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Chapter 5.Motivational Enhancement

Edited by:
    https://doi.org/10.1176/appi.books.9781615371297.mg05

    Sections

    Defining Motivation | Motivational Enhancement Interventions | Strategies of Motivational Enhancement | Case Illustrations | Motivational Enhancement in Alcohol Treatment | Brief Motivational Interventions for Alcohol Use Disorders | Motivational Enhancement and Drug Abuse | Motivational Enhancement With Dually Diagnosed Populations | Conclusion | References

    Excerpt

    Patient motivation is a necessary ingredient in substance abuse treatment and recovery. Because of the reinforcing nature of addictive substances and the physiological and psychological reliance they engender, individuals with problematic and dependent patterns of substance use often refuse to acknowledge problems or seek treatment. Even when substance abusers arrive at a treatment program, many are ambivalent about the need to modify their substance use and resist any consideration of reducing use or abstaining completely. Going to treatment is not a panacea that turns ambivalence and lack of readiness into commitment to change; a significant number of individuals who enter a treatment facility fail to complete the treatment and many drop out after intake or a single session (Simpson and Joe 1993; Wickizer et al. 1994). Even those who comply with and complete treatment do not always achieve stated goals. Patient reluctance to seek help, attrition, and relapse cause significant problems for all types of treatment providers (therapists, nurses, clinicians, and other health care providers) as they try to help individuals who abuse drugs and alcohol along the path to recovery. All of these barriers are connected to patient motivation.

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