At the Crux: The Encounter between Clinician and Client. Effectiveness Bank Alcohol Treatment Matrix Cell B2

Published by
Drug and Alcohol Findings
Publication Date


Influences explored across the Matrix come to a head in the encounter between clinician and client. Take a step back and (in the words of one of this cell’s reviews) you will see that therapies may be the “trees”, but the “forest” is the client-therapist relationship.

Commentary on selected key research highlights the 1970s study which predated variation-quashing standardisation of treatments and therapists, then under three headings develops evidence-informed understanding of the client-clinician relationship, in which ‘wrong’ can sometimes be ‘right’ and vice versa:
- Aren’t effective relationships just a matter of being nice?
- ‘Don’t tell me what to do!’ Avoiding resistance-provoking mistakes may be more important than doing the ‘right’ things, but sometimes even the ‘wrong’ approach is right.
- Demonstrating empathy is seen as critical, yet occasionally even something so ‘right’ can be wrong.

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One of 25 cells in the Alcohol Treatment Matrix mapping seminal and key research and guidance on alcohol brief interventions and treatment.

“Just wanted to thank you for posting the alcohol matrix bites - we are loving them.”
Clare Davies, Residential Rehabilitation Manager, Windana therapeutic community, Melbourne, Australia


Sent by Drug and Alcohol Findings to alert you to site updates and recent UK-relevant evaluations and reviews of drug/alcohol interventions. Matrix funded by Alcohol Change UK. Findings is also supported by the Society for the Study of Addiction and advised by the National Addiction Centre.