This book approaches the treatment process from a new and yet old perspective. Eleven men who successfully desisted from substance abuse and offending were interviewed to determine how their significant therapeutic relationships facilitated this life change. Data is integrated with a new psychodynamic framework, relational analytic theory, which focuses clinical attention on the qualities and processes of the therapeutic relationship. A therapy model is developed which addresses how to attain and maintain therapeutic engagement, treat client symptoms, and utilize therapeutic conflict to...