City Vision College: Course 416 Key Study Guide
Chapter 11: Enhancing the Motivation of Clients (and Counselors, Too!)
(pages 193 – 208)
1. This chapter begins with this quote taken from Alcoholics Anonymous: “Don't quit five
minutes before the miracle.” What does that quote mean to you?
What does that quote say about treatment?
2. What is the key issue that providers of services to dually diagnosed clients face?
3. According to the Stage Model of Change, describe the five steps in the change process
o Pre-contemplation
o Contemplation
o Preparation
o Action
o Maintenance
4. What does efficient change depend upon?
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5. Osher and Kofoed have outlined an influential stage model of motivation specifically for
clients with dual disorders. Describe the four stages:
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6. Why do those with substance use disorders decide to change? List the events as mentioned
in your text for prompting abstinence:
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o
o
o
o
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o
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o
7. Generally, what has research consistently found to be an important motivating factor for
substance dependence and mental-health clients?
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8. What are 8 specific principles that can be used in session to enhance motivation to change the
clients drinking?
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o
o
o
o
o
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9. Working with the _____________________ of clients is another way to enhance motivation.
10. List the 22 specific tactics the authors of your text use for managing denial and commitment
to treatment on pages 200-204.
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11. What are the 10 steps listed on page 205 that can be used to engage clients in the change
process?
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11. Why do you believe it is important for the provider to maintain his/her own motivation while
treating dually diagnosed clients?
12. Why do you believe it is necessary to be on the alert for burnout in yourself?
13. Why do you believe you can do to maintain your own motivation and avoid burnout?
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