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 6: Therapy Considerations and Techniques
Therapy Considerations and Techniques
Therapeutic Framework Considerations for Substance Abuse/Dependence Work
Similar to assessment, therapeutic work with substance-dependent people greatly benefits from skill sets that may or may not have been emphasized in a clinician's training. However, even clinicians who have received no explicit training in this area will find that they already have many of the tools in these skill sets that they need. This chapter not only covers therapeutic technique, but also discusses the role of the therapist with the client and the systems involved in recovery.
Motivational Interviewing as the Foundation for Subsequent Treatment
Substance-dependent clients can be a difficult group. They bring to most treatments a challenging mix of ambivalence, manipulation, and a tendency to become resistant or oppositional. These traits ...