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Connection in therapeutic communities

D C Bell1

  • 1Affilitated Systems Corporation, Houston, Texas 77027-6022.

The International Journal of the Addictions
|March 1, 1994
PubMed
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Trust is crucial for therapeutic community treatment success. A connection-based emotional logic, emphasizing caring, empathy, and responsibility, explains trust development better than social learning theory, impacting resident engagement and reducing dropout rates.

Area of Science:

  • Psychology
  • Social Sciences
  • Addiction Treatment

Background:

  • Therapeutic community (TC) treatment success hinges on resident trust.
  • Lack of trust correlates with high dropout rates in TCs.
  • Social learning theory inadequately explains the role of trust in TCs.

Purpose of the Study:

  • To propose a new theoretical framework for understanding trust in therapeutic communities.
  • To explain trust development using a logic of emotion and connection, rather than cognitive social learning.
  • To explore how perceived caring influences resident trust and engagement.

Main Methods:

  • Theoretical analysis integrating social learning theory with connection theory.
  • Examination of the role of empathy, responsibility, and nurturance in fostering trust.

Related Experiment Videos

  • Exploration of trust dynamics between residents and staff.
  • Main Results:

    • Trust development in TCs is better explained by a connection process rooted in perceived caring.
    • Caring behaviors (empathy, responsibility, nurturance) are key to building resident trust.
    • Resident trust levels directly influence openness and responsiveness to treatment.

    Conclusions:

    • A connection-based model provides a more robust explanation for trust in therapeutic communities.
    • Building trust through perceived caring is essential for enhancing resident engagement and treatment outcomes.
    • Understanding these dynamics can improve therapeutic community interventions and reduce dropout rates.