Skip to main content

Learning and Growing from Unpredictable Encounters

  • Chapter
  • First Online:
Humanizing Addiction Practice

Abstract

This chapter blends together the power of humanistic framework for evidence-based approaches illustrated through clinical stories. These vignettes illustrate the change process and the impact of dealing with uncertainty about a “good outcome” in clinical encounters that practitioners struggle with. This chapter offers ideas and practices on how to stay connected with a perspective of “playing my part” to prevent burnout and keep the focus on growing with both the science and humanistic elements of the therapeutic work.

Always be drunk. That’s it--that’s all that matters. So you won’t feel the horrible burden of Time which breaks your shoulder and bends you to the ground, you need to get drunk without end.

But with what? With wine, poetry or virtue--it’s your choice. But get drunk. And if sometime--on the steps of a palace, on the green grass of a gulley, in the somber solitude of your room--you wake up, the drunkenness already diminished or gone; then ask the wind, the wave, the star, the bird, all that runs away, all that groans, all that rolls, all that sings, all that talks--ask them what time it is; and the wind, the wave, the star, the bird, the clock will answer you: ‘It’s time to get drunk! So you won’t be martyred slaves of Time: get drunk, get drunk without end. With wine, poetry, or virtue--it’s your choice.’

—Charles Baudelaire: “Enivrez-vous” (“Get Drunk”) from Le Spleen de Paris

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Renik O. Analytic interaction: conceptualizing technique in light of the analyst’s irreducible subjectivity. Psychoanal Q. 1993;62:553–71.

    Article  PubMed  CAS  Google Scholar 

  2. Mitchell SA, Black M. Freud and beyond: a history of modern psychoanalytic thought. New York: Basic Books; 1995.

    Google Scholar 

  3. Winnicott DW. Hate in the counter-transference. Int J Psychoanal. 1994;3(4):348–56.

    CAS  Google Scholar 

  4. Casement P. Learning from the patient. New York: Guilford Press; 1991.

    Google Scholar 

  5. Hoffman IZ. Dialectical thinking and therapeutic action in the psychoanalytic process. Psychoanal Q. 1994;63:187–218.

    Article  PubMed  CAS  Google Scholar 

  6. Casement P. Learning from our mistakes: beyond dogma and psychotherapy. New York: Guilford Press; 2002.

    Google Scholar 

  7. Miller WR, Carroll KM. Rethinking substance abuse. Motivational factors in addictive behaviors. In: Miller WR, Carroll KM, editors. Rethinking substance abuse. New York: Guilford Press; 2006. p. 134–52.

    Google Scholar 

  8. Miller WR, Wilbourne PL, Hettema JE. What works? A summary of alcohol treatment outcome research. In: Hester RK, Miller WR, editors. Handbook of alcoholism treatment approaches: effective alternatives. 3rd ed. Boston: Allyn and Bacon; 2003. p. 13–63.

    Google Scholar 

  9. Hesse M, Vanderplasschen W, Rapp RC, Broekaert E, Fridell M. Case management for persons with substance use disorders. Cochrane Database Syst Rev. 2007;(4):CD006265.

    Google Scholar 

  10. Morgenstern J, Hogue A, Dauber S, Dasaro C, McKay JR. A practical clinical trial of coordinated care management to treat substance use disorders among public assistance beneficiaries. J Consult Clin Psychol. 2009;77(2):257–69.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Miller WR, Westerberg VS, Harris RJ, Tonigan JS. What predicts relapse? Prospective testing of antecedent models. Addiction. 1996;91(Suppl):S155–71.

    Article  PubMed  Google Scholar 

  12. Moyers TB, Miller WR. Is low therapist empathy toxic? Psychol Addict Behav. 2013;27(3):878–84.

    Article  PubMed  Google Scholar 

  13. Jordan JV. The role of mutual empathy in relational/cultural therapy. J Clin Psychol. 2000;56(8):1005–16.

    Article  CAS  PubMed  Google Scholar 

  14. Treadway DC. Intimacy, change, and other therapeutic mysteries: stories of clinicians and clients. New York: Guilford Press; 2004.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Douaihy, A., Driscoll, H.P. (2018). Learning and Growing from Unpredictable Encounters. In: Humanizing Addiction Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-91005-5_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-91005-5_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-91004-8

  • Online ISBN: 978-3-319-91005-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics