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5 - Engagement and motivational interviewing

Published online by Cambridge University Press:  21 August 2009

By
Ulrike Schmidt
Edited by
Philip J. Graham
Ulrike Schmidt
Affiliation:
Institute of Psychiatry, London, UK
Philip J. Graham
Affiliation:
Institute of Child Health, University College London
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Summary

Introduction

In psychiatric and psychological practice, it is often assumed that when people present for an assessment the mere act of attendance suggests that the person has decided that he or she wants ‘something’, either a diagnosis or treatment. This also implies that the patient recognizes that something is wrong, that something distresses them and that they want to change or overcome their ‘problem’. A further assumption is that it is the job of the health care practitioner to give information, advice or practical help, so as to induce positive change, improvement in health and reduce distress in their patient.

To a degree, these tacit assumptions have validity but often when working with young people, while their parents may fully subscribe to the above assumptions, there may be gross disparities between the goals of the parents and health practitioner on the one hand and those of the young person on the other. Some of these disparities result from developmental issues; others result from aspects of the disorder/problem itself that the young person presents with.

For example, one of the important developmental tasks of adolescence is for the young person to develop an individual identity and to become independent from their family of origin. To do and think things that go against adult authority and rules is a normal part of growing up.

Type
Chapter
Information
Cognitive Behaviour Therapy for Children and Families , pp. 67 - 83
Publisher: Cambridge University Press
Print publication year: 2004

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References

Baer, J. S. and Peterson, P. L. (2002). Motivational interviewing with adolescents and young adults. In W. R. Miller and S. Rollnick (eds.), Motivational Interviewing. Preparing People for Change, 2nd edn. New York: Guilford Press, pp. 320–32
Bandura, A. (1998). Health promotion from the perspective of social cognitive theory. Psychology and Health, 13, 4CrossRefGoogle Scholar
Bien, T. H., Miller, W. R. and Boroughs, J. M. (1993). Motivational interviewing with alcohol outpatients. Behavioural and Cognitive Psychotherapy, 21, 347–56CrossRefGoogle Scholar
Blake, W., Turnbull, S. and Treasure, J. L. (1997). Stages and processes of change in eating disorders. Implications for therapy. Clinical Psychology and Psychotherapy, 4, 186–913.0.CO;2-5>CrossRefGoogle Scholar
Brown, J. M. and Miller, W. R. (1993). Impact of motivational interviewing on participation in residential alcoholism treatment. Psychology of Addictive Behaviors, 7, 211–18CrossRefGoogle Scholar
Burke, L., B., Arkowitz, H. and Dunn, C. (2002). The efficacy of motivational interviewing and its adaptations. In W. R. Miller and S. Rollnick (eds.), Motivational Interviewing. Preparing People for Change, second edn. New York: Guilford Press, pp. 217–50
Davidson, R. (1998). The transtheoretical model. In W. R. Miller and N. Heather (eds.), Treating Addictive Behaviours, 2nd edn. New York: PlenumCrossRef
Vries, H. and Backbier, E. (1994). Self-efficacy as an important determinant of quitting among pregnant women who smoke: the Ø- pattern. Preventive Medicine, 23, 167–74Google Scholar
DiClemente, C. C. and Marden Velasquez, M. (2002). Motivational interviewing and the stages of change. In W. R. Miller and S. Rollnick (eds.), Motivational Interviewing. Preparing People for Change, 2nd edn. New York: Guilford Press, pp. 201–16
DiClemente, C. C., Prochaska, J. O. and Gibertini, M. (1985). Self efficacy and the stages of self change in smoking. Cognitive Therapy and Research, 9, 181–200CrossRefGoogle Scholar
Dunn, C., Deroo, L. and Rivara, F. P. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Addiction, 96, 1725–42CrossRefGoogle ScholarPubMed
Gebhardt, A. G. (1997). Health Behaviour Goal Model: Towards a Theoretical Framework for Health Behaviour Change, Ph. D. thesis. The Netherlands: University of Leiden
Humfress, H., Igel, V., Lamont, A., Tanner, M., Morgan, J. and Schmidt, U. (2002). The effect of a brief motivational intervention on community psychiatric patients' attitudes to their care, motivation to change, compliance and outcome: a case control study. Journal of Mental Health, 11, 155–66CrossRefGoogle Scholar
Ingersoll, K. S., Wagner, C. C. and Gharib, S. (2000). Motivational Groups for Community Substance Abuse Programs. Richmond, VA: Mid-Atlantic Addiction Technology Transfer Center/Center for Substance Abuse Treatment
Keller, V. F. and Kemp-White, M. (1997). Choices and changes: a new model for influencing patient health behavior. Journal of Clinical Outcome Management, 4, 33–6Google Scholar
Meyers, R. J., Miller, W. R., Hill, D. E. and Tonigan, J. S. (1999). Community reinforcement and family training (CRAFT): engaging unmotivated drug users in treatment. Journal of Substance Abuse, 10, 291–308CrossRefGoogle Scholar
Meyers, R. J., Miller, W. R., Smith, J. E. and Tonigan, J. S. (2002). A randomized trial of two methods for engaging treatment-refusing drug users through concerned significant others. Journal of Consulting and Clinical Psychology, 70, 1182–5CrossRefGoogle ScholarPubMed
Meyers, R. J., Smith, E. J. and Miller, W. R. (1998). Working through the concerned significant other. In W. R. Miller and N. Heather (eds.), Treating Addictive Behaviours, 2nd edn. New York: PlenumCrossRef
Miller, W. R. (1995). Increasing motivation for change. In R. K. Hester and W. R. Miller (eds.), Handbook of Alcoholism Treatment Approaches, 2nd edn. Needham Heights, MA: Allyn and Bacon
Miller, W. R. (1998). Enhancing motivation for change. In W. R. Miller and N. Heather (eds.), Treating Addictive Behaviours, 2nd edn. New York: PlenumCrossRef
Miller, W. R. (1999). Updates, education and training. Motivational Interviewing Newsletter, 6, 1–6Google Scholar
Miller, W. R. (2000). Rediscovering fire: small interventions, large effects. Psychology of Addictive Behaviors, 14, 6–18CrossRefGoogle Scholar
Miller, W. R. and Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change, 2nd edn. New York: Guilford Press
Miller, W. R., Benefield, R. G. and Tonigan, J. S. (1993). Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles. Journal of Consulting and Clinical Psychology, 61, 455–61CrossRefGoogle ScholarPubMed
Miller, W. R., Meyers, R. J. and Tonigan, J. S. (1999). Engaging the unmotivated in treatment for alcohol problems: a comparison of three strategies for intervention through family members. Journal of Consulting and Clinical Psychology, 67, 688–97CrossRefGoogle ScholarPubMed
Moyers, T. B. and Rollnick, S. (2002). A motivational interviewing perspective and resistance in psychotherapy. Journal of Clinical Psychology, 58, 185–93CrossRefGoogle ScholarPubMed
Prochaska, J. O. and DiClemente, C. C. (1982). Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: Theory Research and Practice, 19, 276–88CrossRefGoogle Scholar
Prochaska, J. O. and Velicer, W. F. (1997). The transtheoretical model of behaviour change. American Journal of Health Promotion, 12, 38–48CrossRefGoogle Scholar
Prochaska, J. O., Velicer, W. F., DiClemente, C. C. and Fava, J. (1988). Measuring processes of change: applications to the cessation of smoking. Journal of Consulting and Clinical Psychology, 56, 520–8CrossRefGoogle ScholarPubMed
Project Match Research Group (1997a). Matching alcoholism client heterogeneity: post treatment outcomes. Journal of the Study of Alcohol, 58, 7–29CrossRef
Project MATCH Research Group (1997b). Project MATCH secondary a priori hypotheses. Addiction, 92, 1671–98CrossRef
Roberts, M. (1997). The Man Who Listens to Horses. New York: Ballantine Publishing Group
Rogers, C. (1957). The necessary and sufficient conditions for therapeutic personality change. Journal of Consulting Psychology, 21, 95–103CrossRefGoogle ScholarPubMed
Rollnick, S. (1998). Readiness and confidence: critical conditions of change in treatment. In: W. R. Miller and N. Heather (eds.), Treating Addictive Behaviours, 2nd edn. New York: Plenum
Rollnick, S. and Miller, W. R. (1995). What is motivational interviewing?Behavioural and Cognitive Psychotherapy, 23, 325–34CrossRefGoogle Scholar
Rollnick, S., Mason, P. and Butler, C. (1999). Health Behaviour Change. A Guide for Practitioners. Edinburgh: Churchill Livingstone
Schmidt, U., Bone, G., Hems, S., Lessem, J. and Treasure, J. (2002). Structured therapeutic writing tasks as an adjunct to treatment in eating disorders. European Eating Disorders Review, 10, 1–17CrossRefGoogle Scholar
Schwarzer, R. (1992). Self efficacy in the adoption and maintenance of health behaviours: theoretical approaches and a new model. In Schwarzer, R. (ed.), Self Efficacy: Thought Control of Action. New York: Hemisphere
Treasure, J. and Schmidt, U. (2001). Ready, willing and able to change: motivational aspects of the assessment and treatment of eating disorders. European Eating Disorders Review, 9, 1–15CrossRefGoogle Scholar
Treasure, J. L., Katzman, M., Schmidt, U., DeSilva, P., Todd, G. and Troop, N. (1999). Engagement and outcome in the treatment of bulimia nervosa: first phase of a sequential design comparing motivation enhancement therapy and cognitive behavioural therapy. Behaviour Research and Therapy, 37, 405–18CrossRefGoogle ScholarPubMed
Weinstein, N. D. (1988). The precaution adoption process. Health Psychology, 7, 355–86CrossRefGoogle ScholarPubMed

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