NCJ Number
102413
Journal
Alcoholism Treatment Quarterly Volume: 1 Issue: 2 Dated: (Summer 1984) Pages: 87-100
Date Published
1984
Length
14 pages
Annotation
This paper identifies the stages of resistance to treatment by the drunk-driving recidivist and proposes treatment techniques for dealing with such resistance.
Abstract
The drunk-driving recidivist sentenced to mandatory treatment frequently manifests resistance to treatment. The resistance stages include anger toward system representatives because of referral to treatment, attempts to manipulate the counselor and the system, passive compliance with program requirements, anger at being confronted by the counselor, self-deprecation, and acceptance of the need for treatment. Counselors can facilitate moving the client toward full participation in treatment by identifying to the client particular resistance patterns and the reasons for them. The escalation of resistance can be prevented by sharing the treatment plan with the client early in the assessment process. This might include negotiation of a treatment contract between treatment staff and the client. Group interaction is often helpful in breaking resistance patterns, as the group interaction may help the client expose some of the painful feelings underlying the resistance defense. Group role playing can also help clients confront some of the legal consequences of continued drunk driving. 37 references.