Religion and Substance Abuse Treatment: Individual and Program Effects

The relationship between personal religiousness and substance abuse treatment outcomes has emerged as an important issue in the public health arena. Using the “moral community” perspective, a conceptual framework developed by Stark, Kent, and Doyle (1982) to analyze the contextual effects of religion, we explore the degree to which religion influences two drug treatment outcome measures—critical retention and commitment to treatment. The data are derived from the Drug Abuse Treatment Outcome Studies (DATOS), a national study of 10,010 clients enrolled in 70 drug treatment programs. Three research questions were addressed: (1) What is the relationship between an individual's level of religiosity and retention in treatment and commitment to treatment? (2) How does the ecological context of treatment programs shape the individual‐level relationships? (3) To what extent are program practices and characteristics directly linked to outcome level? The findings are supportive of the literature that shows a weak to moderate relationship between religiosity and treatment outcomes. However, the findings did not show strong support for the “moral community” hypothesis. Although there was a wide variation in the size of the individual‐level religiosity–treatment correlations, the variation could not be conclusively attributed to the overall religious emphasis of the programs. The findings suggest that further research is needed in order to understand fully the role of religion in substance abuse treatment.     

LITURGICALLY TRAINED MEMORY: A READING OF SUMMA THEOLOGIAE III.83

Drawing on Ciceronian rhetorical tropes, Thomas Aquinas treats the rite of the Eucharist in terms of the classical ars memoriae. The Eucharist, for Aquinas, is the schooling in desire whereby we are trained to order the associations of our memory to their proper objects in terms of their relations to God. He thus conceives of the liturgy of the Mass as rhetoric proper, which truly teaches, moves and delights. Since memory is the condition of all thought, as both Thomas and Augustine claim, the Eucharist is the “site” of all theological production, and therefore the liturgy is the art of memory of which all other similar arts are derivative.     

Against Desert as a Forward-Looking Concept

Fred Feldman and, more recently, David Schmidtz have challenged the standard view that a person's desert is based strictly on past and present facts about him. I argue that Feldman's attempt to overturn this 'received wisdom' about desert's temporal orientation is unsuccessful, since his examples do not establish that what a person deserves now can be based on what will occur in the future. In addition, his forward-looking account introduces an unnecessary asymmetry regarding desert's temporal orientation in different contexts. Schmidtz advances a promissory account of desert, only part of which presents a strong challenge to the received wisdom. After disambiguating the two main elements of his account, I examine Schmidtz's arguments for forward-looking desert. I find these arguments to be unconvincing because they seem to either rely on past or present facts about people, including people's dispositions, or they give us desert without desert bases. I briefly examine the relationship between desert and merit, and I argue that some dispositions might be desert bases and others might be merit bases. I conclude the paper with a summary of the arguments against desert as a forward-looking concept.