Motivational Interviewing
Tóm tắt
Motivational interviewing (MI) is a client-centered, directive therapeutic style to enhance readiness for change by helping clients explore and resolve ambivalence. An evolution of Rogers's person-centered counseling approach, MI elicits the client's own motivations for change. The rapidly growing evidence base for MI is summarized in a new meta-analysis of 72 clinical trials spanning a range of target problems. The average short-term between-group effect size of MI was 0.77, decreasing to 0.30 at follow-ups to one year. Observed effect sizes of MI were larger with ethnic minority populations, and when the practice of MI was not manual-guided. The highly variable effectiveness of MI across providers, populations, target problems, and settings suggests a need to understand and specify how MI exerts its effects. Progress toward a theory of MI is described, as is research on how clinicians develop proficiency in this method.
Từ khóa
Tài liệu tham khảo
Aubrey LL, 1998, Motivational interviewing with adolescents presenting for outpatient substance abuse treatment
Burke BL, 2002, Motivational Interviewing: Preparing People for Change, 2, 2, 217
Butler CC, 1999, Br. J. Gen. Pract., 49, 611
Hedges LV, 1985, Statistical Methods for Meta-Analysis.
Hosford RE, 1995, Counseling Methods, 487
Miller WR, 1991, Motivational Interviewing: Preparing People to Change Addictive Behavior.
Miller WR, 2002, Motivational Interviewing: Preparing People for Change, 2
Miller WR, 1998, Motivational interviewing (7-videotape ser.)
Miller WR, 2005, J. Consult. Clin. Psychol.
Miller WR, 1992, Motivational Enhancement Therapy manual: a clinical research guide for therapists treating individuals with alcohol abuse and dependence, 2
Prochaska JO, 1984, The Transtheoritical Approach: Crossing Traditional Boundaries of Therapy
Rogers CR, 1959, Psychology: The Study of a Science, 3, 184
Rubel EC, 2000, Behav. Ther., 23, 73
Truax CB, 1967, Toward Effective Counseling and Psychotherapy.
Villanueva M, 2003, Alcohol. Clin. Exp. Res., 26, A83