This article presents a qualitative analysis of participants’ perceptions of the importance of motivation in the detoxification and rehabilitation process. As part of an outcome evaluation of recovering drug addicts who participated in a prison-based therapeutic community, 39 participants (a nonrandomized subsample) are interviewed regarding their rehabilitation and reintegration experiences. Although many studies show that participation in prison-based drug treatment programs reduces the likelihood of recidivism, clients in this study suggest that other factors might be equally important, and in particular clients’ own motivation to change their lives. This study raises some questions about the true ability of drug treatment programs to treat and rehabilitate drug-abusing offenders, diverting the emphasis from the treatment program itself to the participants’ motivation to change. Findings are discussed in regard to prison-based drug treatment programs, after-release impediments encountered by inmates, and inmates’ expectations of successful reintegration into the normative noncriminal society.
Bandura, A. ( 1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215.
2.
Bandura, A. ( 1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall .
3.
Bandura, A., & Schunk, D.H. ( 1981). Cultivating competence, self-efficacy, and intrinsic interest through proximal self-motivation. Journal of Personality and Social Psychology, 41, 586-598.
4.
Batchelder, J.S., & Douglas, D.K. ( 2002). Barriers to inmate education: Factors affecting the learning dynamics of a prison education program. Corrections Compendium , 27(2), 1-10.
5.
Beckham, N. ( 2007). Motivational interviewing with hazardous drinkers. Journal of the Academy of Nurse Practitioners, 19(2), 103-110.
6.
Bernard, H.R. ( 2000). Social research methods: Qualitative and quantitative approaches. Thousand Oaks, CA: Sage.
7.
Biernacki, P.A. ( 1986). Pathways from heroin addiction: Recovery without treatment . Philadelphia: Temple University Press.
8.
Blankenship, J., Dansereau, D.F., & Simpson, D.D. ( 1999). Cognitive enhancements of readiness for corrections-based treatment for drug abuse. The Prison Journal, 79(4), 431-445.
9.
Brochu, S., Douyon, A., & Normand, N. ( 1995). Consumption of alcohol, psychoactive drugs and drug-related crime among young offenders. International Medical Journal , 2, 101-104.
10.
Brown, I., & Inouye, K. ( 1978). Learned helplessness through modeling: The role of perceived similarity in competence. Journal of Personality and Social Psychology, 36(8), 900-908.
11.
Burling, T.A., Reilly, P.M., Moltzen, J.O., & Ziff, D.C. ( 1989). Self-efficacy and relapse among inpatient drug and alcohol abusers: A predictor of outcome. Journal of Studies on Alcohol , 50, 354-360.
12.
Cheung, Y., & Cheung, W.M. ( 2000). Social capital and recovery from drug addiction: Findings from a study of treated drug addicts in Hong-Kong. Hong-Kong Journal of Sociology, 1, 29-51.
13.
Collison, M. ( 1996). In research of the high life: Drugs, crime, masculinities and consumption. British Journal of Criminology, 36, 428-444.
14.
Conner, M., & Norman, P. (Eds.). (1996). Predicting health behavior: Research and practice with social cognition models. Buckingham, UK: Open University Press.
15.
Deci, E.L., & Ryan, R.M. ( 1985). Intrinsic motivation and self-determination in human behavior. New-York: Plenum.
16.
El-Bassel, N., Ivanoff, A., Schilling, R.F., Borne, D., & Louisa, G. ( 1997). Skill building and social support enhancement to reduce HIV risk among women in jail. Criminal Justice and Behavior , 24(2), 205-223.
17.
Faupel, C. ( 1991). Shooting dope: Career patterns of hard-core heroin users . Gainesville: University of Florida Press.
18.
Fiore, M.C. ( 2000). A clinical practice guideline for treating tobacco use and dependence: A US public health service report. Journal of the American Medical Association, 283(24), 3244-3254.
19.
Garth, W.M., Wilkinson, D.A., & Poulos, C.X. ( 1995). The drug avoidance self-efficacy scale. Journal of Substance Abuse, 7(2), 151-163.
20.
Gideon, L. ( 2002). Detoxification and rehabilitation programs in prison and community support systems: Their contribution in reducing recidivism and drug use among released prisoners [in Hebrew]. Unpublished doctoral thesis, Hebrew University, Jerusalem, Israel.
21.
Gottfredson, M., & Hirschi, T. ( 1990). A general theory of crime. Stanford, CA: Stanford University press.
22.
Hans, G.R. ( 2002). Smoking cessation: Gender on the agenda. Drugs: Education , Prevention and Policy, 19(1), 71-85.
23.
Irvin, D.M., & Maag, J.W. ( 1993). Substance abuse among adolescents: Implications for at-risk youth. Special Services in the School, 7, 39-64.
24.
Laws, D.R. ( 1999). Relapse prevention: The state of the art. Journal of Interpersonal Violence, 14(3), 285-302.
25.
Lee, C. ( 1984). Accuracy of efficacy and outcome expectations in predicting performance in a simulated assertiveness task. Cognitive Therapy and Research, 8, 37-48.
26.
Leibrich, J. ( 1993). Straight to the point: Angles on giving up crime. Otago, New Zealand: University of Otago Press.
27.
Maisto, S.A., Carey, K.B., & Bradizza, C.M. (1999). Social learning theory . In K. E. Leonard & H. T. Blane (Eds.), Psychological theories of drinking and alcoholism (pp. 106-163). New-York: Guilford.
28.
Maruna, S. ( 2001). Making good: How ex-convicts reform and rebuild their lives. Washington, DC: American Psychological Association.
29.
McKay, J.R., Masito, S.A., & O’Farrel, T.J. (1993). End-of-treatment self-efficacy, aftercare, and drinking outcomes of alcoholic men. Alcoholism: Clinical and Experimental Research, 17, 1078-1083.
30.
McKay, J.R., & Weiss, R.V. ( 2001). A review of temporal effects and outcomes predictors in substance abuse treatment studies with long-term follow-ups: Preliminary results and methodological issues. Evaluation Review, 25(2), 113-161.
31.
Merton, R.K. ( 1957). Social theory and social structure. New York: Free Press of Glencoe.
32.
Miller, M. ( 1985). Motivation for treatment: A review with special emphasis on alcoholism. Psychological Bulletin, 98, 84-107.
33.
Miller, M., & Carlyle, S. ( 1992). The relationship between motivation and self-efficacy in competitive athletes participating in swimming, ice hockey, and basketball . Journal of Sport Behavior, 15(3), 201-209.
34.
Miller, W.R., & Sanchez, V.C. ( 1994). Motivating young adults for treatment and lifestyle change . In G. S. Nathan & P. E. Nathan (Eds.), Alcohol use and misuse by young adults (pp. 55-81). Notre Dame, IN: University of Notre Dame Press.
35.
Nagin, D.S., & Paternoster, R. (1994). Personal capital and social control: The deterrence implications of a theory of individual differences in criminal offending. Criminology, 32(4), 581-606.
36.
O’Leary, A. ( 1985). Self-efficacy and health. Behavior Research and Therapy, 23, 437-451.
37.
Ortmann, R. ( 2000). The effectiveness of social therapy in prison-A randomized experiment. Crime and Delinquency, 46(2), 214-232.
38.
Plotnikoff, R.C., & Nigginbotham, N. (2002). Protection Motivation Theory and exercise behavior change for the prevention of coronary heart disease in a high-risk, Australian representative community sample of adults. Psychology, Health and Medicine, 7(1), 87-98.
39.
Prochaska, J.O., & DiClemente, C.C. (1986). Toward a comprehensive model of change. In W. R. Miller & N. Heater (Eds.), Treating addictive behaviors: Processes of change. New-York: Plenum.
40.
Reckless, W. ( 1961). A new theory of delinquency and crime. Federal Probation, 25, 42-46.
41.
Ryan, R.M. ( 1995). Psychological needs and the facilitation of integrative process. Journal of Personality, 63(3), 397-427.
42.
Sadowski, C.J., Long, C.K., & Jenkins, L.R. ( 1992). Does substance abuse treatment have self-schematic effect ? The Journal of Psychology, 127(3), 323-327.
43.
Schwarzer, R. ( 1992). Self-efficacy in the adoption and maintenance of health behavior: Theoretical approaches and a new model. In R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 217-242). Washington, DC: Hemisphere.
44.
Schwarzer, R. ( 2001). Social-cognitive factors in changing health-related behavior . Current Directions in Psychological Science, 10(2), 47-51.
45.
Shinitzky, H.E., & Kub, J. ( 2001). The art of motivating behavior change: The use of motivational interviewing to promote health. Public Health Nursing, 18(3), 178-185.
46.
Shoham, E., Gideon, L., Weisburd, D.L., & Vilner, Y. ( 2006). When "more" of a program is not necessarily better: Drug prevention in the Sharon Prison. Israel Law Review, 39(1), 105-126.
47.
Simoneau, H., & Bergeron, J. ( 2003). Factors affecting motivation during the first six weeks of treatment. Addictive Behaviors, 28, 1219-1241.
48.
Simpson, D.D., Wexler, H.K., & Inciardi, J.A. (1999). Introduction. The Prison Journal, 79(4), 381-383.
49.
Sommers, I., Baskin, D.R., & Fagan, J. ( 1994). Getting out of the life: Crime desistance by female street offenders. Deviant Behavior, 15(2), 125-149.
50.
Stake, R.E. ( 1995). The art of case study research. Thousand Oaks, CA: Sage.
51.
Taxman, F. ( 1998). Reducing recidivism through a seamless system of care: Components of effective treatment, supervision and transition in the community . Washington, DC: Office of National Drug Control Policy, Treatment and Criminal Justice System Conference.
52.
Terry, K.J., & Mitchell, E.W. (2001). Motivation and sex offender treatment efficacy: Leading a horse to water and making it drink? International Journal of Offender Therapy and Comparative Criminology, 45(6), 663-673.
53.
Tonry, M., & Wilson, J. (Eds.). (1990). Drugs and crime. Chicago: University of Chicago Press.
54.
Valdez, A., Yin, Z., & Kaplan, C.D. ( 1997). A comparison of alcohol, drugs, and aggressive crime among Mexican-American, Black, and White male arrestees in Texas. American Journal of Drug and Alcohol Abuse, 23, 249-265.
55.
Wakefield, M., Olver, I., Whitford, H., & Rosenfeld, E. ( 2004). Motivational interviewing as a smoking cessation intervention for patients with cancer. Nursing Research, 53(6), 396-405.
56.
Weinstein, N.D. ( 1993). Testing four competing theories of health-protective behavior. Health Psychology, 12, 324-333.
57.
Wexler, H.K., Prendergast, M.L., and Melnick, G. ( 2004). Introduction to a Special Issue: Correctional Drug Treatment Outcomes-Focus on California. The Prison Journal, 84, 3-7.
