Solutions for the "Treatment-Resistant" Addicted Client

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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 clients

    And 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.
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Editorial Reviews

From The Critics
Roes has directed a residential substance abuse treatment facility in upstate New York for 12 years, where he has tested and refined the techniques he describes here. Because research suggests that techniques are more likely to work if both the counselor and the patient have confidence in them, he offers a wide range of options for counselors to become familiar with when dealing with recalcitrant cases. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780789011206
  • Publisher: Taylor & Francis
  • Publication date: 1/28/2002
  • Edition description: New Edition
  • Pages: 184
  • Product dimensions: 6.16 (w) x 8.76 (h) x 0.73 (d)

Table of Contents

Introduction 1
Sect. I Meeting the Challenge of Hopeless Clients 5
Ch. 1 Hope-Inspiring Reflections 7
Ch. 2 Scaling 17
Ch. 3 Normalizing and Reframing 25
Ch. 4 Exploring Exceptions 35
Ch. 5 Externalizing Problems 45
Ch. 6 Looking Toward the Future and Clarifying Goals 51
Ch. 7 Sharing Counseling Notes with Hopeless Clients 61
Ch. 8 Homework 65
Sect. II Meeting the Challenge of Clients "In Denial" 69
Ch. 9 Listening, Alternate Definitions of Denial, and Preferred Views 71
Ch. 10 Consciousness Raising 79
Ch. 11 Clarifying Goals and Looking Toward the Future and Clients "in Denial" 87
Ch. 12 Other Techniques 91
Sect. III Meeting the Challenge of Mandated Clients 97
Ch. 13 Clarifying Your Role 99
Ch. 14 Preferred Views and Compliments 103
Ch. 15 Identifying and Amplifying Change 107
Ch. 16 Turning Complaints into Treatment Goals and Promises into Treatment Tasks 111
Ch. 17 Other Techniques for Mandated Clients 115
Sect. IV Breaking Your Own Rules 125
Ch. 18 Utilization 127
Ch. 19 Paradoxical Interventions 133
Ch. 20 Stop Trying So Hard 137
Ch. 21 Other Techniques 141
Sect. V Questions and Answers 149
Ch. 22 Practical Concerns 151
Ch. 23 Ethical Concerns 159
Ch. 24 In Closing 163
Bibliography 165
Index 169
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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted September 22, 2002

    Better Than Most

    This is one of the better books on counseling techniques. The techniques are all respectful to clients, and the author manages to offer a wide range of practical advice without sounding preachy.

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