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Motivational Adjustment Therapy Essay

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Motivational Enhancement Therapy (MET), according to the National Institute on Drug Abuse, “is a counseling approach that helps individuals resolve their ambivalence about engaging in treatment and stopping their drug use.” It is a method offering more to the substance abuser than simply the traditional 12-step programs of Alcoholics or Narcotics Anonymous (AA, NA). “This approach aims to evoke rapid and internally motivated change, rather than guide the patient stepwise through the recovery process.” MET is based on principles of Motivational Interviewing (an approach developed by William R. Miller and Stephen Rollnick, clinical psychologists treating problem drinkers). It elicits self-motivational statements in early discussion sessions. …show more content…

((As such, it evokes the work of educator John Dewey and psychologist Carl Rogers.)) In uniquely not reiterating the 12-step approach, it can appeal to those having problems following a rote program that does not fully speak to them. After all, the 12-step approach doesn’t work for everyone. Developing problem-solving and interpersonal skills is a core component of the therapy. Often, this is introduced early on, in order to initially get past the denial of any substance abuse problem. In a sense, the therapist is guiding the patient to see for himself that there is a problem — all based on discovering what motivates the individual to live life as he or she is currently. Enlightenment can only occur if an individual wants to learn (John Dewey), and MET is centered around this insight. Once initial resistance has been countered — by reflecting back the patient’s own statements about desiring better outcomes — learning can really take off. An introduction of behavioral techniques can be nicely mixed in to support the patient’s ability to better fend for himself when tempted by chemical or old, bad habitual

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Motivational Interviewing is a technique of client-focused therapy that is concentrated on identifying and resolving ambivalence to achieve change. This technique is highly utilized in various therapeutic settings and is shown to be effective with a myriad of populations. Over the past twenty years, approximately, there has been a shift toward establishing therapeutic modalities that are centered on the concept of problem-oriented goal attainment that is structured and dictated by the strengths and existing network of the client. This focus on intrinsic motivation has offered modalities that are easily adaptable across settings and produce a positive return on investment for patients. It has been suggested that these forms of treatment offer

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It helps them to make positive behavioral and psychological changes when combined with other standard psychosocial interventions (Rohsenow et al., 2001). They last one to four sessions and are aimed at maximizing the patient’s intrinsic desire to change or enhancing a patient’s adherence to more intensive or extended treatment. Motivational approaches have been found to be efficacious (Dunn et al. 2001; Miller and Wilbourne 2002; Project MATCH Research Group 1993, 1997, 1998). At least 32 trials show that it effectively improves treatment adherence and drinking outcomes (Hettema et al., 2005) as well as in reducing hazardous alcohol consumption (Vasilaki et al., 2006; Smedslund et al.,

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In turn, as a cognitive message, CBT and a client centered approach helped clients to also identify and respond to not only their individual need but the needs of others in a more empathic, compassionate, and accepting way. Each article includes a randomized cohort but combined the interventions and adaptation of CBT and a client centered approach in order to examine research and provide feedback to substance abuse clients. As we concluded in class often and integration of different models or techniques can play an important role in the application and delivery of a therapeutic intervention and after reading the articles I believe the integration was effective and helped limit the amount of drugs clients used during therapy. In the end, CBT and a client centered approach both take into consideration the conscious mind while allowing clients to examine their individual problems at hand and use of drugs. From what we covered in class and from reading the articles the evidence goes hand in hand and explores how these combined therapies help individuals explore they have the ability to determine their own futures and are not necessarily a product of their past or previous

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