Solutions for the Treatment Resistant Addicted Client : Therapeutic Techniques for Engaging Challenging Clients

ISBN-13: 9780789011206 / Angielski / Twarda / 2002 / 190 str.

Nicholas A. Roes

Opis

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 o

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Contents

• Introduction
  
• SECTION I: MEETING THE CHALLENGE OF HOPELESS CLIENTS
  
• Chapter 1. Hope-Inspiring Reflections
  
• Five Types of Hope-Inspiring Reflections
  
• Hope-Inspiring Reflections: Practice and Responses
  
• Chapter 2. Scaling
  
• Case Study: Workplace Wallflower
  
• Additional Uses for the Scaling Technique
  
• Case Study: Tipping the Scales
  
• Chapter 3. Normalizing and Reframing
  
• Nonproblems
  
• Case Study: To Err Is Human
  
• Normalizing Techniques
  
• Reframing Client Problems: Practice and Responses
  
• Case Study: Progress in Disguise
  
• Chapter 4. Exploring Exceptions
  
• Case Study: “Exceptional Day”
  
• Techniques for Exploring Exceptions
  
• Additional Questions and Requests for Use in Exploring Exceptions
  
• Chapter 5. Externalizing Problems
  
• Turning Adjectives into Nouns
  
• Externalizing by Turning Adjectives into Nouns Practice and Responses
  
• Chapter 6. Looking Toward the Future and Clarifying Goals
  
• Case Study: The Miracle Question
  
• Chapter 7. Sharing Counseling Notes with Hopeless Clients
  
• Chapter 8. Homework
  
• Case Study: Stop Smoking Group Homework
  
• SECTION II: MEETING THE CHALLENGE OF CLIENTS “IN DENIAL”
  
• Chapter 9. Listening, Alternate Definitions of Denial, and Preferred Views
  
• Listening
  
• Alternate Definitions of Denial
  
• Preferred Views
  
• Case Study: Unrealistic Optimism
  
• Chapter 10. Consciousness Raising
  
• Developing Discrepancy
  
• Examples of Mystery Questions
  
• Case Study: Backstabbers
  
• Decisional Balance Sheets
  
• Case Study: Decisional Balance Sheets
  
• Chapter 11. Clarifying Goals and Looking Toward the Future with Clients “in Denial”
  
• Turning Complaints into Treatment Goals
  
• Turning Client Complaints into Treatment Goals: Practice and Responses
  
• Chapter 12. Other Techniques
  
• Externalizing with Clients “in Denial”
  
• Case Study: The Beast Within
  
• Sharing Counseling Notes with Clients “in Denial”
  
• SECTION III: MEETING THE CHALLENGE OF MANDATED CLIENTS
  
• Chapter 13. Clarifying Your Role
  
• Differentiating Yourself from the Referral Source
  
• Questions for Mandated Clients
  
• Questions for the Mandated Client's Referring Agency
  
• Chapter 14. Preferred Views and Compliments
  
• Preferred Views of Mandated Clients
  
• Complimenting the Mandated Client
  
• Chapter 15. Identifying and Amplifying Change
  
• Identifying and Amplifying Pretreatment Change
  
• Identifying and Amplifying Between-Sessions Change
  
• Chapter 16. Turning Complaints into Treatment Goals and Promises into Treatment Tasks
  
• Turning Complaints into Treatment Goals
  
• Turning Mandated Client Complaints into Treatment Goals: Practice and Responses
  
• Turning Promises into Treatment Tasks
  
• Chapter 17. Other Techniques for Mandated Clients
  
• Scaling with Mandated Clients
  
• Reframing with Mandated Clients
  
• Exploring Exceptions with Mandated Clients
  
• Case Study: “I Could If I Wanted To”
  
• Developing Discrepancy with Mandated Clients
  
• Examples of Mystery Questions for Mandated Clients
  
• Case Study: “I Can't Believe It's Not Butter”
  
• Sharing Counseling Notes with Mandated Clients
  
• Homework for Mandated Clients
  
• SECTION IV: BREAKING YOUR OWN RULES
  
• Chapter 18. Utilization
  
• Case Study: “She Ruined My Life”
  
• Chapter 19. Paradoxical Interventions
  
• Advocating for the “No Problem” Point of View
  
• Symptom Prescription
  
• Case Study: Le

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Nicholas A. Roes