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Motivational interviewing

from Psychology, health and illness

Published online by Cambridge University Press:  18 December 2014

By
Janet Treasure  and
Esther Maissi
Edited by
Susan Ayers ,
Andrew Baum ,
Chris McManus ,
Stanton Newman ,
Kenneth Wallston ,
John Weinman  and
Robert West
Janet Treasure
Affiliation:
Guy's Campus
Esther Maissi
Affiliation:
King's College London
Susan Ayers
Affiliation:
University of Sussex
Andrew Baum
Affiliation:
University of Pittsburgh
Chris McManus
Affiliation:
St Mary's Hospital Medical School
Stanton Newman
Affiliation:
University College and Middlesex School of Medicine
Kenneth Wallston
Affiliation:
Vanderbilt University School of Nursing
John Weinman
Affiliation:
United Medical and Dental Schools of Guy's and St Thomas's
Robert West
Affiliation:
St George's Hospital Medical School, University of London
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Summary

Motivational Interviewing (MI) is a directive, patient-centred counselling style that aims to help patients explore and resolve their ambivalence about behaviour change. It combines elements of style, such as warmth and empathy, with technique, for instance, focused reflective listening and the skilful development of discrepancy. A core tenet of the technique is that a patient's motivation to change is enhanced if there is a gentle process of negotiation in which the patient, rather than the practitioner, articulates the benefits and costs involved. A strong principle of this approach is that conflict is unhelpful and that a collaborative relationship between therapist and patient in which they tackle the problem together is essential. The four central principles of MI are shown in Box 1.

Reflective listening is a core skill whereby the therapist encourages patients to explore their thoughts and beliefs by using short summarizing statements which attempt to encapsulate (a) the overt content of the patient's utterance (simple reflection) or (b) the underlying and possibly covert emotional content (complex reflection). Rollnick and Miller (1995) were able to define specific and trainable therapist behaviours that they felt led to a better therapeutic alliance and better outcome. These skills are summarized in Box 2.

The first four items in Box 2 explore the factors that sustain the behaviour and aim to help the patient shift the decisional balance of pros and cons into the direction of change. The last two items cover the interpersonal aspects of the relationship.

Type
Chapter
Information
Cambridge Handbook of Psychology, Health and Medicine , pp. 363 - 366
Publisher: Cambridge University Press
Print publication year: 2007

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References

Amrhein, P. C., Miller, W. R., Yahne, C. E., Palmer, M. & Fulcher, L. (2003). Client commitment language during motivational interviewing predicts drug use outcomes. Journal of Consulting and Clinical Psychology, 71, 862–78.Google Scholar
Bandura, A. (1997). Self-efficacy: the exercise of control. San Francisco: Freeman.
Bem, D. J. (1967). Self-perception: an alternative interpretation of cognitive dissonance phenomena. Psychological Review, 74, 183–200.Google Scholar
Beutler, L. E., Moleiro, C. & Talebi, H. (2002). Resistance in psychotherapy: what conclusions are supported by research. Journal of Clinical Psychology, 58, 207–17.Google Scholar
Bien, T. H., Miller, W. R. & Tonigan, J. S. (1993). Brief interventions for alcohol problems: a review. Addiction, 88, 315–35.Google Scholar
Brown, K. L. & Miller, W. R. (1993). Impact of motivational interviewing on participation and outcome in residential alcoholism treatment. Psychology of Addictive Behaviors, 7, 238–45.Google Scholar
Burke, B. L., Arkowitz, H. & Menchola, M. (2003). The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. Journal of Consulting and Clinical Psychology, 71(5), 843–61.Google Scholar
Dunn, C., Deroo, L. & Rivara, F. P. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Addiction, 96, 1725–42.Google Scholar
Festinger, L. (1957). A theory of cognitive dissonance. Evanston, IL: Row, Peterson.
Hettama, J., Steele, J. & Miller, W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111.Google Scholar
Keller, V. F. & Kemp-White, M. (1997). Choices and changes: a new model for influencing patient health behaviour. Journal of Clinical Outcomes Management, 4, 33–6.Google Scholar
Miller, W. (1995). Increasing motivation for change. In Hester, R. K. & Miller, W. R. (Eds.). Handbook of alcoholism treatment approaches: effective alternatives. Boston, MA: Allyn and Bacon.
Miller, W. R. & Rollnick, S. (1991). Motivational interviewing: preparing people to change addictive behavior. New York: Guilford Press.
Miller, W. R. & Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change (2nd edn.). New York: Guilford Press.
Miller, W. R., Benefield, R. G. & 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, 455–61.Google Scholar
Miller, W. R. & Mount, K. A. (2001). A small study of training in motivational interviewing: does one workshop change clinician and client behavior?Behavioural and Cognitive Psychotherapy, 29, 457–71.Google Scholar
Miller, W. R., Yahne, C. E. & Tonigan, J. S. (2003). Motivational interviewing in drug abuse services: a randomized trial. Journal of Consulting and Clinical Psychology, 71, 754–63.Google Scholar
Miller, W. R., Zweben, A., DiClemente, C. C. & Rychtarik, R. (1992). Motivational enhancement manual: a clinical research guide for therapists treating individuals with alcohol abuse and dependence. Project MATCH Monograph Series, Vol. 2. Rockville, MD, National Institute of Alcohol Abuse and Alcoholism.
Prochaska, J. O. & Norcross, J. (1994). Systems of psychotherapy: a transtheoretical analysis. Pacific Grove California: Brooks/Cole Publishing Company.
Prochaska, J. O., Redding, C. A. & Evers, K. E. (2002). The transtheoretical model of change and stages of change. In Glanz, K., Rimer, B. K. & Lewis, F. M. (Eds.), Health behaviour and health education: theory, research and practice. San Franscisco: Jossey-Bass.
Prochaska, J. O. & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38–48.Google Scholar
Project MATCH Research Group (1997). Matching alcoholism treatments to client heterogeneity: project MATCH posttreatment drinking outcomes. Journal of Studies on Alcohol, 58, 7–29.
Rogers, C. R. (1951). Client-centered therapy. Boston: Houghton-Mifflin.
Rollnick, S., Mason, P. & Butler, C. (1999). Health Behaviour Change. Edinburgh: Churchill Livingstone.
Rollnick, S. & Miller, W. R. (1995). What is motivational interviewing?Behavioural and Cognitive Psychotherapy, 23, 325–34.Google Scholar
Schmidt, U. & Treasure, J. (1997). A clinicians guide to management of bulimia nervosa (Motivational Enhancement Therapy for Bulimia Nervosa). Psychology Press Hove, UK: Psychology Press.
Sutton, S. (2001). Back to the drawing board? A review of applications of the transtheoretical model to substance use. Addiction, 96, 175–86.Google Scholar
Treasure, J. L., Katzman, M., Schmidt, U., Troop, N., Todd, G.&Silva, P. (1999). Engagement and outcome in the treatment of bulimia nervosa: first phase of a sequential design comparing motivation enhancement therapy and cognitive behaviour therapy. Behavioral Research and Therapy, 37, 405–18.Google Scholar
Weinstein, N. D., Rothman, A. J. & Sutton, S. R. (1998). Stage theories of health behaviour: conceptual and methodological issues. Health Psychology, 17, 290–9.Google Scholar
Wilson, G. T. & Schlam, T. R. (2004). The transtheoretical model and motivational interviewing in the treatment of eating and weight disorders. Clinical Psychology Review, 24, 361–78.Google Scholar

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