Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-25T07:23:14.907Z Has data issue: false hasContentIssue false

Ten Things that Motivational Interviewing Is Not

Published online by Cambridge University Press:  06 February 2009

William R. Miller*
Affiliation:
University of New Mexico, Albuquerque, USA
Stephen Rollnick
Affiliation:
Cardiff University, School of Medicine, UK
*
Reprint requests to William Miller, Department of Psychology, University of New Mexico, Logan Hall, Albuquerque, New Mexico NM 87131-1161, USA. E-mail: [email protected]

Abstract

Background: In the 26 years since it was first introduced in this journal, motivational interviewing (MI) has become confused with various other ideas and approaches, owing in part to its rapid international diffusion. Methods: Based on confusions that have arisen in publications and presentations regarding MI, the authors compiled a list of 10 concepts and procedures with which MI should not be addled. Results: This article discusses 10 things that MI is not: (1) the transtheoretical model of change; (2) a way of tricking people into doing what you want them to do; (3) a technique; (4) decisional balance; (5) assessment feedback; (6) cognitive-behavior therapy; (7) client-centered therapy; (8) easy to learn; (9) practice as usual; and (10) a panacea. Conclusion: Clarity about what does (and does not) constitute MI promotes quality assurance in scientific research, clinical practice, and training.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Agostinelli, G., Brown, J. M. and Miller, W. R. (1995). Effects of normative feedback on consumption among heavy drinking college students. Journal of Drug Education, 25, 3140.Google Scholar
Amrhein, P. C., Miller, W. R., Yahne, C. E., Palmer, M. and Fulcher, L. (2003). Client commitment language during motivational interviewing predicts drug use outcomes. Journal of Consulting and Clinical Psychology, 71, 862878.CrossRefGoogle ScholarPubMed
Botelho, R. (2004). Motivational Practice: promoting healthy habits and self-care of chronic diseases. Rochester, NY: MHH Publications.Google Scholar
DiClemente, C. C. and Velasquez, M. W. (2002). Motivational Interviewing and the stages of change. InMiller, W. R. and Rollnick, S. (Eds.), Motivational Interviewing: preparing people for change. (2nd ed., pp. 217250). New York: Guilford Press.Google Scholar
Frankl, V. E. (1963). Man's Search for Meaning. Boston: Beacon Press.Google Scholar
Gaume, J., Gmel, G. and Daeppen, J.-B. (2008). Brief alcohol interventions: do counsellors' and patients' communication characteristics predict change? Alcohol and Alcoholism, 43, 6269.CrossRefGoogle ScholarPubMed
Hettema, J., Steele, J. and Miller, W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91111.CrossRefGoogle ScholarPubMed
Janis, I. L. and Mann, L. (1977). Decision Making: a psychological analysis of conflict, choice and commitment. New York: Free Press.Google Scholar
Kuchipudi, V., Hobein, K., Fleckinger, A. and Iber, F. L. (1990). Failure of a 2-hour motivational intervention to alter recurrent drinking behavior in alcoholics with gastrointestinal disease. Journal of Studies on Alcohol, 51, 356360.CrossRefGoogle ScholarPubMed
Madsón, M. B. and Campbell, T. C. (2006). Measures of fidelity in motivational enhancement: a systematic review. Journal of Substance Abuse Treatment, 31, 6773.CrossRefGoogle ScholarPubMed
Miller, W. R. (1983). Motivational interviewing with problem drinkers. Behavioural Psychotherapy, 11, 147172.CrossRefGoogle Scholar
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, 455461.Google Scholar
Miller, W. R. and Heather, N. (Eds.). (1986). Treating Addictive Behaviors: processes of change. New York: Plenum Press.Google Scholar
Miller, W. R. and Kurtz, E. (1994). Models of alcoholism used in treatment: contrasting A.A. and other perspectives with which it is often confused. Journal of Studies on Alcohol, 55, 159166.Google Scholar
Miller, W. R. and 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, 457471.CrossRefGoogle Scholar
Miller, W. R. and Rollnick, S. (1991). Motivational Interviewing: preparing people to change addictive behavior. New York: Guilford Press.Google Scholar
Miller, W. R. and Rollnick, S. (2002). Motivational Interviewing: preparing people for change (2nd ed.). New York: Guilford Press.Google Scholar
Miller, W. R. and Rollnick, S. (2004). Talking oneself into change: motivational interviewing, stages of change, and the therapeutic process. Journal of Cognitive Psychotherapy, 18, 299308.Google Scholar
Miller, W. R., Sorensen, J. L., Selzer, J. and Brigham, G. (2006). Disseminating evidence-based practices in substance abuse treatment: a review with suggestions. Journal of Substance Abuse Treatment, 31, 2539.CrossRefGoogle ScholarPubMed
Miller, W. R. and Sovereign, R. G. (1989). The check-up: a model for early intervention in addictive behaviors. InLøberg, T., Miller, W. R., Nathan, P. E. and Marlatt, G. A. (Eds.), Addictive Behaviors: prevention and early intervention (pp. 219231). Amsterdam: Swets and Zeitlinger.Google Scholar
Miller, W. R., Villanueva, M., Tonigan, J. S. and Cuzmar, I. (2007). Are special treatments needed for special populations? Alcoholism Treatment Quarterly, 25, 6378.Google Scholar
Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J. and Pirritano, M. (2004). A randomized trial of methods to help clinicians learn motivational interviewing. Journal of Consulting and Clinical Psychology, 72, 10501062.CrossRefGoogle ScholarPubMed
Miller, W. R., Yahne, C. E. and Tonigan, J. S. (2003). Motivational interviewing in drug abuse services: a randomized trial. Journal of Consulting and Clinical Psychology, 71, 754763.CrossRefGoogle ScholarPubMed
Miller, W. R., Zweben, A., DiClemente, C. C. and Rychtarik, R. C. (1992). Motivational Enhancement Therapy Manual: a clinical research guide for therapists treating individuals with alcohol abuse and dependence (Vol. Project MATCH Monograph Series, Vol. 2). Rockville, Maryland: National Institute on Alcohol Abuse and Alcoholism.Google Scholar
Moyers, T. B. (2004). History and happenstance: how motivational interviewing got its start. Behavioural and Cognitive Psychotherapy, 19, 291298.CrossRefGoogle Scholar
Moyers, T. B., Martin, T., Catley, D., Harris, K. J. and Ahluwalia, J. S. (2003). Assessing the integrity of motivational interventions: reliability of the Motivational Interviewing Skills Code. Behavioural and Cognitive Psychotherapy, 31, 177184.CrossRefGoogle Scholar
Moyers, T. B., Martin, T., Houck, J. M., Christopher, P. J. and Tonigan, J. S. (in press). From in-session behaviors to drinking outcomes: a causal chain for motivational interviewing. Journal of Consulting and Clinical Psychology.Google Scholar
Moyers, T. B., Miller, W. R. and Hendrickson, S. M. L. (2005). How does motivational interviewing work? Therapist interpersonal skill predicts client involvement within motivational interviewing sessions. Journal of Consulting and Clinical Psychology, 73, 590598.CrossRefGoogle ScholarPubMed
Prochaska, J. O. and DiClemente, C. C. (1984). The Transtheoretical Approach: crossing traditional boundaries of therapy. Homewood, Illinois: Dow/Jones Irwin.Google Scholar
Project MATCH Research Group (1993). Project MATCH: rationale and methods for a multisite clinical trial matching patients to alcoholism treatment. Alcoholism: Clinical and Experimental Research, 17, 11301145.CrossRefGoogle Scholar
Project MATCH Research Group (1997). Project MATCH secondary a priori hypotheses. Addiction, 92, 16711698.Google Scholar
Rogers, C. R. (1959). A theory of therapy, personality, and interpersonal relationships as developed in the client-centered framework. InKoch, S. (Ed.), Psychology: the study of a science. Vol. 3. Formulations of the Person and the Social Contexts (pp. 184256). New York: McGraw-Hill.Google Scholar
Rogers, E. M. (2003). Diffusion of Innovations (5th ed.). New York: Free Press.Google Scholar
Rohsenow, D. J., Monti, P. M., Martin, R. A., Colby, S. M., Myers, M. G., Gulliver, S. B., Brown, R. A., Mueller, T. I., Gordon, A. and Abrams, D. B. (2004). Motivational enhancement and coping skills training for cocaine abusers: effects on substance use outcomes. Addiction, 99, 862874.CrossRefGoogle ScholarPubMed
Rollnick, S., Miller, W. R. and Butler, C. C. (2008). Motivational Interviewing in Health Care. New York: Guilford Press.Google Scholar
Rollnick, S., Mason, P. and Butler, C. (1999). Health Behavior Change: a guide for practitioners. Oxford: Churchill Livingstone.Google Scholar
Rollnick, S. and Miller, W. R. (1995). What is motivational interviewing? Behavioural and Cognitive Psychotherapy, 23, 325334.Google Scholar
Stotts, A. L., Schmitz, J. M., Rhoades, H. M. and Grabowski, J. (2001). Motivational interviewing with cocaine-dependent patients: a pilot study. Journal of Consulting and Clinical Psychology, 69, 858862.CrossRefGoogle ScholarPubMed
Tober, G. and Raistrick, D. (Eds.) (2007). Motivational Dialogue: preparing addiction professionals for motivational interviewing practice. London: Routledge.Google Scholar
Truax, C. B. (1966). Reinforcement and non-reinforcement in Rogerian psychotherapy. Journal of Abnormal Psychology, 71, 19.Google Scholar
Wagner, C. C. and Ingersoll, K. S. (2008). Beyond cognition: broadening the emotional base of motivational interviewing. Journal of Psychotherapy Integration, 18, 191206.CrossRefGoogle ScholarPubMed
White, W. L. and Miller, W. R. (2007). The use of confrontation in addiction treatment: history, science, and time for a change. The Counselor, 8, 1230.Google Scholar
Submit a response

Comments

No Comments have been published for this article.