Document Detail


Can a 12-step program work in methadone maintenance treatment?
MedLine Citation:
PMID:  20921264     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Three consecutive, professionally led (as opposed to self-help) groups following the 12-step program (TSP) were integrated into a methadone maintenance treatment (MMT) program that included 32 heroin-addicted individuals in recovery. This report describes our experience in meeting the challenges that arose and our conclusions regarding the therapeutic potential of this integration. A professional therapeutic staff guided the groups. In-depth interviews of 10 participants and the reflections of the group leaders provided data for learning about the groups' experience. Initially the participants rejected the concepts of Step 1, powerlessness and unmanageability of life. The assimilation of Step 4 (defining character defect) also aroused some resistance. The participants eventually adopted the pragmatic aspects of TSP, including its terminology. The establishment of a common language of recovery helped to create group coherence and a sense of belonging, and helped to meet the needs of those who felt stigmatized by both the nonaddicted and addicted population undergoing nonmethadone recovery. TSP could be adapted to various aspects of daily life, produced a sense of self-efficacy, and stimulated motivation for change. Therapeutic implications are discussed.
Authors:
Natti Ronel; Keren Gueta; Yali Abramsohn; Nir Caspi; Miriam Adelson
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Publication Detail:
Type:  Journal Article     Date:  2010-10-04
Journal Detail:
Title:  International journal of offender therapy and comparative criminology     Volume:  55     ISSN:  1552-6933     ISO Abbreviation:  Int J Offender Ther Comp Criminol     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0333601     Medline TA:  Int J Offender Ther Comp Criminol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1135-53     Citation Subset:  IM    
Affiliation:
1Bar-Ilan University, Ramat Gan, Israel.
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