Integrating 12 Steps and Psychotherapy: Helping Clients Find Sobriety and Recovery presents a practical and applied approach to working with substance dependent clients. Designed to be accessible to a wide and multidisciplinary audience of helpers at all skill levels, this text helps future practitioners fully understand the clinical challenges with substance dependence, adjust their thinking and technique in order to match their client's phase of recovery, and optimize client retention and treatment outcomes. Utilizing educator, training, and practice perspectives, authors Kevin A. Osten and Robert Switzer explore relevant theory and techniques in integrating 12-Steps across a broad range of clinical issues including: the assessment and treatment of resistant and ambivalent pre-recovery clients; boundary setting, undoing antisocial adaption; processing counter transference reactions; and the intersection between biological functioning and ability in early recovery.
Chapter 5: Assessment Considerations and Techniques
Assessment Considerations and Techniques
Assessment as a Therapeutic Technique
Assessment is a different process than therapeutic intervention. Typically, a therapist conducting an assessment is far more active and directive than when conducting therapy. The therapist as an assessor also has a clear agenda of what information is required to make a determination about the client and their issues. Therapy, on the other hand, is commonly far less agenda and judgment driven. An experienced clinician can often listen to only a minute or two of a taped session to determine if an interview is a diagnostic or therapeutic interview.
While acknowledging that there is a difference between therapy and assessment, in reality the difference between the two is far fuzzier and less simplistic than presented. ...