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This article examines models of addiction and heroin treatment outcomes as well as the history of xenophobia, racial scapegoating, and misinformation in the promotion of narcotics prohibition in the United States. The moral model of addiction holds that punishment of the addict will be effective deterrence, yet punishment has not prevented heroin use, and narcotics control costs continue to spiral. The medical model of addiction, the dominant philosophical underpinning for current treatment methods, is shown to lack scientific corrobora‐tion and therefore to be inappropriate as a basis for policy on heroin use and inadequate to govern options in heroin addiction treatment. The discouraging outcomes of all modes of heroin addiction treatment indicate that treatment will not end the demand for the drug. Gradual legalization of heroin, while instituting formal and informal social structures geared to controlled use, is recommended.  相似文献   

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An empirical study of dichotomous personality differences distinguishing social work clinicians and researchers is reported. The personality differences were confirmed. Several gender differences were also confirmed. However, these differences were weakpredictors of research attitudes compared to terminal degree. Implications for practice and education are offered.  相似文献   

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In this article, the author describes a possibly unfamiliar unconscious, namely the unconscious that arises from how our brains have evolved. That unconscious is active in sense perceptions, in many verbal and nonverbal aspects of language, and from our brains' propensity to posit instant explanations independent of relevant information. All of the sources used in the exposition are readily available to persons without any formal knowledge of sense perception, evolutionary psychology, linguistics, or neuroscience. As the narrative proceeds, applications to social work knowledge are presented.  相似文献   

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Contemporary psychoanalysis is a multisensory collaboration between patient and analyst that is deeply compatible with core social work values. It is a process requiring creative ways of listening and responding to facilitate new understanding and transformation. This report proposes that dedicated artistic pursuit serves to nurture and expand the empathic capacity of the clinical social worker. The author’s synchronous study of partnered dance and training in psychoanalysis offers an example of the arts as a model and parallel process of healing as well as a source of restorative and generative functions.  相似文献   

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This commentary amplifies the dynamic strategies in Message in a Bottleto consider in working with clients who seek to augment psychotherapy with psychopharmacologic treatment. This commentary also addresses how to evaluate and enhance psychotherapy outcome independent of medications and reviews some of the factors which contribute to positive treatment outcome. In order for clinicians to resist the pervasive colonizing effects of the medical model, this commentary reevaluates some of the claims that medications seem to promise and reinforces data which demonstrate that psychotherapy remains a safe and effective first-line treatment.  相似文献   

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