Self-DisclosureReconciling Psychoanalytic Psychotherapy and Alcoholics Anonymous Philosophy

Mallow, Alissa

doi:10.1016/s0740-5472(97)00291-2

Cited by 11 publications

(9 citation statements)

References 11 publications

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“…The scale included 30 items that address specific therapeutic strategies involving MI consistent interventions (e.g., reflective statements), MI inconsistent interventions (e.g., direct confrontation), and general substance abuse counseling interventions (e.g., assessing substance use) and one item that captured instances in which counselors spoke with clients about topics that were not related to the problems for which the client entered treatment or made self-disclosures unrelated to the counselors' personal recovery history (i.e., indicator of informal discussion). We excluded counselors' disclosures about their recovery history from this item because these disclosures typically are considered appropriate in general drug counseling (Mallow, 1998). The scale also included general ratings of the counselor (overall therapeutic skillfulness and ability to maintain a consistent structure/therapeutic approach) and assessment of the client's level of motivation at the beginning (first 5 minutes) and end of the session (last 5 minutes).…”

Section: Methodsmentioning

confidence: 99%

“…Informal discussion as a means of affiliating and helping others, thus, is an essential part of the recovery process in self-help programs. This tradition has contributed to the common substance abuse treatment practice of counselors disclosing some aspects of their alcohol or drug use history to clients (Mallow, 1998), and it likely supports additional informal discussions in areas that are not necessarily directly related to the clients' treatment, though potentially relationship-building.…”

Section: Introductionmentioning

confidence: 98%

“…Mallow (1998) notes how substance abuse treatment traditionally has been modeled on tenets from the Alcoholics Anonymous self-help movement in which individuals self-disclose their addiction, recovery, and related life experiences. This fellowship community holds that the sharing of personal experiences among people who have in common addiction problems creates a bond and sense of equality that enables members of AA to learn from each other and seek ongoing support to not drink or use drugs.…”

Section: Introductionmentioning

confidence: 99%

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Informal discussions in substance abuse treatment sessions

Martino

Ball

Nich

et al. 2009

Journal of Substance Abuse Treatment

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This study evaluated the extent to which counselors initiated informal discussions (i.e., general discussions and self-disclosures about matters unrelated to treatment) with their clients during treatment sessions within two National Institute on Drug Abuse Clinical Trial Network protocols involving adaptations of motivational interviewing (MI). Sixty counselors across the two protocols had 736 sessions independently rated for counselor treatment fidelity and the occurrence of informal discussions. The results showed that 88% of the counselors initiated informal discussions in their sessions and that the majority of these discussions involved counselors sharing personal information or experiences they had in common with their clients. The major finding was that counselor training in MI was associated with significantly less informal discussion across sessions. A higher frequency of informal discussion was related to less counselor MI proficiency and less in-session change in client motivation, though unrelated to client program retention and substance use outcomes. The findings suggest that while some informal discussion may help build an alliance between counselors and clients, too much of it may hinder counselors' proficient implementation of MI treatment strategies and the clients' motivational enhancement process.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Informal discussions in substance abuse treatment sessions

Martino

Ball

Nich

et al. 2009

Journal of Substance Abuse Treatment

View full text Add to dashboard Cite

show abstract

“…One item captures instances in which counselors initiate conversation with clients about topics that are not related to the problems for which the client entered treatment or make self-disclosures unrelated to the counselors’ personal recovery history (i.e., indicator of informal discussion). This item excludes counselors’ disclosures about their recovery history because these disclosures often are considered appropriate in general drug counseling (Mallow, 1998). The scale also includes general ratings of the counselor (overall therapeutic skillfulness and ability to maintain a consistent structure/therapeutic approach) and assessment of the client’s level of motivation at the beginning (first 5 minutes) and end of the session (last 5 minutes).…”

Section: Methodsmentioning

confidence: 99%

Informal discussions in substance abuse treatment sessions with Spanish-speaking clients

Bamatter

Carroll

Añez

et al. 2010

Journal of Substance Abuse Treatment

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This study investigated the extent to which bilingual counselors initiated informal discussions about topics that were unrelated to the treatment of their monolingual Spanish-speaking Hispanic clients in a National Institute on Drug Abuse Clinical Trial Network protocol examining the effectiveness of motivational enhancement therapy (MET). Session audiotapes were independently rated to assess counselor treatment fidelity and the incidence of informal discussions. Eighty-three percent of the 23 counselors participating in the trial initiated informal discussions at least once in one or more of their sessions. Counselors delivering MET in the trial initiated informal discussion significantly less often than the counselors delivering standard treatment. Counselors delivering standard treatment were likely to talk informally the most when they were ethnically non-Latin. Additionally, informal discussion was found to have significant inverse correlations with client motivation to reduce substance use and client retention in treatment. These results suggest that informal discussion may have adverse consequences on Hispanic clients’ motivation for change and substance abuse treatment outcomes and that maintaining a more formal relationship in early treatment sessions may work best with Hispanic clients. Careful counselor training and supervision in MET may suppress the tendency of counselors to talk informally in sessions.

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“…Self-help group participation can constitute a 'spiritual' experience, enhancing self-disclosure 12 and allowing attendees to recognize their own experiences in the stories of others. 13 Resilience is a concept that has attracted attention in recent years in discussions about recovery from substance dependence.…”

Section: Introductionmentioning

confidence: 99%

Resilience and related factors as predictors of relapse risk in patients with substance use disorder: A cross-sectional study

Yamashita

Yoshioka

Yajima

2021

Preprint

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Aim: Resilience is an essential concept in discussions of substance use disorder recovery, referring to the inherent ability to naturally recover in the face of adverse conditions. This study’s objective was to shed light on resilience and related factors that affect relapse risk in patients with SUDs. Method : Fifty-two SUD patients were given a self-administrated questionnaire from February to April 2015, consisting of question items for sociodemographic characteristics, relapse risk (Stimulant Relapse Risk Scale), and resilience (Bidimensional Resilience Scale). Scale scores were tested for associations with subject attributes, after which resilience’s effects on relapse risk were analyzed using correlation and multiple regression (forced-entry) analyses. Results : Stimulants were the most common drug of abuse (n = 26, 21.7%; multiple answers). Reduced relapse risk was significantly associated with current employment (Std. β ＝-0.446, P < 0.05). Conclusion : Our findings demonstrate the necessity of recovery support to enhance acquired resistance in SUD patients in order to prevent relapses. Reinforcing employment support services and encouraging patients to continue treatment were suggested as potentially effective measures to enhance resilience in individuals with SUDs on their road to recovery.

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Self-DisclosureReconciling Psychoanalytic Psychotherapy and Alcoholics Anonymous Philosophy

Cited by 11 publications

References 11 publications

Informal discussions in substance abuse treatment sessions

Informal discussions in substance abuse treatment sessions

Informal discussions in substance abuse treatment sessions with Spanish-speaking clients

Resilience and related factors as predictors of relapse risk in patients with substance use disorder: A cross-sectional study

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