The Meanings of Family in Substance Users’ Change Talk During Motivational Interviewing: A Qualitative Study

2014 ◽  
Vol 14 (2) ◽  
pp. 175-190 ◽  
Author(s):  
Harri Sarpavaara
Keyword(s):  
Qualitative Study ◽  
Motivational Interviewing ◽  
Substance Users ◽  
Change Talk

The causal attributions of substance use in clients’ change talk during motivational interviewing

2014 ◽  
Vol 11 (3) ◽  
Author(s):  
Harri Sarpavaara
Keyword(s):  
Substance Use ◽  
Motivational Interviewing ◽  
Causal Attributions ◽  
Working Life ◽  
Cultural Factors ◽  
Substance Use Treatment ◽  
Substance Users ◽  
Change Talk ◽  
Probation Service ◽  
Indexical Sign

The objective of this study is to provide insights into substance users’ beliefs about the causes of substance use, in order to expand the current understanding of the significance of the client’s change-related talk during motivational interviewing (MI) sessions. In particular, it focuses on what kind of causes the substance-using clients attribute their substance use to in change talk during MI. The analyses are based on videotaped and transcribed data consisting of 98 MI sessions in the Finnish Probation Service. By applying Peirce’s semiotic theory of signs, this study investigates clients’ change talk utterances about causal attributions of substance use as an indexical sign. The results show that the clients attributed various causes to substance use, and that five main causes can be discerned: cultural factors, significant others, personal properties, working life, and lifestyle. The study displays that both sociocultural and psychological causes play an important role in substance users’ change talk. Thus, it is suggested that contextual factors should not be overlooked in MI and other substance use treatment.

Learning and Experiencing Motivational Interviewing

2019 ◽  
pp. 125-134
Author(s):  
Jin Cheng ◽  
Claire Becker ◽  
Antoine Douaihy
Keyword(s):  
Motivational Interviewing ◽  
Fundamental Importance ◽  
Change Talk

Training in motivational interviewing (MI) has increasingly become more innovative. In this chapter, the authors review the necessary components and key requirements to learning MI. The chapter discusses the fundamental importance of feedback and coaching in the learning and practice processes. Complementary to the feedback, modeling from mentors is incredibly helpful in learning MI. The chapter emphasizes the approach of practicing MI mindfully, which requires focus and attunement toward rough areas and improvement. MI advances a skill set that draws on a certain conversational mindset and “heartset.” The authors review the stages in learning MI, which include adopting the spirit of motivational interviewing; using open-ended questions, affirmations, reflections and summarizations (OARS); encouraging “change talk”; allowing and accepting “sustain talk”; developing a change plan; consolidating commitment; and integrating MI with other modalities.

scholarly journals Motivational Interviewing and Decisional Balance: Contrasting Responses to Client Ambivalence

2013 ◽  
Vol 43 (2) ◽  
pp. 129-141 ◽  
Author(s):  
William R. Miller ◽  
Gary S. Rose
Keyword(s):  
Clinical Practice ◽  
Clinical Outcome ◽  
Motivational Interviewing ◽  
Empirical Evidence ◽  
Outcome Research ◽  
Decisional Balance ◽  
Commitment To Change ◽  
Change Talk

Background: A recommendation in original descriptions of motivational interviewing (MI) was to “explore ambivalence”. Contrasting procedures for doing so have been clarified through the evolution of MI. Aims: This article describes two conceptually distinct methods for responding to ambivalence: decisional balance (DB) and MI's evocation of change talk, and reviews empirical evidence to recommend when each procedure is appropriate (and inappropriate) in clinical practice. Method: The authors summarize findings of clinical outcome research to examine how these two interventions impact the resolution of client ambivalence. Results: With ambivalent people, a DB intervention tends to decrease commitment to change, whereas evocation (a key element of MI) promotes change. When a person has already made the decision to change, evocation is unnecessary and may deter change, whereas DB may further strengthen commitment. Conclusions: DB is an appropriate procedure when the clinician wishes to maintain neutrality and not favor the resolution of ambivalence in any particular direction. Evocation is appropriate when the clinician intends to help clients resolve ambivalence in the direction of change.

scholarly journals Adherence to Principles of Motivational Interviewing and Client Within-Session Behavior

2005 ◽  
Vol 34 (1) ◽  
pp. 43-56 ◽  
Author(s):  
Delwyn Catley ◽  
Kari Jo Harris ◽  
Matthew S. Mayo ◽  
Sandra Hall ◽  
Kolawole S. Okuyemi ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
African American ◽  
Behavior Change ◽  
Motivational Interviewing ◽  
Subjective Rating ◽  
Subjective Ratings ◽  
Change Talk ◽  
Global Ratings ◽  
Client Behavior ◽  
Behavior Frequency

The purpose of this study was to examine whether counselor adherence to Motivational Interviewing (MI) principles was associated with more productive within-session client behavior in a smoking cessation trial for African American smokers. For these analyses 89 baseline counseling sessions of the trial were audiotaped and coded using the Motivational Interviewing Skill Code (MISC). Counselor adherence indicators included a global subjective rating of MI adherence and the frequency of MI-consistent and MI-inconsistent counselor behaviors described in the MISC. Indicators of productive client behaviors included global subjective ratings of within-session client functioning and counselor-client interaction, as well as the frequency of statements by the client favorable toward changing behavior (“change talk”) and resistant regarding changing behavior (“resist-change talk”). Results provided support for the principles of MI. Counselor adherence indexed by both the global subjective rating and MI-consistent behavior frequency was significantly positively associated with global ratings of within-session client functioning and counselor-client interaction, as well as more change talk.

scholarly journals Effect of a significant other on client change talk in motivational interviewing.

2013 ◽  
Vol 81 (1) ◽  
pp. 35-46 ◽  
Author(s):  
Timothy R. Apodaca ◽  
Molly Magill ◽  
Richard Longabaugh ◽  
Kristina M. Jackson ◽  
Peter M. Monti
Keyword(s):  
Motivational Interviewing ◽  
Significant Other ◽  
Change Talk ◽  
Client Change
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