Dialectics as an alcohol treatment intervention

It has been reported repeatedly in the literature that treatment outcome is not related to the form of treatment. These research data do not, therefore, provide the clinician with specific treatment approaches for specific forms of alcohol use problems. It would be helpful to have an effective intervention conceptual model which can be used in a variety of settings and with a variety of clients. This article presents a model developed within clinical practice which employs a dialectical intervention process. The goal of the model is a decision by the client to do something about his/her condition. The decision is seen as the sine qua non of recovery. The model is presented as a clinically useful tool which should be tested within a variety of clinical settings.