By Cynthia E. Glidden-Tracey
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Additional info for Counseling and Therapy With Clients Who Abuse Alcohol or Other Drugs: An Integrative Approach (Lea's Counseling and Psychotherapy)
However, the therapist can hold the hypothesis open to additional testing by listening for additional indications of thematic patterns and raising them for further discussion if they occur. Continuing the earlier example, the therapist suggests they spend time in session talking more about the client's drinking on weekends, given the number of times the topic has been raised. Darrion could retort that it is true that he likes to get drunk on weekends, but everyone does it, it's not a problem, and it's unrelated to the concerns that brought him to therapy.
A mechanism for coping a factor interfering with life tasks. . something they plan to continue something they want to stop doing. . under their control out of their control. THERAPY MODEL FOR SUBSTANCE ABUSE CONCERNS 19 of this shared understanding because clients vary widely in their readiness to share the significance of their substance use with a therapist. The therapist's awareness and responsiveness to emerging themes help capture those meanings. Often clients are protective or ambivalent about their substance use.
A mixture of reactions is also certainly possible and can be explored. The client's actual response compared to the therapist's prediction helps deepen understanding of the unfolding interpersonal process. THERAPY MODEL FOR SUBSTANCE ABUSE CONCERNS 37 This enhanced conceptualization further guides subsequent interactions and interventions. The key is for the therapist to maintain a reasonable degree of control over the shifting balance of complementarity. Naturally, some aspects of the interaction are beyond the therapist's influence.