Skip to main content
×
Home
    • Aa
    • Aa

Motivational Interviewing with Problem Drinkers

  • William R. Miller (a1)
Abstract

Motivational interviewing is an approach based upon principles of experimental social psychology, applying processes such as attribution, cognitive dissonance, and self-efficacy. Motivation is conceptualized not as a personality trait but as an interpersonal process. The model deemphasizes labeling and places heavy emphasis on individual responsibility and internal attribution of change. Cognitive dissonance is created by contrasting the ongoing problem behavior with salient awareness of the behavior's negative consequences. Empathic processes from the methods of Carl Rogers, social psychological principles of motivation, and objective assessment feedback are employed to channel this dissonance toward a behavior change solution, avoiding the “short circuits” of low self-esteem, low self-efficacy, and denial. This motivational process is understood within a larger developmental model of change in which contemplation and determination are important early steps which can be influenced by therapist interventions. A schematic diagram of the motivational process and a six-step sequence for implementing motivational interviewing are suggested.

Copyright
References
Hide All
Bandura A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review 84, 191215.
Bandura A. (1982). Self-efficacy mechanism in human agency. American Psychologist 37, 122147.
Cummings C., Gordon J. R. and Marlatt G. A. (1980). Relapse: prevention and prediction. In The Addictive Behaviors: Treatment of Alcoholism. Drug Abuse, Smoking, and Obesity. Miller W. R. (Ed.), Oxford: Pergamon Press.
Gordon T. (1970). Parent Effectiveness Training. New York: Wyden.
Heather N. and Robertson I. (1981). Controlled Drinking. London: Methuen.
Hodgson R. J., Rankin H. J. and Stockwell T. R. (1979). Alcohol dependence and the priming effect. Behaviour Research and Therapy 17, 379387.
Kopel S. and Arkowitz H. (1975). The role of attribution and self-perception in behavior change: implications for behavior therapy. Genetic Psychology Monographs 92, 175212.
Marlatt G. A. and Gordon J. R. (in press). Relapse Prevention: Self-Control Strategies for Addictive Behaviors. New York: Guilford.
Matthews D. B. and Miller W. R. (1979). Estimating blood alcohol concentration: two computer programs and their applications in therapy and research. Addictive Behaviors 4, 5560.
Miller P. M. and Nirenberg T. D. (Eds) (in press). Prevention of Alcohol Abuse: Current Issues and Future Directions. New York: Plenum Press.
Miller W. R. (1976). Alcoholism scales and objective assessment methods: a review. Psychological Bulletin 83, 649674.
Miller W. R. (1978). Behavioral treatment of problem drinkers: a comparative outcome study of three controlled drinking therapies. Journal of Consulting and Clinical Psychology 46, 7486.
Miller W. R. and Baca L. M. (1983). Two-year follow-up of bibliotherapy and therapist-directed controlled drinking training for problem drinkers. Behavior Therapy 14.
Miller W. R. and Hester R. K. (1980). Treating the problem drinker: modern approaches. In The Addictive Behaviors: Treatment of Alcoholism, Drug Abuse, Smoking, and Obesity. Miller W. R. (Ed.), Oxford: Pergamon Press.
Miller W. R. and Joyce M. A. (1979). Prediction of abstinence, controlled drinking, and heavy drinking outcomes following behavioral self-control training. Journal of Consulting and Clinical Psychology 47, 773775.
Miller W. R. and Munoz R. F. (1982). How to Control your Drinking. (Revised edition). Albuquerque: University of New Mexico Press.
Miller W. R., Crawford V. L. and Taylor C. A. (1979). Significant others as corroborative sources for problem drinkers. Addictive Behaviors 4, 6770.
Miller W. R., Taylor C. A. and West J. C. (1980). Focused versus broad-spectrum behavior therapy for problem drinkers. Journal of Consulting and Clinical Psychology 48, 590601.
Polich J. M., Armor D. J. and Braiker H. B. (1981). The Course of Alcoholism Four years after Treatment. New York: Wiley.
Prochaska J. O. and DiClemente C. C. (in press, a). Stages and processes of self change of smoking: toward an integrative model of change.
Prochaska J. O. and DiClemente C. C. (in press, b). Transtheoretical therapy: toward a more integrative model of change.
Sobell M. B., Sobell L. C. and Samuels F. H. (1974). Validity of self-reports of alcohol-related arrests by alcoholics. Quarterly Journal of Studies on Alcohol 35, 276280.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
  • URL: /core/journals/behavioural-and-cognitive-psychotherapy
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 11
Total number of PDF views: 638 *
Loading metrics...

Abstract views

Total abstract views: 4771 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 23rd October 2017. This data will be updated every 24 hours.