlational research, this notion was tested by examining the responses of 200 patients with substance use disorder in a TC using mediation analysis.

Findings

The results revealed that attachment styles indirectly affect client’s clinical progress by the path of treatment motivation. Although the current study cannot conclude causality, the results provide empirical evidence suggesting that attachment activates motivation in treatment within the social dynamics of the TC, thus influencing clinical progress.

Originality/value

From these findings, recommendations for the modification of TCs along with considerations for further research, and socio-political implications are discussed.

Details

Therapeutic Communities: The International Journal of Therapeutic Communities, vol. 38 no. 2
Type: Research Article
ISSN: 0964-1866

Keywords

Article
Publication date: 15 March 2019

Sixtus Dane Asuncion Ramos

The Philippines’ nationwide campaign on drugs has been under the limelight due to its controversial approaches in dealing with the problem of addiction. Despite the government’s…

Abstract

Purpose

The Philippines’ nationwide campaign on drugs has been under the limelight due to its controversial approaches in dealing with the problem of addiction. Despite the government’s current efforts, substance use disorders continue to persist within the population. The purpose of this paper is to provide recommendations for addressing the issue of substance use disorder treatment through a modification of the therapeutic community (TC) in the Philippine context.

Design/methodology/approach

This conceptual paper reviews the existing facts about the Philippines’ campaign against drugs, the approaches implemented by the government, current state and research developments of TCs, and its resulting impact on contemporary evidence-based treatment for addiction in the country.

Findings

A treatment framework outlining a recovery-oriented therapeutic community (ROTC) is presented. The ROTC aims to address addiction as a chronic, relapsing disease. This alternative approach for addiction treatment in the Philippines is based on the concept of recovery, principles of effective substance use disorder treatment, and recent developments in TC best practices from the international community.

Originality/value

This paper discusses different recommendations for policy development, interventions and research, aimed at improving the odds of securing recovery for people suffering from addiction.

Details

Therapeutic Communities: The International Journal of Therapeutic Communities, vol. 40 no. 1
Type: Research Article
ISSN: 0964-1866

Keywords

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