How to Talk so Someone With Addiction Will Listen (clinicians)
Useful stories and common sense answers to your questions about challenging cases and clinical issues from Scott McMillin, co-author of “Don’t Help: A Positive Guide to Working With the Alcoholic,” “The Healing Bond: Treating Addictions in Groups,” and five other popular addiction books.
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Try thinking of the interaction between drug seeker and practitioner as type of negotiation where the two parties have very different goals.
There are just too many different forms of manipulation for any of us to be uniformly good at identifying them on the fly.
If you’re not careful, the whole thing turns into an endless game of cat-and-mouse, that leads nowhere.
As any case manager knows, making a referral can be a challenge, since many fall by the wayside during transition to another provider, different therapist, etc.
Addiction programs, conversely, targeted elimination or at least substantial reduction in substance use– a narrower goal that permitted greater focus in treatment.
Newcomers had a tendency to focus their attention on the drug that brought them to treatment, ignoring others they happened to have been using.
It’s often true that the folks who are technically most misinformed on an issue have the greatest degree of confidence in the rightness of their beliefs.