Refusal skills: learning to be positively negative.

Many youth wishing to refuse drugs or alcohol offered to them are deficient in the interpersonal abilities which constitute such refusal skills. This article describes Skillstreaming, an interpersonal skill training approach of apparent effectiveness when used for such behavioral enhancement purposes. Presented are its constituent training procedures, specific skills content, and methods for promoting the transfer and maintenance of skill competence in real-world, refusal-relevant situations.