Motivational Interviewing Essay

3670 Words15 Pages
Motivational interviewing was first developed for use with individuals with substance use disorders by William R. Miller in 1983 (Patterson, 2010). Since then the definition of Motivational Interviewing (MI) has evolved and has been refined as an approach to behavior change. The initial description was developed from Miller’s experience in the treatment of problem drinkers. Through clinical experience and empirical research, the fundamental principles and methodologies of MI have been applied and tested in various settings and research findings have demonstrated its efficacy. MI is now established as an evidence-based practice in the treatment of individuals with substance use disorders. Although there are some technical considerations that may alter the practice of motivational interviewing with older people its basic principles remain the same: eliciting the patient’s concerns, reflecting ambivalence and allowing the patient to develop a plan for change that best suits him or her (Bugelli & Crowther, 2008). Motivational Interviewing focuses on exploring and resolving ambivalence and centers on motivational processes within the individual that facilitate change. Bugelli and Crowther content that the method differs from more “coercive” or externally-driven methods for motivating change as it does not impose change; but rather supports change in a manner congruent with the person's own values and concerns. Miller and Rollnick (2002) emphasize that they are less concerned about the techniques used in MI but put greater emphasis on the spirit that underlies it. MI is a way of being with people; therefore its spirit lies in understanding and experiencing the human nature that gives rise to that way of being (Miller & Rollnick, 2002). How one thinks and understands what happens in the interviewing process is vitally important in shaping the interview itself. The
Open Document