| Titre : | Rethinking confrontation in alcohol and drug treatment: consideration of the clinical context |
| Titre traduit : | (Repenser la confrontation dans le traitement des problèmes d'alcool et de drogues : considération du contexte clinique) |
| Auteurs : | D. L. POLCIN |
| Type de document : | Périodique |
| Année de publication : | 2003 |
| Format : | 165-184 |
| Note générale : |
Substance Use and Misuse, 2003, 38, (2), 165-184 |
| Langues: | Anglais |
| Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
| Mots-clés : |
Thésaurus mots-clés TRAITEMENT ; ALCOOL ; COMMUNAUTE THERAPEUTIQUE ; GUERISON ; EFFICACITEThésaurus géographique ETATS-UNIS |
| Résumé : |
ENGLISH : The role of confrontation in the treatment of substance misuse problems is widely debated in the field. Historically, confrontation of denial has been important in treatment, particularly in residential programs. However, confrontation has also been criticized as counterproductive. Miller et al. colleagues have found that confrontation from treatment professionals is correlated with poor outcome. This paper reviews the literature supporting and criticizing confrontation. It is suggested that confrontation is not a monolithic concept. Rather, it is contingent upon clinical contextual factors that current research has not addressed, such as the treatment setting, treatment philosophy, client characteristics, the client's view about their relationship with confronter, the extent to which the client views the confrontation as legitimate, the client's perception of the confronter's motivation, and the level of emotional intensity involved in the confrontive exchange. Confrontation from multiple sources requires more focus, including confrontation from treatment peers, family members, the workplace, the legal system, social welfare workers, and medical professionals. (Editor's abstract.) |
| Domaine : | Plusieurs produits / Several products |
| Refs biblio. : | 18 |
| Affiliation : |
Haight Ashbury Free Clinics, Dept. Res. Edu. Training, 603 Clayton st., San Francisco, CA 94117. E-mail : dpolcinresearch-hafci.com Etats-Unis. United States. |
| Numéro Toxibase : | 404156 |
| Centre Emetteur : | 04 CIRDD-51 |
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