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THERAPEUTIC-COMMUNITIES  October 2011

THERAPEUTIC-COMMUNITIES October 2011

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Subject:

SV: [EFTC] Alexandre Peyre: Sexual relations in TC:s

From:

Hanne Holm Hage-Ali <[log in to unmask]>

Reply-To:

Therapeutic Communities <[log in to unmask]>

Date:

Fri, 7 Oct 2011 11:55:31 +0200

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (527 lines)

At Opbygningsgården in Denmark we do not have any rules about throwing residents out if they have a sexual relationship during their time here.
When we started the Therapeutic Community model here in 1991 we also had a rule that having a sexual relationship between two residents could be grounds for being thrown out.  But we have got rid of that rule.  Not because we think that two residents having a sexual relationship whilst in treatment here is a good idea, but because we feel that it is better to work with the problem (if it is a problem) and talk openly about it, instead of throwing people out, and that it in the past often resulted in residents keeping their sexual relationships secret.
In practice we deal with the problems/issues that arise in men's group and women's group, in individual therapy sessions, and we sometimes bring the issue up in our encounter groups. 
We talk to the residents about contraception and sexually-transmitted diseases in the men's and women's groups.  We talk about sexual relationships, sexual abuse and dependency, and the residents share their own experiences and confront each other regarding their bad behaviour.
The issue is also raised in our encounter groups in the same way as other types of negative alliance between residents.  We will always consider it to be a bad thing when someone withdraws from the community and builds a negative alliance.
The issue is also dealt with in individual therapy sessions, eg that a resident might have had  sexual behaviour with no boundaries or might have been subjected to sexual abuse which has resulted in a specific type of behaviour now.
In hindsight we are very pleased that we have changed this rule.  The residents learn a lot about sexuality and relationships.  We also find that fewer residents start a sexual relationship with each other than used to be the case, maybe because we talk about it more with them these days.
We also have residents who are in a steady relationship before they come to us, and who come to us as a couple and both receive treatment here. We spend a lot of time during the pre-treatment phase talking about the importance of them each having an individual treatment process and taking part in the programme as individuals, on the same footing as the other residents in the community. 
It is my experience that it is a very difficult process changing rules and practice in the Therapeutic Community.  You need to have very good arguments and you have to fight for a long time to change things.  Have any of you had the same experience?


Med venlig hilsen

Hanne Holm Hage-Ali
Daglig leder
Opbygningsgården
Årbækvej 10, Skyum, 7752 Snedsted
Tel:  97 93 69 55
Mobil: 20 62 09 75
Fax: 97 93 69 95
www.opbygningsgaarden.dk
mail: [log in to unmask]





-----Oprindelig meddelelse-----
Fra: Therapeutic Communities [mailto:[log in to unmask]] På vegne af Wendy Dawson
Sendt: 6. oktober 2011 15:55
Til: [log in to unmask]
Emne: Re: [EFTC] Alexandre Peyre: Sexual relations in TC:s

Here at the Ley Community we observe the very same three principles 
1. no drugs or alcohol
2. no sexual relations
3. no physical violence

And it continues today as it did in 1971 when we were first established. 

Wendy

Wendy Dawson
Chief Executive
 
The Ley Community
Celebrating 40 years of helping people recover from serious addiction
Centre for Social Justice Award Winner 2010
Sandy Croft, Sandy Lane, Yarnton  Oxford  OX5 1PB
Everyone Deserves a Second Chance
 
Tel:  +44 (0)1865 378600   Fax:  +44 (0) 1865 842238
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-----Original Message-----
From: Therapeutic Communities [mailto:[log in to unmask]] On Behalf Of hbl
Sent: 05 October 2011 19:16
To: [log in to unmask]
Subject: Re: [EFTC] Alexandre Peyre: Sexual relations in TC:s

The topic of sexual relations in a therapeutic community has always been a
center of controversy and discussion. 
I was a resident in the Emilie Hoeve (the Hague, Netherlands) from 1973 to
1976 when it was run on the Phoenix House model under Martien Kooyman and
Brain Dempsey. We had three very simple, but strictly adhered to rules:
1. no drugs or alcohol
2. no sexual relations
3. no physical violence

Breaking any of these was reason for immediate dismissal. During the three
years of my treatment, only once did I observe an infraction when two fellow
residents broke the sexual relations rule. Both were expelled. 
The simplicity and clarity of the three rules provided a sense of safety
theretofore unknown to me. It allowed for a freedom within which I (and I am
sure I was not alone in this) was able to focus on my problems at hand,
without the threat any of these three issues represented in my life at the
time. Later, after Emilie Hoeve, once my life stabilized and I had the
opportunity (and luxury) to look deeper, I was able to confront sexual
concerns plaguing me. It could not have been done in my opinion, without the
initial safety afforded me in the therapeutic environment with its simple,
but very effective rules.
To date I am very grateful to state that I am clean and sober and have been
so for many, many decades.


Kind regards,

Hotse Langeraar
Sr VP Trading
Institutional Fixed Income


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-----Original Message-----
From: Therapeutic Communities
[mailto:[log in to unmask]] On Behalf Of Kristina
Hillgren
Sent: Tuesday, October 04, 2011 4:46 PM
To: [log in to unmask]
Subject: [EFTC] Alexandre Peyre: Sexual relations in TC:s

Dear Alexandre Peyré!
Patriarche, long gone, but alive and kicking in the memories of those whose
lives were saved by the treatment recieved within Patriarche, had very
strict rules about sexual and romantic relationships during treatment. I
suggest you write to either Gith Johnson and/or Jan Lindstein, two Swedes
who underwent treatment at Patriarche and who are doing very well.  A good
rule: Don´t screw up! Best regards!  Kristina Hillgren, psychologist,
Stockholm, Sweden -----Ursprungligt meddelande-----
From: alexandre peyré
Sent: Tuesday, October 04, 2011 10:22 AM
To: [log in to unmask]
Subject: Re: [EFTC] EFTC Discussion List

Dear all,
Thanks for the add Rawdy, as you suggested, I just give a short info on
me,myself and I ;-) I'm Alexandre Peyré, french psychologist, association
Aurore, TC from Aubervilliers (near Paris).
I met some of you at Oxford and this was my first eftc conference, but I
hope not the last.
As far as I'm concerned, we're working nowdays on the questions of sexual
intercourses and relationships in the TC. Didn't find anything in the french
litterature. I gonna look for this topic on the  old messages of the list.
If anyone had a little time to give me some advice on where to look, or
share his/her experience, that would be so great.
Thx,
Alex



Le 3 oct. 11 à 16:48, Rowdy Yates a écrit :

> Dear Colleague
>
> Some of you will now be receiving mail from the EFTC discussion  list 
> for the first time.  This is because I have recently joined  you to 
> the list following your attendance at the EFTC conference in  Oxford 
> and you should have received by now an automated welcome  message.
>
> Here is some brief information about the use of the list.  The list  
> is used by EFTC members and others interested in the therapeutic  
> community approach to addiction treatment to discuss current  issues, 
> to alert list-members to TC job vacancies, TC news, up- coming 
> conferences and e-mail alerts for most of the major  addiction-related 
> journals.  This is the only online discussion  list dedicated to the 
> addiction TC approach and the list currently  has 270 members from all 
> over the world.  A list of current members  is provided below for your 
> information (please do let me know off- list if there are people you 
> think should be members but aren't or  if there are any mistakes in the
list that you notice).
>
> You can also search the old messages by going to:
>
> http://www.jiscmail.ac.uk/lists/THERAPEUTIC-COMMUNITIES.html
>
> and clicking on the "Search the Archives" option.  This will allow  
> you to search by keyword, author, time-period etc.  Alternatively,  
> you can see all the messages in a particular month by clicking on  
> that month in the list.  In either case, you can sort the messages  
> out by threads, authors, chronological order etc.
>
> To post messages to the list simply send your mail to:
>
> [log in to unmask]
>
> Any mail addressed to the list automatically goes to all the list 
> members.  I usually try to ask new members to introduce themselves  to 
> the list - just a few sentences on who you are and what your  
> interests are - not compulsory but nice.
>
> I am including with this mail a flyer for the list in case any of  
> your colleagues are interested in membership. In terms of other  
> online resources, you might also be interested in these - assuming  
> you haven't already found them.
>
> Scottish Addiction Studies Online Library:
> http://www.drugslibrary.stir.ac.uk/
>
> Scottish Addiction Studies List of E-Discussion Lists:
> http://www.dass.stir.ac.uk/sections/show_section_content.php? 
> section=4&content_id=7
>
>
> Welcome to the list. I hope you find it useful.  If you do not wish  
> to be a member of the list, simply e-mail me at:
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> Scottish Addiction Studies
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>
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