Solutions for the Treatment Resistant Addicted Client

Therapeutic Techniques for Engaging Challenging Clients

Nicholas A. Roes (Autor)

Buch | Hardcover

186 Seiten

2002
Routledge (Verlag)
978-0-7890-1120-6 (ISBN)

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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.

Nicholas A. Roes

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

Erscheint lt. Verlag	24.1.2002
Verlagsort	New York
Sprache	englisch
Maße	152 x 212 mm
Gewicht	249 g
Themenwelt	Medizin / Pharmazie ► Allgemeines / Lexika
ISBN-10	0-7890-1120-4 / 0789011204
ISBN-13	978-0-7890-1120-6 / 9780789011206
Zustand	Neuware