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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 .
William R. Miller and Stephen Rollnick's textbook on motivational interviewing discusses decisional balance in a chapter titled "Counseling with Neutrality", and describes "decisional balance as a way of proceeding when you wish to counsel with neutrality rather than move toward a particular change goal".
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]
Brief interventions are based on motivational interviewing techniques. Motivational interviewing is a technique which aims to be both non-judgmental and non-confrontational. Its success depends largely on the presentation of objective feedback based on information provided by an individual.
Motivational enhancement therapy is a strategy of therapy that involves a variation of motivational interviewing to analyze feedback gained from client sessions. Motivational Interviewing was originated by William Miller and Stephen Rollnick based on their experiences treating problem drinkers. [ 4 ]
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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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