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In the psychodynamic view, reluctance in clients with substance-related disorders is a sign of...

  1. Confident decision-making

  2. Low self-esteem

  3. Conflicted feelings regarding change

  4. Active engagement in therapy

The correct answer is: Conflicted feelings regarding change

In the psychodynamic perspective, reluctance in clients with substance-related disorders is interpreted as a manifestation of conflicted feelings regarding change. This view emphasizes the unconscious motivations and inner conflicts that influence behavior. Clients often experience ambivalence about the prospect of recovery, grappling with both a desire to change and fears associated with that change, such as losing their coping mechanism or facing underlying issues that contributed to their substance use. The psychodynamic approach suggests that these conflicted feelings may arise from unresolved emotional tensions or repressed memories that need to be addressed before meaningful progress can occur. Therefore, reluctance becomes a significant indicator of deeper psychological struggles, including anxiety about leaving behind familiar substance-related behaviors and concerns about the consequences of change on their identity and relationships. Understanding this reluctance as conflicted feelings helps counselors provide appropriate support and therapeutic interventions aimed at exploring and resolving these internal conflicts, facilitating a more profound engagement with the change process.