Chemical dependency counselors are one population of treatment providers who may have strong perceptions about a particular population of patients who have been diagnosed with more than one disorder that includes a substance use disorder. These perceptions are likely to have a strong impact on the therapeutic relationship between chemical dependency counselors and their patients, including patient retention and outcome. The following review of the literature examines the current evidence of a variety of providers' perceptions about their patients and the impact this may have on the therapeutic relationship. This review proposes to extend the literature by encouraging further investigation about the perceptions chemical dependency counselors' hold toward clients with a dual diagnosis that includes a substance use disorder.
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