COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
COSIG CONFERENCE BROCHURE.pdf - Drexel University College ... COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
Integration or Occupation? •QUESTION: Can we leave the distinction without dissolving back into our previous debates? •We need Pedagogy in order not to return to the old Cannon. “My propositions are elucidatory . . . senseless, when he has climbed out through them, on them, over them. (He must so to speak throw away the ladder, after he has climbed up on it.)” Ludwig Wittgenstein, Tractatus: 6.54 (1-6) The Co-occurring “Occupation” of the Field Could raise its own “Watch-Dogmas.” Specializations and Fences “For example, many peoples claim certain sites or territories because they are “sacred” for them or of special historical significance. In practice, this means that they have linked their myths of origin with them.” Aleksandar Boškovič Department of Social Anthropology, University of the Witwatersrand Ritual and Power – Lecture on myth § 1 Our Mythical framework and Its Impact on Practitioners Do my assumptions lead back to my specialization’s origins? Are they used to protect my field’s perceived value? Myths for the practitioner CD Practitioner Addictionologist Mental Health Practitioner Psychiatrist Co-Occurring Disorders Practitioner Counselor Therapist Psychologist M.D. 2
Substance Use Disorder Treatment Myths Examples: •Abstinence focus/ medication debates. •Research Myths (“They-say” epistemology). • Hitting a “Bottom” (consequences). • Minnesota Model. •Addictive Personality. •Denial/ Co-Dependency. • Development is arrested at onset of use. Mental Health Treatment Myths Examples: • Professional distance. • “50-minute hour.” • Symptom Management. • Psychopharmacology. • Rigorous academic tradition. •Easily manipulated by CD clients. Co-Occurring Disorder Treatment Myths Examples: • Is irresponsible and either too cautious or too permissive with clients. • Must be versed in traditions of CD and Psych. • Has a privileged position on Individualized treatment and is “best of both worlds.” • Over-arching system changes must occur in order to provide sufficient care. Practitioner Myths • What examples are familiar? • What is their lure? • How do these myths effect practice? Practitioner Myths • Do clients believe these myths? •Do clients bring their own myths? •How do these myths impact my practice? Barriers to Progress We have created difficulty by attempts to treat our defined clients in an “otherwise” defined system. Focus on system change has not led to individual clinician belief changes as rapidly as hoped. Within dual diagnosis programs, separate model myths permeate treatment approaches on individual levels. 3
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Integration or Occupation?<br />
•QUESTION: Can we leave the distinction<br />
without dissolving back into our previous<br />
debates?<br />
•We need Pedagogy in order not to return<br />
to the old Cannon.<br />
“My propositions are<br />
elucidatory . . . senseless,<br />
when he has climbed out<br />
through them, on them, over<br />
them. (He must so to speak<br />
throw away the ladder, after<br />
he has climbed up on it.)”<br />
Ludwig Wittgenstein, Tractatus: 6.54 (1-6)<br />
The Co-occurring “Occupation” of<br />
the Field<br />
Could raise its own “Watch-Dogmas.”<br />
Specializations and Fences<br />
“For example, many peoples claim<br />
certain sites or territories because<br />
they are “sacred” for them or of<br />
special historical significance.<br />
In practice, this means that they have<br />
linked their myths of origin with<br />
them.”<br />
Aleksandar Boškovič<br />
Department of Social Anthropology,<br />
<strong>University</strong> of the Witwatersrand<br />
Ritual and Power – Lecture on myth § 1<br />
Our Mythical framework and<br />
Its Impact on Practitioners<br />
Do my assumptions lead back to my<br />
specialization’s origins?<br />
Are they used to protect my field’s<br />
perceived value?<br />
Myths for the practitioner<br />
CD Practitioner<br />
Addictionologist<br />
Mental Health Practitioner<br />
Psychiatrist<br />
Co-Occurring Disorders<br />
Practitioner<br />
Counselor<br />
Therapist<br />
Psychologist<br />
M.D.<br />
2