

Hannah Pickard - Responsibility Without Blame in Therapeutic Communities
9 snips May 26, 2021
Hannah Pickard, a Bloomberg Distinguished Professor of Philosophy and Bioethics at Johns Hopkins University, dives into innovative perspectives on addiction and mental health. She introduces her 'Responsibility Without Blame' model, challenging traditional ideas of accountability. The discussion highlights the importance of therapeutic communities and personalized narratives in recovery, while critiquing the brain disease model of addiction. Pickard also emphasizes how cultural contexts shape experiences of addiction, advocating for a balanced understanding that considers both agency and social impacts.
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Clinician's Journey to New Responsibility Model
- Hannah Pickard discovered a way to hold patients responsible without blaming them during her clinical work in a therapeutic community.
- This approach combines responsibility with compassion and care, challenging societal norms around blame.
Supportive Contracts in Therapeutic Communities
- Therapeutic communities use contracts where members commit to stopping problematic behaviors and seek support if struggling.
- The group supports members without blame, focusing on forward-looking learning from lapses rather than punishment.
Limitations of Brain Disease Model
- The brain disease model of addiction has mixed effects on stigma: it helps friends and family but can increase public ostracization.
- Addiction is not simply compulsive use; people respond to alternatives when available, suggesting agency in addiction.