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William R. Miller and Stephen Rollnick's textbook on motivational interviewing discusses decisional balance in a chapter titled "Counseling with Neutrality", and describes "decisional balance as a way of proceeding when you wish to counsel with neutrality rather than move toward a particular change goal". [15]
Motivational interviewing (MI) is a counseling approach developed in part by clinical psychologists William R. Miller and Stephen Rollnick. It is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence .
His meta-analysis of the research on treatments of alcohol problems shows a rank ordering of those treatments with the most effective being active and empathic (brief interventions and motivational enhancement), while the least effective are passive (films, lectures) or confrontational. [4]
Motivational enhancement therapy is a strategy of therapy that involves a variation of motivational interviewing to analyze feedback gained from client sessions. Motivational Interviewing was originated by William Miller and Stephen Rollnick based on their experiences treating problem drinkers. [ 4 ]
Stages of change, according to the transtheoretical model. The transtheoretical model of behavior change is an integrative theory of therapy that assesses an individual's readiness to act on a new healthier behavior, and provides strategies, or processes of change to guide the individual. [1]
Similar to MET, motivational interviewing finds 'change talk' very important and the clinician interacts with the patient through open-ended questions, affirmations, reflections, and summaries. There are three key elements that build the foundation of motivational interviewing; collaboration, evocation and autonomy.