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Am Psychol. 2009 Sep;64(6):527-37. doi: 10.1037/a0016830.

Toward a theory of motivational interviewing.

Author information

1
Center on Alcoholism, Substance Abuse, and Addictions, MSC11 6280, University of New Mexico, Albuquerque, NM 87131-0001, USA. wrmiller@unm.edu

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.

PMID:
19739882
PMCID:
PMC2759607
DOI:
10.1037/a0016830
[Indexed for MEDLINE]
Free PMC Article

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