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Therapeutic Communities: Past, Present and Future

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The recent renaissance of the concept of the Therapeutic Community acts as a challenge to orthodox psychiatric management. It propounds a radical group-based therapeutic approach which is fundamentally opposed to many current policies and approaches, such as the reliance on medication for containment of distress. This volume, which describes and develops the theory behind the concept of Therapeutic Communities, emphasizes the caring aspect of psychiatric work, and explores the question of what is therapeutic and antitherapeutic about care in institutions. The book focuses on the historical and social background to the communities; good practice for those working in them; the different types of community; and future developments in this growing area.
Part 1 Our roots: a momentous experiment, Tom Harrison; social psychiatry, David Clarke; psychoanalytic origins, R.D. Hinshelwood; group analytic ideas, Davey Rawlinson; nursing, Richard Byrt. Part 2 Modern practice: joining and leaving, Kingsley Norton; boundaries, Penelope Campling; ethics and consent, Jane Knowles; sound and fury, Theresa Black; creativity and play, Bridget Higgins and Chris Newrith. Part 3 Specialist communities: chaotic personalities, Penelope Campling; schizophrenia, Geoff Pullen; community care, Sarah Tucker; the prison communities, Roland Woodward; children and adolescents, Melvyn Rose. Part 4 The future: training , Yannis Tsegos; research, Janine Lees; survival and growth in the marketplace, Steffan Davies; European therapeutic communities, David Kennard; the mysterious ingredients, Rex Haigh.
The theory and practice of large group work, the ability to flatten the hierarchy yet to ensure firm leadership, and the recognition that our patients and residents are sometimes better able to assist each other, are important insights... The radical and alternative strategies for patient care that come across from the contributors to this book are the life blood for any renewal of community psychiatry.
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