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Motivational Interviewing

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Motivational Interviewing
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)
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Another study involving short motivational interviewing sessions was that of Aubrey (1998). It was found that a session of between 30 and 60 minutes almost tripled attendance of outpatients and increased the number of days abstinent.
Daley, Salloum, Zuckoff, Kirisci and Thase (1998) found that with more sessions of motivational interviewing attendance increased, as did the number of days abstinent. They found that it enlightened mood and that less days had been spent in hospital at the one-year follow-up.
Not all studies, however, have had success with motivational interviewing. Donovan, Rosengren, Downey, Cox and Sloane (2001) found that motivational interviewing did not affect treatment entry, adherence or the outcome. Both Booth, Kwiatkowski, Iguchi, Pinto and John (1998) and Schneider, Casey and Kohn (2000) also found that motivational interviewing had no affect on entry to treatment

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