Working with dually diagnosed patients

(from the chapter) Motivation to change behavior in individuals with addictive disorders is a complex phenomenon that has multiple dimensions including neurobiological, cognitive, behavioral, psychodynamic, spiritual, and experiential dimensions. It can broadly be influenced by both intrinsic factors (those within the individual— such as internal, intentional states) and extrinsic factors (those outside the individual—such as external incentives and coercion). Alteration in motivational intent and behavior change represent a core, fundamental aim of psychotherapy for individuals with addictive disorders. This is particularly important for those with co-occurring disorders, who constitute the majority of our patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (chapter)