From Treatment to Containment to Enterprise: An Ethno-history of Therapeutic Communities in Puerto Rico, 1961-1993.
Cult Med Psychiatry
; 44(1): 135-157, 2020 Mar.
Article
em En
| MEDLINE
| ID: mdl-31297717
ABSTRACT
Unpaid work is now a central therapy in Puerto Rican therapeutic communities, where substance users reside and seek to rehabilitate each other, often for years at a time. Once a leading treatment for addiction in mainland United States, therapeutic communities were scaled back in the 1970s after they lost federal endorsement. They continue to flourish in Puerto Rico for reasons that have less to do with their curative powers than with their malleability as multi-purpose social enterprises and their historical co-option by state, market and family actors who have deployed them for a variety of purposes. Their endurance from the 1960s to the neoliberal present obliges us to recognize their capacities as what Mizruchi calls abeyance mechanisms whereby 'surplus' populations, otherwise excluded from labor and home, are absorbed into substitute livelihoods. Having initially emerged as a low-cost treatment, in a context of mass unemployment and prison-overcrowding they now thrive as institutions of containment and informal enterprise.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tratamento Domiciliar
/
Comunidade Terapêutica
/
Transtornos Relacionados ao Uso de Substâncias
Limite:
Adult
/
Humans
País/Região como assunto:
Caribe
/
Puerto rico
Idioma:
En
Revista:
Cult Med Psychiatry
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Estados Unidos