He has been listed as one of the world’s most highly cited scientists by the Institute for Scientific Information. Motivational interviewing for substance abuse pdf joined the UNM faculty in 1976.
He has taught a wide range of subjects, including courses on alcoholism and abnormal psychology, and seminars on positive psychology and on self-fulfilling prophecies. His primary scientific interest is in the psychology of change, but his research spans the treatment of addictive behaviors, self-regulation, spirituality and psychology, motivation for change, and pastoral psychology. Science University, the University of New South Wales in Sydney, Australia, Stanford University, and the University of Bergen and the Hjellestad Clinic in Norway. Miller has changed the way clinicians think about the nature of substance use disorders, their treatment and the means to effect change in patients. Early in his career, he emphasized that not all alcohol problems are severe and tested briefer interventions for mid-range problem drinkers. He also demonstrated through controlled experiment that confrontation leads to states of resistance and denial, which many in the addiction field attribute to traits of those with addiction. Motivational interviewing, or motivational enhancement therapy, avoids creating such resistance by avoiding confrontation and eliciting motivation with open-ended questions and empathy.
Handbook of Alcoholism treatment Approaches: Effective Alternatives 3rd ed. Spirituality, religion, and health: An emerging research field”. Philadelphia: Westminster Press, c 1985. Washington, DC:National Institute on Alcohol Abuse and Alcoholism, Project MATCH Monograph Series, Volume 2. Judeo-Christian perspectives on psychology: Human nature, motivation, and change. Washington, DC: American Psychological Association.
Rethinking substance abuse: What the science shows and what we should do about it. This page was last edited on 9 December 2017, at 15:01. Motivational interviewing is a style of patient-centred counselling developed to facilitate change in health-related behaviours. The core principle of the approach is negotiation rather than conflict. In this article I review the historical development of motivational interviewing and give some of the theoretical underpinnings of the approach. I summarise the available evidence on its usefulness and discuss practical details of its implementation, using vignettes to illustrate particular techniques. Resistance in psychotherapy: what conclusions are supported by research.
Brief interventions for alcohol problems: a review. The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles. Motivational interviewing in drug abuse services: a randomized trial. The transtheoretical model of health behavior change. Project MATCH secondary a priori hypotheses.
Matching alcoholism treatments to client heterogeneity: Project MATCH three-year drinking outcomes. Motivational interviewing was conceived when Bill Miller, a psychologist from the USA, sat with colleagues from Norway and described what sort of therapeutic approach worked for people with alcohol problems. The process of discovery may have been like the technique itself: a gradual process of listening, reflecting to check understanding, and clarification. Once the form was crystallised it was subjected to a detailed academic analysis. Questions concerning what, how, when, why and for whom have been studied. The approach has been fitted with various theoretical models relating to interpersonal processes and behaviour change. International training has meant that the approach has been widely disseminated and evaluated in a variety of settings.
Motivational interviewing is a directive, patient-centred counselling style that aims to help patients explore and resolve their ambivalence about behaviour change. A core tenet of the technique is that the patient’s motivation to change is enhanced if there is a gentle process of negotiation in which the patient, not the practitioner, articulates the benefits and costs involved. A strong principle of this approach is that conflict is unhelpful and that a collaborative relationship between therapist and patient, in which they tackle the problem together, is essential. The last two items in the list cover the interpersonal aspects of the relationship.