Dr. Arthur P. Ciaramicoli articulates a holistic model for
cost-effective, outpatient treatment of clients whose multiple
presenting problems include patterns of addiction following
histories of abuse. Recognizing the interaction of intrapsychic,
interpersonal, and societal dynamics, Dr. Ciaramicoli's design
relies on both individual and group modalities to build
self-esteem. Toward consolidating, stabilizing, and enriching the
therapeutic gains, it endorses a spectrum of alternative tools from
physical fitness and herbal medicine to spirituality. In
conclusion, the model considers the managed care system, addressing
negotiating strategies and also the need to balance the imperatives
of cost with respect for quality care.
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