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- W2005355510 abstract "A crucial dimension of the Jerusalem Drug Clinic (J.D.C.) treatment model for detoxification and rehabilitation is creating conditions that facilitate development and maintenance of a positive therapeutic working relationship between therapist and drug abuser. It has been clinically observed that the sense of being understood, accepted and valued as a person by a therapist is often a new and powerful emotional experience, that many times contributes to increased motivation by the clients to make difficult changes, such as detoxification, as well as increasing their selfconfidence about their ability to accomplish such a challenging goal. Yet, there is always an on-going tension for therapists concerning the parallel need for setting appropriate limitations, and when, why and how to apply them fairly and effectively. A real difficulty in developing and maintaining realistic trust in the other, which is a basic element of a positive therapeutic relationship, is that both sides naturally harbor much suspicion. Therapists fear being manipulated, with their empathy being misunderstood as a sign of naivete or weakness. Drug abusers fear that the clinic is somehow “really” connected to the “other side” (police, the establishment) and that they may be risking their own freedom by publicly acknowledging use of illegal drugs, as well as other activities. In this context confidentiality can be viewed as being an important and sensitive issue that often raises difficult legal, ethical and treatment dilemmas. This paper will discuss several areas from practice that are related to confidentiality and drug treatment, within the context of a government sponsored outpatient clinic in Israel. Issues to be explored include:" @default.
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- W2005355510 title "Ethical and legal dilemmas of Jerusalem treatment model for drug addiction" @default.
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- W2005355510 doi "https://doi.org/10.1016/0160-2527(90)90012-r" @default.
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