title: From heroin to methadone-social role changes and reinforcement differentials in relation to outcome on methadone. Part II. The study of social role changes.
abstract: The life-styles of addicts who are Successful, Marginally Successful, and Failures in a methadone maintenance program are examined by in-depth interviews in five time periods-early family life, the preheroin period, late heroin, premethadone, and methadone maintenance. The hypothesis is confirmed that the more the methadone patient has managed to develop a new and more conventional set of peer group, familial, and occupational roles, the greater the likelihood of his success on methadone maintenance. The in-depth view of the groups over time suggests that the pattern of alternation of positive reinforcements and punishing situations may be associated with outcome.
mesh_terms: D004651:Employment; D005190:Family; D006556:Heroin Dependence / Q000534:rehabilitation*; D006801:Humans; D007398:Interpersonal Relations; D008019:Life Style; D008691:Methadone / Q000627:therapeutic use*; D010865:Pilot Projects; D012054:Reinforcement, Psychology; D012380:Role; D012649:Self Concept; D012917:Social Adjustment; D012931:Social Environment
chemical_list: D008691:Methadone