Search results

In drug-free Therapeutic Communities (TCs), people with addictions live together in order to achieve recovery in terms of a modified drug-free lifestyle. Central to the TC approach is the assumption that this shift is only achievable when “identity change” has taken place. However, this claim has rarely been addressed in TC research. Further insight into the nature and realization of such identity change might help to understand how this community approach contributes to long-term recovery. The paper aims to discuss these issues.

The present qualitative interview study explores the perspectives of ten former TC residents on their treatment and their process of change. To organize the interview data, Lacanian psychoanalytic theory on identity formation/change is used as a framework.

The common thread in the participants’ process of change is presented in three parts: their life before, in and after the TC. The substeps within these parts are illustrated with several quotes.

The findings highlight the value of innovative qualitative research designs to address the many challenges to addiction treatment research. A Lacanian reading of the data makes it possible to describe the subjective logic of the process of change in the TC, focusing on how substance (mis)use functions as an attempted solution in dealing with identity issues. By linking crucial TC ingredients such as the TC law and TC tools to the process of the identity change, a new reading of this long-term group approach is achieved.

This paper aims to reflect on how Lacanian psychoanalysis might inform management studies, and discuss limitations and consequences of adopting this particular framework for doing research in organizations.

The authors integrate existing literature on the topic, and try to articulate what Lacanian psychoanalysis contributes to the study of organizations and management; what its conceptual premises are; and which methodological consequences these premises have. Special attention is paid to the epistemological position of Lacanian psychoanalysis, and to potential pitfalls in using Lacanian theory.

The authors highlight the danger of Lacanian theory functioning as a dogmatic interpretative frame, and suggest countering this tendency by accentuating both the spirit of investigation fostered by Lacan and the ethical stakes of psychoanalytic intervention. The authors equally contend that Lacanian psychoanalysis problematizes the underpinnings of scientific discourse in general, with the epistemological foundations of the social sciences being called into question. Finally, they note that the scientific character of Lacanian psychoanalysis is itself open to contestation if approached from a positivistic point of view. Addressing these objections, the authors argue for the possibility of a promising epistemological convergence between psychoanalysis and management studies.

Overall, the authors' point is that Lacanian theory is unique in its systematic study of the dimension of the excluded and that it is in the study of this dimension that the benefit for organization and management research is to be found.

The purpose of this conceptual paper is to discuss the relevance of Lacanian psychoanalysis for thinking on organizational functioning and organizational change.

First, the authors discuss basic Lacanian ideas with regard to the notion of the unconscious and its discursive status and with respect to the crucial difference between the ego and the subject. Subjectivity is linked to the notion of the lack. The authors then address implications of Lacanian theory for thinking about and intervening in organisations.

It is argued that the non‐satisfying nature of work needs to be recognised, that organizational intervention entails an intervention on discourse, and that subjectivity is an issue to be recognized in the context of organizational functioning.

In discussing the implications of this point of view, the authors address the possibility of a psychoanalytic ecology of human resources.

Problem solving courts are a result of the therapeutic jurisprudence movement. Drug treatment courts (DTCs), for instance, aim to divert substance using offenders away from the criminal justice system (CJS) to (drug) treatment services. DTCs are associated with reduced criminal offending and substance use. Psychosocial outcomes of DTCs, such as employment, health and family relations, received only little attention. The paper aims to discuss these issues.

This paper focuses on the outcomes regarding substance use and psychosocial variables of a Belgian DTC situated in the Ghent region, which were investigated by a naturalistic evaluation study with a pre- post-design using judicial files.

The results show that Ghent DTC clients were diverted to drug treatment and financial counselling services. Next the Ghent DTC produced beneficial outcomes regarding employment. Contrary to criminal offending (De Keulenaer and Thomaes, 2013), substance use was not significantly reduced in the Ghent DTC sample. Yet more compliance with opioid maintenance treatment was observed. Information on more client centred outcomes such as health and social relations was lacking, precluding a full outcome measurement of psychosocial variables.

Future DTC studies should address more client centreed outcomes by gathering information through DTC clients and treatment services instead of solely relying on judicial data sources. In addition, DTCs should develop a clear and uniform registration system regarding these outcomes.

Since the therapeutic jurisprudence movement continues to expand, discussion regarding the roles and tasks of the CJS as well as treatment and counselling services is vital. Each actor should maintain its own role and task, regarding monitoring and substantive work, to insure a “problem solving approach” that is in line with the recovery philosophy.