Understanding and Working with Substance Misusers explores the complex nature of addiction and the challenges involved in responding effectively through policy and practice. It examines the biopyschosocial elements of addiction to substances (including alcohol) and, draws together key research findings from these fields to present a new framework for integrating theory and practice. This book fills the need for a text which makes the complex issues surrounding substance misuse accessible to both students and practitioners.
Chapter 7: Interventions and Equivocal outcomes
Interventions and Equivocal outcomes
The aims of this chapter are to:
- discuss the ‘equivalence paradox’ in relation to outcomes from treatments that include Twelve Step facilitation, cognitive behavioural and motivational approaches
- discuss the importance of empathy and motivational working
- highlight the case management context of service provision
- highlight the importance of working with relapse
- lay the foundations for the final chapters.
In each of the preceding chapters we have considered some of the ways in which theories and models of addiction relate to appropriate interventions, to prevent or ameliorate problems associated with the use of psychoactive substances. It is quite clear from reviewing the development of interventions over the course of the last 150 years or so, that at times theory and practice have had significant impacts upon ...