Describe and evaluate the roles and principles of one of the treatment interventions or approaches: Motivational Interviewing.
The treatment approach, motivational interviewing, was first described by Miller (1983) in a paper he had not intended to publish but did so while in Norway supervising young psychologists. He found that the principles and concepts were interesting to clinicians and so decided to research them further, (Miller, 1996). Motivational interviewing developed as a result of observation of various alternative methods to therapist treatment, for example behavioural self-control training (Miller, 1978). He also began to discover that those therapists who showed more empathy showed greater behaviour change in their clients (Miller and Baca, 1983). This then led Miller to coin the term motivational interviewing, which Rollnick and Miller (1995) described as being “a directive, client-centered counselling style for eliciting behaviour change by helping clients to explore and resolve ambivalence” (Rollnick and Miller, 1995, p.325). Since writing extensively about motivational interviewing in 1991, Miller and Rollnick (1991, 2002) note that they have placed less emphasis on the techniques and more on the spirit of motivational interviewing. They believe this is necessary because, in their opinion, some people use techniques that are called motivational interviewing that do not compare to their understanding of what motivational interviewing actually is. Miller and Rollnick (2002) argue that motivational interviewing is about being with people and that it’s “underlying spirit lies in understanding and experiencing the human nature that gives rise to that way of being” (Miller and Rollnick, 2002, p. 34). Miller and Rollnick (2002) note three main components in the spirit of motivational interviewing: collaboration, evocation and autonomy. They describe collaboration as being where the counsellor does not make it feel as though he is in charge....
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