More on Incentives
One program complained that the incentive program seemed to work best with people who were already more motivated, and not as well with more resistant clients.
Tag: client engagement and motivation
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Three Challenges
Like a stroke patient who suddenly finds himself needing to relearn basic skills that were once automatic, it may require a level of personal commitment unseen for many years.
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Counseling Effectiveness: Allegiance and Alliance
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
It presupposes a patient who agrees with the recommendations, which, particularly with addictions, may not be the case.
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Confrontation
What’s the difference? Maybe it’s in how confrontation is used.
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What ‘Empathy’ Means
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
Others enter counseling with no intention of changing at all. Their goal is simply to placate some authority.
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Antabuse Redux
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
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
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
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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A Simple Test
Really resistant clients are already planning to continue using alcohol or drugs throughout treatment, possibly in secret.
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Building Blocks of Motivation
Even when the patient has concluded that continued substance use is no longer the best option, he or she still harbors a number of important doubts about the ability to change.
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