期刊
AMERICAN PSYCHOLOGIST
卷 64, 期 6, 页码 527-537出版社
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/a0016830
关键词
motivational interviewing; psychotherapy; theory; client-centered; behavior change
资金
- NIAAA NIH HHS [K05 AA000133-14, K05 AA000133-11, K05 AA000133-10, K05 AA000133-12, K05 AA000133, K05-AA00133, K05 AA000133-15, K05 AA000133-13, K05 AA000133-03] Funding Source: Medline
- NIDA NIH HHS [U10-DA01583, R01 DA001583] Funding Source: Medline
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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