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Related Experiment Videos

Defining and understanding the therapeutic community

H A Wilmer

    Hospital & Community Psychiatry
    |February 1, 1981
    PubMed
    Summary

    Therapeutic communities, a type of milieu therapy, have diverse meanings. This study explores their history and ideology, finding the most effective therapy in flexible, center-based communities.

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    Area of Science:

    • Psychiatry
    • Psychology
    • Social Sciences

    Background:

    • The concept of therapeutic community (TC) encompasses diverse milieu therapy techniques, leading to varied interpretations.
    • Understanding the historical evolution and ideological underpinnings of TCs is crucial for clarifying their application.

    Observation:

    • The study traces the origins of therapeutic communities to British military hospitals during World War II.
    • It examines the development of the TC concept as a distinct treatment ideology.
    • TCs are classified based on their therapeutic ideology: left, center, or right.

    Findings:

    • The research identifies 'center' TCs as the least dogmatic and most flexible typology.
    • These flexible, center-based TCs are posited as the most effective form of therapy.

    Implications:

    • This classification provides a framework for understanding and potentially improving TC effectiveness.
    • The findings suggest that adaptability and reduced dogmatism are key components of successful therapeutic communities.
    • Further research into center-based TCs could refine milieu therapy approaches.

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