Topic: client engagement and motivation
“It’s too much like doing your taxes,” was her verdict. That’s probably the worst thing I’ve heard anyone say about psychotherapy.
Would you respond to this information with a concerted effort at self-examination and profound behavior change?
The challenge is to develop that relationship quickly enough to engage the client and create an environment that promotes success.
It presupposes a patient who agrees with the recommendations, which, particularly with addictions, may not be the case.
Others enter counseling with no intention of changing at all. Their goal is simply to placate some authority.
It’s designed to prevent drinking on impulse, but if I’m an alcoholic with a history of impulsive drinking, do I really want to mess with this?
At its root, treatment is primarily a work relationship– with goals that need to be accomplished, and outcomes that must be kept in mind.