In this text, readers are taken beyond the standard medical model of diagnosis/treatment by drawing on the roles of other professions. Miller examines 11 different occupations and explores what each field has to offer to psychotherapy to help enhance therapeutic possibilities.

Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.

Begins a series for mental health professionals describing the major developments and changes in the profession resulting from the introduction of managed care. Presents both general and specific strategies for combining medication with other treatment modalities, whether the therapist or another clinician has prescribed the medicine. The four specific strategies are combining treatment modalities, enhancing compliance, incorporating psychoeducational interventions, and preventing relapse and recurrence. Annotation copyright by Book News, Inc., Portland, OR

This report is based on a rethinking of the concept of motivation, which is redefined here as purposeful, intentional, & positive -- directed toward the person's best interests. This report shows how substance abuse treat. staff can influence change by developing a therapeutic relationship that respects & builds on the client's autonomy & makes the treat. clinician a partner in the change process. Describes motivational interventions that can be used at all stages of the change process, from pre-contemplation & preparation to action & maintenance, & informs readers of the research, results, tools, & assessment instruments related to enhancing motivation.