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Motivational interviewing (MI) is a counseling approach developed in part by clinical psychologists William R. Miller and Stephen Rollnick.It is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.
Linda Carter Sobell, Ph.D., ABPP, is the President's Distinguished Professor at Nova Southeastern University (NSU) in Fort Lauderdale, Florida.She is a professor of clinical psychology, addiction specialist, co-director of NSU's Guided Self-Change clinic, a Motivational Interviewing Trainer, and is board-certified in cognitive and behavioral psychology.
SMART Recovery is based on scientific knowledge and is intended to evolve as scientific knowledge evolves. [4] The program uses principles of motivational interviewing, found in motivational enhancement therapy (MET), [5] and techniques taken from rational emotive behavior therapy (REBT), and cognitive-behavioral therapy (CBT), as well as scientifically validated research on treatment. [6]
His meta-analysis of the research on treatments of alcohol problems shows a rank ordering of those treatments with the most effective being active and empathic (brief interventions and motivational enhancement), while the least effective are passive (films, lectures) or confrontational. [4]
Rollnick developed many fundamental concepts of motivational interviewing with Miller in their 1991 book. [1] Rollnick used his experience in the field of addiction treatment to find ways in which healthcare professionals could combat ambivalence regarding change. The technique has since been adopted by many healthcare professionals in their ...
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Motivational interviewing is a process used in psychotherapy, social work, medicine, addiction and other fields. It aims to raise clients' awareness of problems and possibilities while reducing their ambivalence about change. [9] [10] Motivational interviewing is also characterized by a focus on the present rather than the past.
Similar to MET, motivational interviewing finds 'change talk' very important and the clinician interacts with the patient through open-ended questions, affirmations, reflections, and summaries. There are three key elements that build the foundation of motivational interviewing; collaboration, evocation and autonomy.
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