How to Do Things With Words

/pdf/2021-esc-guidelines-on-cardiovascular-disease-prevention-in-14ygu7kat1.pdf

2021 ESC Guidelines on cardiovascular disease prevention in clinical practice

Objective: The authors investigated the unique contribution motivational interviewing (MI) has on counseling outcomes and how MI compares with other interventions. Method: A total of 119 studies we...

A Meta-Analysis of Motivational Interviewing: Twenty-Five Years of Empirical Studies.

http://faculty.fortlewis.edu/burke_b/MI/MI%20Readings/Lundahl,%20Burke,%20et%20al.%202013.pdf

Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials

A wave of new developments has occurred in the behavioral and cognitive therapies that focuses on processes such as acceptance, mindfulness, attention, or values. In this review, we describe some of these developments and the data regarding them, focusing on information about components, moderators, mediators, and processes of change. These "third wave" methods all emphasize the context and function of psychological events more so than their validity, frequency, or form, and for these reasons we use the term "contextual cognitive behavioral therapy" to describe their characteristics. Both putative processes, and component and process evidence, indicate that they are focused on establishing a more open, aware, and active approach to living, and that their positive effects occur because of changes in these processes.

Open, aware, and active: contextual approaches as an emerging trend in the behavioral and cognitive therapies.

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.

http://www.miinstitute.com/wp/wp-content/uploads/Miller%20Rose%20Theory%20of%20MI.pdf

Toward a Theory of Motivational Interviewing

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.

/pdf/motivational-interviewing-and-decisional-balance-contrasting-2qomevciwk.pdf

Gary S. Rose

Papers

Toward a Theory of Motivational Interviewing

Motivational interviewing and decisional balance: contrasting responses to client ambivalence.

Motivational interviewing in relational context.

Motivational interviewing by HIV care providers is associated with patient intentions to reduce unsafe sexual behavior

A sequential analysis of motivational interviewing technical skills and client responses.