Help addicts to better their lives, even though they oppose treatment!This useful volume, the result of more than ten years of work in researching and refining the techniques most likely to lead to positive client outcomes, offers field-tested methods for dealing with the most challenging addicted client types. These include hopeless clients, clients considered to be in denial, and those who are in treatment not because they desire it, but because of a mandate from an outside authority. The techniques you'll find in Solutions for the "Treatment-Resistant" Addicted Client have proven to be successful with even the most difficult clients.The techniques you will learn in this book avoid generating resistance on the part of the client and are easily integrated into any treatment model. You'll also find case studies, practice worksheets, and suggestions for therapeutic tasks to assign to your clients.Solutions for the "Treatment-Resistant" Addicted Client will teach you:
why treating even the most challenging clients with respect is vital to successful therapy
why the concept of the client's "treatment readiness" is a myth; it is you, the therapist, who must be "ready" for the most challenging client!
how to give your therapeutic message greater impact and break out of unproductive patterns of relating to your clientsAnd the book's final section, presented in Q&A format, addresses:
practical applications of the techniques discussed
theoretical frameworks for the interventions suggested
ethical concerns relating to dealing with clients who don't want treatment
Alcohol and drug counselors, probation/parole officers, social workers, and other mental health professionals who work with addicted clients will find this book an invaluable aid in their work. Students preparing to enter these careers, as well as those preparing for certification as alcohol or drug abuse counselors, also need the information found here. Solutions for the "Treatment-Resistant" Addicted Client is must reading for anyone dealing with this extraordinarily difficult population.
Sprache
Verlagsort
Verlagsgruppe
Zielgruppe
Für höhere Schule und Studium
Für Beruf und Forschung
Professional Practice & Development
Maße
Höhe: 212 mm
Breite: 152 mm
Gewicht
ISBN-13
978-0-7890-1120-6 (9780789011206)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Klassifikation
Contents
Introduction
SECTION I: MEETING THE CHALLENGE OF HOPELESS CLIENTS
Chapter 1. Hope-Inspiring Reflections
Five Types of Hope-Inspiring Reflections
Hope-Inspiring Reflections: Practice and Responses
Chapter 2. Scaling
Case Study: Workplace Wallflower
Additional Uses for the Scaling Technique
Case Study: Tipping the Scales
Chapter 3. Normalizing and Reframing
Nonproblems
Case Study: To Err Is Human
Normalizing Techniques
Reframing Client Problems: Practice and Responses
Case Study: Progress in Disguise
Chapter 4. Exploring Exceptions
Case Study: "Exceptional Day"
Techniques for Exploring Exceptions
Additional Questions and Requests for Use in Exploring Exceptions
Chapter 5. Externalizing Problems
Turning Adjectives into Nouns
Externalizing by Turning Adjectives into Nouns Practice and Responses
Chapter 6. Looking Toward the Future and Clarifying Goals
Case Study: The Miracle Question
Chapter 7. Sharing Counseling Notes with Hopeless Clients
Chapter 8. Homework
Case Study: Stop Smoking Group Homework
SECTION II: MEETING THE CHALLENGE OF CLIENTS "IN DENIAL"
Chapter 9. Listening, Alternate Definitions of Denial, and Preferred Views
Listening
Alternate Definitions of Denial
Preferred Views
Case Study: Unrealistic Optimism
Chapter 10. Consciousness Raising
Developing Discrepancy
Examples of Mystery Questions
Case Study: Backstabbers
Decisional Balance Sheets
Case Study: Decisional Balance Sheets
Chapter 11. Clarifying Goals and Looking Toward the Future with Clients "in Denial"
Turning Complaints into Treatment Goals
Turning Client Complaints into Treatment Goals: Practice and Responses
Chapter 12. Other Techniques
Externalizing with Clients "in Denial"
Case Study: The Beast Within
Sharing Counseling Notes with Clients "in Denial"
SECTION III: MEETING THE CHALLENGE OF MANDATED CLIENTS
Chapter 13. Clarifying Your Role
Differentiating Yourself from the Referral Source
Questions for Mandated Clients
Questions for the Mandated Client's Referring Agency
Chapter 14. Preferred Views and Compliments
Preferred Views of Mandated Clients
Complimenting the Mandated Client
Chapter 15. Identifying and Amplifying Change
Identifying and Amplifying Pretreatment Change
Identifying and Amplifying Between-Sessions Change
Chapter 16. Turning Complaints into Treatment Goals and Promises into Treatment Tasks
Turning Complaints into Treatment Goals
Turning Mandated Client Complaints into Treatment Goals: Practice and Responses
Turning Promises into Treatment Tasks
Chapter 17. Other Techniques for Mandated Clients
Scaling with Mandated Clients
Reframing with Mandated Clients
Exploring Exceptions with Mandated Clients
Case Study: "I Could If I Wanted To"
Developing Discrepancy with Mandated Clients
Examples of Mystery Questions for Mandated Clients
Case Study: "I Can't Believe It's Not Butter"
Sharing Counseling Notes with Mandated Clients
Homework for Mandated Clients
SECTION IV: BREAKING YOUR OWN RULES
Chapter 18. Utilization
Case Study: "She Ruined My Life"
Chapter 19. Paradoxical Interventions
Advocating for the "No Problem" Point of View
Symptom Prescription
Case Study: Le
