A Qualitative Analysis of a Treatment System in Therapeutic Community "Amity" : Focusing on Group Dynamics within the Tripartite Role in a Therapeutic Community

Abstract

This study clarifies the treatment system in therapeutic community (TC) 'Amity' in the U.S.A. It aims to introduce a TC method to Japanese addiction recovery field, since we have not yet started a traditional TC in Japan. Observation and interviews conducted with residents and apprentices and staff members aimed to discuss the pluralistic structure in Amity. A qualitative analysis of the interviews, conducted with 12 students and apprentices and staff members, was based on three perspectives; philosophy, structure and practice. It showed that the Amity treatment system integrates professional treatment method and self-help approach. The system included the intermediate role of apprentice between traditional relationship clients and professionals, and showed that every position has various roles. This was named the "tripartite treatment system".