72 Journal of Addictions & Offender Counseling • October 2011 • Volume 32
© 2011 by the American Counseling Association. All rights reserved.
Reframing Recovery: Developmental
Considerations for Maintaining Change
Gerard Lawson, Simone F. Lambert, and Charles F. Gressard
Lasting recovery for clients can be challenging to establish in addictions counsel-
ing. Through the combination of 2 approaches, motivational interviewing and
developmental counseling and therapy, client treatment can be refined to promote
transformative change and long-lasting recovery.
When clients with addiction issues come to counseling, the counselor
can help them explore and ultimately change their behaviors. Facilitating
behavioral change is crucial and often the easiest measures of success in
counseling. However, maintaining that change, avoiding relapse, and enter-
ing recovery are the more significant outcomes for the client. According to
the U.S. Department of Health and Human Services’ Center for Substance
Abuse Treatment (2005), “Recovery from alcohol and drug problems is a
process of change through which an individual achieves abstinence and
improved health, wellness and quality of life” (p. 1). Within recovery, the
duration of abstinence is positively correlated with enhanced coping skills,
stable housing, social and spiritual support, and self-efficacy associated
with preventing relapse (Dennis, Foss, & Scott, 2007).
Addictions treatment can be a frustrating process. Clients often make
advances, then relapse and lose the progress previously accomplished.
Dennis, Scott, and Funk (2003) suggested that clients who struggle with
chronic addiction issues may cycle through substance use, treatment,
recovery, and relapse for nearly a decade. Often this results in multiple
treatment admissions. Thus, changing behavior is often just the beginning,
not a sufficient endpoint. As a result, counselors must be aware of both
the behavioral change itself and the accompanying growth in other areas
of clients’ lives that may assist them to maintain that change and enter
lasting recovery. By combining the strengths of two proven approaches,
motivational interviewing (MI) and developmental counseling and therapy
(DCT), we address the following issues in addictions treatment: how to
help clients change and how to help them maintain that change.
The literature demonstrates counseling efficacy; meta-analyses have dem-
onstrated that individuals benefit from the counseling process when they
are trying to overcome life’s challenges (Wampold, 2000). In addition, coun-
selors have learned more about how individuals change and have identified
counseling factors that best meet specific needs of clients (Lambert & Barley,
Gerard Lawson and Simone F. Lambert, School of Education, Virginia Tech; Charles F. Gressard,
Counselor Education Program, College of William and Mary. Correspondence concerning this article
should be addressed to Simone F. Lambert, School of Education, Virginia Tech, 7054 Haycock Road,
Falls Church, VA 22043 (e-mail: slambert@vt.edu).