Bell D C
Affilitated Systems Corporation, Houston, Texas 77027-6022.
Int J Addict. 1994 Mar;29(4):525-43. doi: 10.3109/10826089409047398.
The success of therapeutic community treatment is based on trust. Trust underlies the willingness of residents to endorse and profit from confrontations of their denial. Lack of trust can be seen to underlie the high dropout rate of many therapeutic communities. Social learning theory, which is usually cited as a theoretical foundation for therapeutic communities, does not explain the role of trust. Instead, we need an explanation of trust based on a logic of emotion rather than the cognitive, calculating logic of social learning. This logic can be found in the process of connection. Trust, in the theoretical orientation of connection, grows out of the resident's perception that community members care. This caring is revealed in their empathy for the resident, their willingness to take responsibility for helping the resident, and their nurturance. The resident's level of trust determines his (her) willingness to be open and responsive to the community. The implications of the connection process for the development of trust between new residents and old residents and between residents and staff are developed.
治疗性社区治疗的成功基于信任。信任是居民愿意认可并从面对自身否认中获益的基础。缺乏信任被认为是许多治疗性社区高辍学率的根源。社会学习理论通常被视为治疗性社区的理论基础，但它并未解释信任的作用。相反，我们需要一种基于情感逻辑而非社会学习的认知、算计逻辑的信任解释。这种逻辑可以在联系过程中找到。在联系的理论取向中，信任源于居民对社区成员关心的感知。这种关心体现在他们对居民的同理心、帮助居民的责任感以及他们的关爱之中。居民的信任程度决定了他（她）对社区开放并做出回应的意愿。文中还阐述了联系过程对新居民与老居民之间以及居民与工作人员之间信任发展的影响。
