Therapeutic Alliance

In Brief-TSF, the facilitator is seen as an expert in interpersonal counseling techniques and as knowledgeable in the principles and practicalities of 12 step fellowships.

However, in Brief-TSF the facilitator is not regarded as the primary agent of change; rather, it is the 12 step fellowship (AA) that is seen as the agent of change. Accordingly, the Brief-TSF facilitator needs to conceptualize treatment as the product of a collaborative relationship and should assume responsibility for doing the best he or she can to establish that collaborative relationship.

However, it is not the facilitator’s goal to breakdown the client’s denial (but simply to disturb denial), or to provide all support needed to stay sober, or to take the client to meetings, and so forth.

Even in emergencies, the facilitator’s role and responsibilities are limited in the Brief-TSF model. For this reason the word "facilitator" was chosen rather than therapist or counselor, as it seems to describe the role better than those labels.


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Related Reading:

Under the Influence: A Guide to the Myths and Realities of Alcoholism
The Natural History of Alcoholism Revisited
Seven Weeks to Sobriety: The Proven Program to Fight Alcoholism through Nutrition
Clinical Supervision in Alcohol and Drug  Abuse Counseling: Principles, Models, Methods
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