Topic: resistance manipulation ambivalence
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.
Try thinking of recovery as a learning process based in experience rather than the acquisition of information.
Their targets often know or strongly suspect they’re being manipulated, but give in anyway because they can’t figure out how to avoid it.
Others enter counseling with no intention of changing at all. Their goal is simply to placate some authority.
At its root, treatment is primarily a work relationship– with goals that need to be accomplished, and outcomes that must be kept in mind.
Really resistant clients are already planning to continue using alcohol or drugs throughout treatment, possibly in secret.
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.