Toward a theory of motivational interviewing

The widely disseminated clinical method of motivational interviewing (MI) arose through a convergence of science and practice. Beyond a large base of clinical trials, advances have been made toward "looking under the hood" of MI to understand the underlying mechanisms by which it affects b...

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Bibliographic Details
Published in:	The American psychologist Vol. 64; no. 6; p. 527
Main Authors:	Miller, William R, Rose, Gary S
Format:	Journal Article
Language:	English
Published:	United States 01.09.2009
Subjects:	Alcoholism - therapy Counseling - education Humans Models, Psychological Motivation Substance-Related Disorders - therapy
ISSN:	1935-990X, 1935-990X
Online Access:	Get more information
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Abstract	The widely disseminated clinical method of motivational interviewing (MI) arose through a convergence of science and practice. Beyond a large base of clinical trials, advances have been made toward "looking under the hood" of MI to understand the underlying mechanisms by which it affects behavior change. Such specification of outcome-relevant aspects of practice is vital to theory development and can inform both treatment delivery and clinical training. An emergent theory of MI is proposed that emphasizes two specific active components: a relational component focused on empathy and the interpersonal spirit of MI, and a technical component involving the differential evocation and reinforcement of client change talk. A resulting causal chain model links therapist training, therapist and client responses during treatment sessions, and posttreatment outcomes.
AbstractList	The widely disseminated clinical method of motivational interviewing (MI) arose through a convergence of science and practice. Beyond a large base of clinical trials, advances have been made toward "looking under the hood" of MI to understand the underlying mechanisms by which it affects behavior change. Such specification of outcome-relevant aspects of practice is vital to theory development and can inform both treatment delivery and clinical training. An emergent theory of MI is proposed that emphasizes two specific active components: a relational component focused on empathy and the interpersonal spirit of MI, and a technical component involving the differential evocation and reinforcement of client change talk. A resulting causal chain model links therapist training, therapist and client responses during treatment sessions, and posttreatment outcomes.The widely disseminated clinical method of motivational interviewing (MI) arose through a convergence of science and practice. Beyond a large base of clinical trials, advances have been made toward "looking under the hood" of MI to understand the underlying mechanisms by which it affects behavior change. Such specification of outcome-relevant aspects of practice is vital to theory development and can inform both treatment delivery and clinical training. An emergent theory of MI is proposed that emphasizes two specific active components: a relational component focused on empathy and the interpersonal spirit of MI, and a technical component involving the differential evocation and reinforcement of client change talk. A resulting causal chain model links therapist training, therapist and client responses during treatment sessions, and posttreatment outcomes. The widely disseminated clinical method of motivational interviewing (MI) arose through a convergence of science and practice. Beyond a large base of clinical trials, advances have been made toward "looking under the hood" of MI to understand the underlying mechanisms by which it affects behavior change. Such specification of outcome-relevant aspects of practice is vital to theory development and can inform both treatment delivery and clinical training. An emergent theory of MI is proposed that emphasizes two specific active components: a relational component focused on empathy and the interpersonal spirit of MI, and a technical component involving the differential evocation and reinforcement of client change talk. A resulting causal chain model links therapist training, therapist and client responses during treatment sessions, and posttreatment outcomes.
Author	Rose, Gary S Miller, William R
Author_xml	– sequence: 1 givenname: William R surname: Miller fullname: Miller, William R email: wrmiller@unm.edu organization: Center on Alcoholism, Substance Abuse, and Addictions, MSC11 6280, University of New Mexico, Albuquerque, NM 87131-0001, USA. wrmiller@unm.edu – sequence: 2 givenname: Gary S surname: Rose fullname: Rose, Gary S
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/19739882$$D View this record in MEDLINE/PubMed
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Snippet	The widely disseminated clinical method of motivational interviewing (MI) arose through a convergence of science and practice. Beyond a large base of clinical...
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SubjectTerms	Alcoholism - therapy Counseling - education Humans Models, Psychological Motivation Substance-Related Disorders - therapy
Title	Toward a theory of motivational interviewing
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