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Motivational interviewing

  • Janet Treasure

Motivational interviewing is a style of patient-centred counselling developed to facilitate change in health-related behaviours. The core principle of the approach is negotiation rather than conflict. In this article I review the historical development of motivational interviewing and give some of the theoretical underpinnings of the approach. I summarise the available evidence on its usefulness and discuss practical details of its implementation, using vignettes to illustrate particular techniques.

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Barrowclough, C., Haddock, G., Tarrier, N. et al (2001) Randomized controlled trial of motivational interviewing, cognitive behavior therapy, and family intervention for patients with comorbid schizophrenia and substance use disorders. American Journal of Psychiatry, 158, 17061713.
Beutler, L. E., Moleiro, C. & Talebi, H. (2002) Resistance in psychotherapy: what conclusions are supported by research. Journal of Clinical Psychology, 58, 207217.
Bien, T. H., Miller, W. R. & Tonigan, J. S. (1993) Brief interventions for alcohol problems: a review. Addiction, 88, 315335.
Brown, K. L. & Miller, W. R. (1993) Impact of motivational interviewing on participation and outcome in residential alcoholism treatment. Psychology of Addictive Behaviours, 7, 238245.
Burke, B. L., Arkowitz, H. & Menchola, M. (2003) The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. Journal of Consulting and Clinical Psychology, 71, 843861.
Dunn, C., Deroo, L. & Rivara, F. P. (2001) The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Addiction, 96, 17251742.
Healey, A., Knapp, M., Astin, J. et al (1998) Cost-effectiveness evaluation of compliance therapy for people with psychosis. British Journal of Psychiatry, 172, 420424.
Keller, V. F. & Kemp-White, M. (1997) Choices and changes: a new model for influencing patient health behavior. Journal of Clinical Outcome Management, 4, 3336.
Miller, W. (1995) Increasing motivation for change. In Handbook of Alcoholism Treatment Approaches. Effective Alternatives (eds Hester, R. K. & Miller, W. R.) Boston, MA: Allyn & Bacon.
Miller, W.R. (1995) Motivational Enhancement Therapy with Drug Abusers. Albuquerque, NM: University of Albuquerque Department of Psychology and CASAA.
Miller, W. R. & Mount, K. A. (2001) A small study of training in motivational interviewing. Does one workshop change clinician and patient behavior? Behavioural and Cognitive Psychotherapy, 29, 457471.
Miller, W. & Rollnick, S. (1991) Motivational Interviewing: Preparing People to Change Addictive Behaviour. New York: Guilford Press.
Miller, W. R. & Rollnick, S. (2002) Motivational Interviewing: Preparing People for Change. New York: Guilford Press.
Miller, W. R., Benefield, R. G. & Tonigan, J. S. (1993) Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles. Journal of Consulting and Clinical Psychology, 61, 455461.
Miller, W. R., Zweben, A., DiClemente, C. C. et al (1994) Motivational Enhancement Therapy Manual: A Clinical Research Guide for Therapists Treating Individuals with Alcohol Abuse and Dependence. Project MATCH Monograph Series vol. 2. Rockville, MD: National Institute of Alcohol Abuse and Alcoholism.
Miller, W. R., Yahne, C. E. & Tonigan, J. S. (2003) Motivational interviewing in drug abuse services: a randomized trial. Journal of Consulting Clinical Psychology, 71, 754763.
Prochaska, J. O. & Norcross, J. (1994) Systems of Psychotherapy: A Transtheoretical Analysis. Pacific Grove, CA: Brooks/Cole Publishing.
Prochaska, J. O. & Velicer, W. F. (1997) The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 3848.
Project MATCH Research Group (1997) Project MATCH secondary a priori hypotheses. Addiction, 92, 16711698.
Project MATCH Research Group (1998) Matching alcoholism treatments to patient heterogeneity: Project MATCH three-year drinking outcomes. Alcohol Clinical Experimental Research, 22, 13001311.
Rollnick, S. & Miller, W. R. (1995) What is motivational interviewing? Behavioural and Cognitive Psychotherapy, 23, 325335.
Rollnick, S., Mason, P. & Butler, C. (1999) Health Behaviour Change. Edinburgh: Churchill Livingstone.
Treasure, J. L. & Schmidt, U. H. (1997) A Clinician's Guide to Management of Bulimia Nervosa (Motivational Enhancement Therapy for Bulimia Nervosa). Hove: Psychology Press.
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BJPsych Advances
  • ISSN: 1355-5146
  • EISSN: 1472-1481
  • URL: /core/journals/bjpsych-advances
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Motivational interviewing

  • Janet Treasure
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