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Attitudinal issues in methadone maintenance programs.

When the addict fails to meet treatment goals, staff may split into "help" vs "shape up or be expelled" groups. To diminish this conflict, team meeting aid the staff to better understand the addict and their own intrapsychic and interpersonal attitudes, set reasonable treatment goals, and provide concrete help. General staff meetings clarify policy and increase awareness of various role stresses. Nondegree counselor subgroups help to define stresses in this unique role.