治疗社区：一种治疗成瘾及相关障碍的独特社会心理方法。
The Therapeutic Community: A Unique Social Psychological Approach to the Treatment of Addictions and Related Disorders.
作者信息
De Leon George, Unterrainer Human F
机构信息
Department of Psychiatry, NYU School of Medicine, New York City, NY, United States.
Center for Integrative Addiction Research (CIAR), Grüner Kreis Society, Vienna, Austria.
出版信息
Front Psychiatry. 2020 Aug 6;11:786. doi: 10.3389/fpsyt.2020.00786. eCollection 2020.
Abstract
The evolution of the contemporary Therapeutic Community (TC) for addictions over the past 50 years may be characterized as a movement from the marginal to the mainstream of substance abuse treatment and human services. TCs currently serve a wide array of clients and their diverse problems; through advances in research in treatment outcomes, the composition of staff has been reshaped, the duration of residential treatment has been reduced, the treatment goals have been reset and, to a considerable extent, the approach of therapy itself has been modified. An overview of the TC as a distinct social-psychological method for treating addiction and related disorders is provided by this paper. Included in this is a focus on the multifaceted psychological wounds that consistently show a strong association with addiction and thereby require initiating a recovery process characterized by life-style and identity changes.
摘要
当代成瘾治疗社区（TC）在过去50年的发展历程，其特点可概括为从物质滥用治疗和人类服务的边缘走向主流。目前，治疗社区服务着各种各样的客户及其形形色色的问题；随着治疗效果研究的进展，工作人员的构成得以重塑，住院治疗的时长缩短，治疗目标重新设定，并且在很大程度上，治疗方法本身也已被修正。本文概述了治疗社区作为一种独特的社会心理方法来治疗成瘾及相关障碍。其中重点关注了多方面的心理创伤，这些创伤始终与成瘾表现出强烈关联，因此需要启动一个以生活方式和身份改变为特征的康复过程。
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Front Hum Neurosci. 2017 Apr 28;11:208. doi: 10.3389/fnhum.2017.00208. eCollection 2017.
2
Insecure Attachment Styles and Increased Borderline Personality Organization in Substance Use Disorders.物质使用障碍中的不安全依恋模式与边缘型人格结构增强
Psychopathology. 2016;49(5):341-344. doi: 10.1159/000448177. Epub 2016 Sep 16.
3
"The Gold Standard" and Related Considerations for a Maturing Science of Substance Abuse Treatment. Therapeutic Communities; A Case in Point.《“黄金标准”及物质滥用治疗成熟科学的相关考量。治疗社区；一个恰当的例子》
Subst Use Misuse. 2015;50(8-9):1106-9. doi: 10.3109/10826084.2015.1012846.
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Addiction as a self-regulation disorder and the role of self-medication.成瘾作为一种自我调节障碍及自我药疗的作用。
Addiction. 2013 Apr;108(4):668-9. doi: 10.1111/add.12004.
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