My thought tornado went something like this: My clients are trying to stay sober, but inevitably they will experience some conflict with another, and this poses a threat to their sobriety. But what if they’re able to see which state they tend to interact from and are being interacted with – might this help decrease the frequency of conflict and facilitate its resolution? I can show them the life scripts/life positions, and maybe this can get them exploring if their substance use is contributed to by how they see themselves in the world and in relation to others! And if they can see this, then maybe they can change the script that isn’t working!
Even when there is evidence to the contrary a good counselor might begin to question what’s actually true, because the client is so consistent in making the same statements that it becomes like a mantra for the both of you. The client might even have other people in other areas of their life legitimately fooled (e.g., family members, a doctor, a caseworker), and this may be the product of them neatly compartmentalizing information and feeding specific bits to different people based on their “need to know.” As a counselor, part of my job is to pay attention to the signs of the disorder that bubble to the surface and are difficult for the client to dispute – at the end of the day, track marks don’t lie, and most of the time neither do laboratory tests.