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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Summary: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.
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ISSN:1935-990X
1935-990X
DOI:10.1037/a0016830