Matrix Bite Alcohol Matrix Bite 22: Are relationships overshadowed by coercion – or even more important?
Latest Matrix Bites instalment asks whether lack of research on the influence of the practitioner in criminal justice contexts means that when coercion is driving treatment, therapeutic relationships are unimportant. We find evidence and expert opinion to the contrary. “Therapist skills might be even more important than usual because genuinely adopting and communicating [motivational] qualities is much trickier when the ‘client’ is not there because they want to be, when for them you represent an oppressive authority, and when in reality you do have control responsibilities”. Are relationships overshadowed when treatment is coerced, or are they even more important? Look at the evidence and see makes sense to you.

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Matrix Bites are a weekly ‘bite-size’ cell-by-cell introduction to the matrices, cumulating to a year-long foundation course on the evidence base for treatment. For more topics see the whole Alcohol Matrix. Visit the matrices page of Effectiveness Bank site for articles, presentations, and a video explaining their genesis and construction.
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