Methadone maintenance: The addict's family recreated
Identifieur interne : 001E55 ( Main/Exploration ); précédent : 001E54; suivant : 001E56Methadone maintenance: The addict's family recreated
Auteurs : John Schwartzman [États-Unis] ; Peter Bokos [États-Unis]Source :
- International Journal of Family Therapy [ 0148-8384 ] ; 1979-12-01.
Abstract
Abstract: A study of four methadone clinics, the addicts treated at these clinics, and their families, reveals basic dissonances in treatment ideology and professional-paraprofessional relationships which, combined with the addict's particular mode of functioning, make significant change in his behavior improbable. Addiction, as used here, is a class of behaviors in which the addict acts purposefully to acquire heroin but concurrently defines this behavior as the result of an “out-of-control” craving. This is an adaptive response to contingencies in his natal family. Both the natal family of the addict and the methadone clinics will be described as aspects of a social system characterized by the paradoxical injunction “be out-of-control,” communicated to the addict by those in the system and his response. Dissonandes in the functioning of both the addict's family and the methadone clinics are transformed into the “flaw” in the addict that results in the behavior defined as his addiction. This transformation is maintained by the “treatment” provided by the clinics, described as a ritual whose covert function is the maintenance of dissonances in the system within tolerable limits, through fomalized procedures. This implicitly validates both the formal structure of the clinic and the “flaw” in the addict. At the same time, addictive behavior creates and maintains an increasingly inclusive social system characterized by similar “core dissonances”.
Url:
DOI: 10.1007/BF00924454
Affiliations:
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Huron St., 60611, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Bokos, Peter" sort="Bokos, Peter" uniqKey="Bokos P" first="Peter" last="Bokos">Peter Bokos</name><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">Chicago</settlement><region type="state">Illinois</region></placeName><wicri:orgArea>Illinois Dangerous Drugs Rehabilitative Systems</wicri:orgArea></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Family Therapy</title><title level="j" type="abbrev">International Journal of Family Therapy</title><idno type="ISSN">0148-8384</idno><idno type="eISSN">1573-3335</idno><imprint><publisher>Kluwer Academic Publishers-Human Sciences Press</publisher><pubPlace>New York</pubPlace><date type="published" when="1979-12-01">1979-12-01</date><biblScope unit="volume">1</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="338">338</biblScope><biblScope unit="page" to="355">355</biblScope></imprint><idno type="ISSN">0148-8384</idno></series><idno type="istex">436B59070E57B1F1DAE263D0DA2900CA6EA70A80</idno><idno type="DOI">10.1007/BF00924454</idno><idno type="ArticleID">BF00924454</idno><idno type="ArticleID">Art5</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0148-8384</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: A study of four methadone clinics, the addicts treated at these clinics, and their families, reveals basic dissonances in treatment ideology and professional-paraprofessional relationships which, combined with the addict's particular mode of functioning, make significant change in his behavior improbable. Addiction, as used here, is a class of behaviors in which the addict acts purposefully to acquire heroin but concurrently defines this behavior as the result of an “out-of-control” craving. This is an adaptive response to contingencies in his natal family. Both the natal family of the addict and the methadone clinics will be described as aspects of a social system characterized by the paradoxical injunction “be out-of-control,” communicated to the addict by those in the system and his response. Dissonandes in the functioning of both the addict's family and the methadone clinics are transformed into the “flaw” in the addict that results in the behavior defined as his addiction. This transformation is maintained by the “treatment” provided by the clinics, described as a ritual whose covert function is the maintenance of dissonances in the system within tolerable limits, through fomalized procedures. This implicitly validates both the formal structure of the clinic and the “flaw” in the addict. At the same time, addictive behavior creates and maintains an increasingly inclusive social system characterized by similar “core dissonances”.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Illinois</li></region><settlement><li>Chicago</li></settlement></list><tree><country name="États-Unis"><region name="Illinois"><name sortKey="Schwartzman, John" sort="Schwartzman, John" uniqKey="Schwartzman J" first="John" last="Schwartzman">John Schwartzman</name></region><name sortKey="Bokos, Peter" sort="Bokos, Peter" uniqKey="Bokos P" first="Peter" last="Bokos">Peter Bokos</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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