Maintenance Dilemma

December 22, 2016 by C. Scott McMillin

Weary looking young man lies on sofa extending a remote control.

Would you respond to this information with a concerted effort at self-examination and profound behavior change?

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Counseling Effectiveness: Allegiance and Alliance

April 24, 2014 by C. Scott McMillin

The challenge is to develop that relationship quickly enough to engage the client and create an environment that promotes success.

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The Compliance Problem

March 24, 2014 by C. Scott McMillin

It presupposes a patient who agrees with the recommendations, which, particularly with addictions, may not be the case.

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Confrontation

March 10, 2014 by C. Scott McMillin

What’s the difference? Maybe it’s in how confrontation is used.

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What ‘Empathy’ Means

February 24, 2014 by C. Scott McMillin

Not so much ‘I share your pain’ as ‘I want to show you I understand what you mean.’

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Examining Goals and Assumptions

January 30, 2014 by C. Scott McMillin

Others enter counseling with no intention of changing at all. Their goal is simply to placate some authority.

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Antabuse Redux

January 6, 2014 by C. Scott McMillin

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?

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Hidden Agendas

December 19, 2013 by C. Scott McMillin

If we want to see any progress, we’ll have to figure out a way to break this apparent impasse.

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The Active and the Passive

December 12, 2013 by C. Scott McMillin

At its root, treatment is primarily a work relationship– with goals that need to be accomplished, and outcomes that must be kept in mind.

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Agenda vs. Agenda

December 4, 2013 by C. Scott McMillin

Ambivalence isn’t just a matter of figuring out what we want to do. It’s very much about the ability to make good decisions and feel confident about them.

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