Treatment Abuse, Behavior Modification, Thought Reform > Daytop Village

Show the man the respect he deserves

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Anonymous:
OP, I assure you, we the majority of Fornits members have every interest in showing this man exactly as much respect as he deserves.

I'll bring the dildos if you have the liquefied feces.

Inculcated:
Deitch himself reports that his program time was served inside the Narco Farm in Lexington Kentucky. The Narco Farm is notable for being the first attempt at a T.C. in this country and for being located within a prison. It is of notorious repute for researching the treatment of addiction with LSD
(inmates as “voluntary” test subjects) and for being closed in the 80’s due to its controversial research involving providing cocaine and opiates to subjects.
(All of the above information was gleaned from references posted on Fornits under the Narco Farm thread)

Deitch sought his initial “training” at Synnaon with the megalomaniac Charles E. Dederich – (Synanon Founder).
Thus began the long career of David Deitch, the man responsible for the propagation of countless TCs.
*Each of them based on Synanon’s founding principles. These still apply to today’s TCs that treatment should provoke “dissonance,” meaning discord or conflict, to individuals’ self-image so they are no longer comfortable with whom they are.*(That last bit *-*is paraphrased from a source linked on Fornits … somewhere)

The following is excerpted from an expansive report published in fellowship with the World Health Organization 1967:
Synanon
Synanon, an ex-addict community with several facilities in California, has proved to be an effective way of organizing treatment. It has, however, discouraged ex-addicts from leaving Synanon and re-entering the larger community and has zealously maintained its separation from government programmes. Further, Synanon, after a rapid growth between 1958 and 1965 has now apparently stabilized its size at approximately 600 residents. Because of the nature of its programme, it is unlikely to increase significantly in size.
Daytop Lodge
This is an open voluntary treatment programme originally serving drug addicts placed on probation by the local courts of Brooklyn, New York. Technically it is a half-way house, but has a much more active treatment programme headed by an ex-addict, Dave Deitch, trained at Synanon. The lodge is staffed chiefly by ex-addicts; its major features are:
1.   The newly referred addict is made to fight his way in to the programme.
2.   Rigid high standards for behaviour in all areas is expected and enforced, by all patients.
Drug dependence in the U.S.A. 19
1.   The new addict is treated as a helpless child first, but gradually moves from menial to responsible jobs at the Lodge and finally to work outside.
2.   Vigorous, aggressive "gut level" group sessions are held frequently.
3.   More intellectual philosophic seminar sessions are also held. The similarity to Synanon is striking, the major difference being that the former is a purely voluntary private organization, while Daytop Lodge was supported by a National Institute of Mental Health Grant. It was also originally under court sponsorship. The Daytop Lodge programme now receives support from the City of New York and now also accepts voluntary admissions and patients from sources other than the Brooklyn Courts.
United Nations Office on Drugs and Crime UNDOC
http://www.unodc.org/unodc/en/data-and- ... ge003.html

Daytop, founded in New York City by Monsignor William O’Brien, Dan Casriel, M.D.,David Deitch and Judge Alexander Bassin.
More on Daytop’s new image as it slinks away from association with three of its four founders when I can stand sifting through the cluster fuck…

Ursus:
The Narcotic Farm
viewtopic.php?f=22&t=28143[/list]

Inculcated:
Substance Abuse Research Center Interviews: brief mentions of (Global Pandemic) David Deitch’s early Daytop years
http://sitemaker.umich.edu/substance.ab ... tMode=list

Oral History Interviews with Substance Abuse Researchers
________________________________________
There were lots and lots of others.  An amazing group of people.  Amazing group of people.  
 
Nancy Campbell: Did you ever have the opportunity to demonstrate that to people from the outside?  
 
FredGlasser: In fact we did have these seminars.  They would invite people to come in and talk to us.  Sometimes it was people like Abe Wikler or Harris Isbell, who were local, but other times it was guest visitors.  One of them was somebody who’d been a patient there before.  He had gone to Synanon on the West Coast and he came to tell us about therapeutic communities. His name was David Deitch.  After I left Lexington, David was then in New York and I went up to visit him at Daytop.  A group of us in Philadelphia sponsored a splinter group from Daytop when Daytop split.  They founded Gaudenzia in Philadelphia, which is still a big thing in Pennsylvania.  David and I became fast friends, and we’ve been in touch really ever since.  I’ve seen him in California and throughout the country at different places.  We keep in touch.  David was a remarkable person and still is.  He was a heroin addict for about 15 years and was really the founding director of Daytop in New York, although there had been several prior directors.  I learned a lot about therapeutic communities from him.
 
 
Beny Primm:  Matt Wright, who was Jerry’s right-hand guy, was an ex-addict.  He ran Safari House.  Then there was Joey Joya and David Deitch out there with him.   That was it for black guys...  I went out there just at the beginning, just before I went into ARTC.  
 
I was looking for models to duplicate.  I hadn’t been working in addiction, and these guys had been working in addiction, with addicts.  What did I know about addicts except for when they were on the operating table? At Interfaith Hospital, I was bringing them in, detoxifying them, keeping them for two weeks, and letting them go through therapy.  It was like a revolving door. I did it for about two years or so before I went over to ARTC from ’66, ’67, and ’68.  In ’69 I started ARTC.   But in 1970, ’71, I was at a conference in Washington.  I was in the back of the room because I want to slip out.  I wasn’t going to stay.  Some guy comes in the back of the room and says, Dr. Jaffe is looking for you.  It was a Secret Service guy.  It scared me. He said, Dr. Jaffe wants to see you, so I saw Jerry, who says, I want you to go to Vietnam with me.
 
Nancy Campbell:  Tell me about your trip to Vietnam.
 
Beny Primm:  Jerry said, we’re going to go over there because the President wants me to look at the drug problem.  I’d like you to go with me.  I said, I can’t do that, you kidding me?  Go to ‘Nam?  I said, I’m a retired Army officer and I missed combat.  I don’t want to get killed.  He said, you’re not going to get killed.  He talked me into it, so I said okay and went home and told my wife.  She says, Beny, you’re crazy with this drug stuff.  Please don’t do this.  I said, I think I have to do it. She says, I don’t want you to do it.  We’ve got kids, you’ve done your Army time, and now you’re working with these addicts, too.  I’m afraid.  I said, well, don’t be.  I think I’m going to be all right.
 
They brought me to Washington to orient me to the whole trip.  They brought my wife down to Washington the week before we went.  They’d chosen who was going to accompany us on the trip.  Seth Rosenberg was Jerry’s assistant. Jeffrey Donfeld was on the domestic policy council. Me and Jerry and a couple of bodyguards on the plane.  We took the first free radical assay testing machine, EMIT, over there with us on the plane.  The plane was a very private 747.  My wife was to be on the plane with us, and we were going to drop her off in New York on the tarmac.  This is what happened.  We kept on to Alaska and stopped in Anchorage. They checked people coming back, their belongings, and they had dogs sniff out drugs in their belongings in Anchorage.  We knew what we were going to be facing when we got over there because people were shipping drugs back home in their belongings.  We flew from there to Taiwan, and from there to Hong Kong, and from Hong Kong to Saigon.
 
We did the whole thing in Vietnam, set up drug testing, called it the Pee House of the Harvest Moon.  We had troughs where the guys would come in and pee, and waited while we observed them and tested their urine.  Up to the rank of major, if they were positive we kept them and sent them to treatment.
 
 
Beny Primm:  Yeah. We were hobnobbing with the President.  We came back and met at San Clemente with the President.  We’re sitting around the table like this. There I am, a black revolutionary in Harlem, taking over buildings, an ex-paratrooper type, now sitting with the President of the United States and telling him about substance abuse.  He says, you guys got to write a book.  I smoked a pipe then, and I think he got a little bit afraid because he didn’t recognize it was a pipe until I put it on the table.  Then he was more comfortable.  There are pictures of all this, by the way.  I have pictures of all of this stuff.
 
After that, when we came back, Jerry was the drug czar and he said, Beny, I want you to continue to come down.  I said, Jerry, I’ve got to run my program.  He says, you’ll fly down here every day and fly back to New York and just help set up the office.  And that’s what I did.

….Jerry Jaffe :By that time, I had also become familiar with the therapeutic community approach to treatment. I had visited Daytop Village and met the people involved, and I’m pretty sure I had already visited Synanon in Santa Monica.  So now there were three treatment options being tried: methadone, therapeutic communities, and narcotic antagonists

Nancy Campbell:  What was the inspiration for Tinley Park?  How did it come about?
 
Jerry Jaffe: Tinley Park came about as a result of several distinct influences coming together at a single point in time. One was my belief that I needed to show that treatment was more cost-effective than arresting and incarcerating drug users. That led me, perhaps inappropriately, to seek to do the most I could with available resources.
 
The second was the recognition that some of the patients being treated in our ambulatory methadone clinics needed more support than could be provided on an outpatient basis: a place where there was more structure and where in a matter of a few weeks we might be able to influence problems such as excessive drinking or continued heroin use. While our therapeutic community was occasionally willing to refer someone to our methadone programs, they were reluctant to admit anyone to their facility who was unwilling to commit to the longer term treatment the TC espoused.
 ?

Inculcated:
Another excerpted Interview: (Deitch is called Brilliant.The rest of the content provides insight into the source and into confrontational tactics being seen as break through treatment)
 
Herman Joseph interviewee http://sitemaker.umich.edu/substance.ab ... tMode=list
NC:  Why do you think the TCs were so successful in getting established at that time?
 
HJ: Mayor Lindsey brought Dr. Efrain Ramirez from Puerto Rico to be the first commissioner for narcotics treatment in the city. Dr. Ramirez was supposed to have developed effective programs in PR using the 12-step therapeutic community approach, but there was no data to substantiate his claims. Ramirez harbored anti-methadone biases and so just encouraged the development of one type of program in the city. Lindsey and other politicians appeared impressed with the goals of the TCs and aggressively supported the modality. The well-meaning and influential Monsignor O’Brien of the Catholic Church developed a famous therapeutic community called Daytop, which was presided over by a brilliant ex-addict, Dave Deitch. The community took in young persons who were experimenting with drugs and others who were addicts. They developed ties to probation and the criminal justice system. They offered educational programs and tried to prepare residents for their lives when they left. However, I never saw their statistics for treating hardcore heroin addicts. Daytop tried to offer quality treatment and appeared to be more open to methadone than the other therapeutic communities. Monsignor O’Brien was a positive force in the city for diverse drug treatment and at that time the TC was the major treatment for addiction.  
 
A therapeutic community fits right into one’s thinking about denial and honesty. They had 24-hour encounter groups to make the addicts face themselves by breaking down their defenses. In our probation office, we had nuns who were social workers. They were a real asset to the probation office with counseling and referrals on a variety of issues.  Furthermore, methadone in the late 1960s and early 1970s was considered an experimental controversial research medication.  
 
At that time it was known that Riverside Hospital in NYC and the US Hospital in Lexington, Kentucky, had failed. New York State set up civil commitment for the treatment of addiction.  This program proved to be excessively expensive and addicts who were committed absconded from the program and relapsed at high rates. The next step was to develop community programs, and the TC is an attractive alternative since the TC tries to inculcate certain values that are acceptable to the community and politicians.
(And continues on the topic mentioning the origins of other TCs)
Furthermore, the founding directors of the TCs were people of some political clout and social standing. Odyssey House was run by Dr. Judianne Densen-Gerber, who was a wealthy, influential physician whose husband was the medical examiner, Dr. Mike Baden. She was heir to the Gerber food fortune. She was a psychiatrist at that time, connected to Metropolitan/Flower Fifth Avenue Hospital, so she formed a ward in Metropolitan Hospital which turned out to be Odyssey house. Unfortunately, Densen-Gerber and Baden were very hostile to the concept of methadone treatment. Baden started classifying all deaths of patients as “methadone related” irrespective of the cause of death. Phoenix House was formed on a ward at the Morris J. Bernstein Institute of Beth Israel by the patients, and Dr. Trigg supported their endeavors as did Commissioner Ramirez. Later a third generation physician with social and political connections Dr. Mitchell Rosenthal became the medical director of Phoenix House. In the therapeutic community the residents all looked good. They were detoxed, they were full of ambition, and they wanted to take control of their lives. For the few who succeeded, the therapeutic community saved their lives. It was very appealing. They learned how to organize their lives and kept the TC immaculate. If you went to a therapeutic community, you could virtually eat off the floor. However, therapeutic communities did not address the physiological narcotic craving. At the time they considered methadone treatment to be just substituting one addiction or drug for another.
 
For all their good intentions, therapeutic communities were unable to meet the public health needs of New York City. Heroin addiction continued to spread, death rates and heroin related crime increased. Under pressure from the medical and legal professions, Lindsey saw that another approach was needed and that methadone had to be implemented. The leaders in this fight for methadone in NYC were Dr. Ray Trussell and Dr. Arthur Logan, a leading Black physician who was also Duke Ellington’s physician. Ellington approached Logan about methadone treatment since several of the musicians in his band were addicted to heroin and had entered the methadone program and made successful adjustments. Logan met with them and was impressed. Another leader in the Black community, James Haughton, who organized minority workers to obtain union jobs, was also impressed with methadone when he saw the successful results of some of the members of his organization. Logan and Haughton knew each other. I knew Haughton from my involvement in the school desegregation movement. Haughton knew Annie Stein and Max Wolf who were involved with school integration and the creation of educational parks so he had my phone number and called me at work one afternoon in August. That must have been in the late 1960s or early 1970s. He told me to come to Dr. Logan’s house about a meeting concerning methadone.

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