GERSH, DAVID MARK; PHD
UNIVERSITY OF MIAMI, 1986
PSYCHOLOGY, CLINICAL (0622)
Social Network theory offers an excellent perspective for understanding recovery
from substance abuse.
The therapeutic community (TC) provides a setting that is particularly well
suited for investigating this
phenomenon. The present cross-sectional research examined the relationship between
social network
characteristics and treatment status in two modalities: residential and outpatient
drug-free.
Homogeneous samples of new and senior clients in good standing were selected
in a systematic,
nonprobability fashion, using a census of eligible respondents in each cohort.
Interviews were
conducted according to structured formats eliciting multiple indicators of network
properties and
membership characteristics along with data on attitudes and community performance.
Univariate tests
established group differences in network characteristics. Data reduction by
factor analysis yielded five
diverse network dimensions that explained 100% of the common variance. Multiple
analyses produced
consistent results. Both residential treatment groups (Re-entry and aftercare)
had an abundance of
close-knit ties and support providers, a peer group that promoted abstinence
and a positive attitude
toward help-seeking. In comparison, Residential Admissions were significantly
more likely to rely on kin,
had a more stable though dysfunctional network membership, lacked depth in both
quality and quantity
of ties, felt less satisfied with friendships and had lower expectations of
support. Outpatient Treatment
clients, in comparison with Aftercare subjects, were more likely to have network
members with whom they
had past drug involvement, were more dependent on relations of obligation, had
more durable
associations and had less substitutability in source of support. The networks
of the residential treatment
cohorts were very much alike and dominated by program peers and staff of recent
origin. Their networks
appeared to have undergone the most radical change since admission. Regression
analyses portrayed
residential treatment as playing a primary role in enhancing network strength
and achieving a break from
past associations. A positive network orientation seems to be a byproduct of
treatment, regardless of
type. Dependence on kin appears connected to past dysfunctionality and lack
of involvement in
conventional activities. These findings are discussed in light of social network
theory and measurement,
network reconstruction as an empirically supportable rehabilitation strategy
for substance abusers and
implication for intervention and research, with broader considerations concerning
TCs.
Social
Systems Simulation Group
P.O. Box 6904 San Diego, CA 92166-0904 Roland Werner, Principal Phone/FAX (619) 660-1603 |