Titre : | Reducing resistance and denial by exercising ambivalence during the treatment of addiction |
Titre traduit : | (Réduire la résistance au traitement et le déni du problème de dépendance par une approche thérapeutique ambivalente) |
Auteurs : | H. J. SHAFFER ; G. SIMONEAU |
Type de document : | Périodique |
Année de publication : | 2001 |
Format : | 99-105 |
Note générale : |
Journal of Substance Abuse Treatment, 2001, 20, (1), 99-105 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés PSYCHOTHERAPIE ; MOTIVATION ; RESISTANCE ; DENI ; DEPENDANCE ; EFFICACITE |
Résumé : |
ENGLISH : Stage change models and motivational enhancement therapies have significantly influenced the therapeutic tactics clinicians employ in the treatment of addictive behaviors. While motivational enhancement strategies have addressed client ambivalence to increase motivation to change, this article suggests that focusing on ambivalence during treatment has even wider clinical utility than previously thought. Resistance reduction concentrates on exercising ambivalence without an investment in clients changing, thereby strengthening client tolerance for ambivalent thoughts and feelings. Exercising ambivalence reduces resistance to treatment and change by validating a wide array of possible outcomes through detailed exploration of how a behavior pattern works for a client. Since resistance reduction does not require clients to want to change for therapy to progress, exploring the decision-making process becomes paramount. A general discussion of the resistance reduction model, ambivalence, and how clients present for treatment precedes clinical case examples. (Author's abstract.) |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 24 |
Affiliation : |
Div. Addictions Dept. Psychiat., Harward Med. Sch., 180 Longwood Avenue, Boston, MA 02115. E-mail : howard_shaffer@hms.harvard.edu Etats-Unis. United States. |
Numéro Toxibase : | 403541 |
Centre Emetteur : | 04 CIRDD-51 |
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