Ns. Miller et Ja. Flaherty, Effectiveness of coerced addiction treatment (alternative consequences) - A review of the clinical research, J SUBST ABU, 18(1), 2000, pp. 9-16
Of central importance is that our clinical experience and treatment outcome
studies to date strongly suggest that coercion is fundamental to addiction
treatment and favorable outcomes from therapeutic interventions. Often the
alcoholic/drug abuser must be given an opportunity to feel face, or experi
ence the "consequences" of their alcohol and drug addiction before the deni
al of their illness can be penetrated and motivation for treatment to recov
er from addictive illness can be developed. Continued use of alcohol and dr
ugs is an unhealthy and dangerous state for those who are addicted and for
others who are affected by their addictive illnesses. Effective therapeutic
interventions and long-term recovery are more likely to succeed if avoidin
g "alternative consequences" are contingent on continued compliance with ad
diction treatment by those who suffer from addictive illnesses. (C) 1999 El
sevier Science Inc. All rights reserved.