Toward a Theory of Motivational Interviewing
Toward a Theory of Motivational Interviewing
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DOI：
10.1037/a0016830
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发表时间：
2009-09-01
影响因子：
16.4
通讯作者：
Rose, Gary S.
中科院分区：
文献类型：
--
作者：
Miller, William R.;Rose, Gary S.
广泛传播的临床方法动机访谈（MI）通过科学和实践的融合而产生。除了大量的临床试验外，研究人员还对MI进行了深入的研究，以了解MI影响行为改变的潜在机制。这种规范的结果相关方面的做法是至关重要的理论发展，可以告知双方的治疗交付和临床培训。提出了一个新兴的MI理论，强调两个具体的积极组成部分：一个关系组件专注于共情和MI的人际精神，和一个技术组件涉及的差异唤起和加强客户端的变化谈话。由此产生的因果链模型链接治疗师的培训，治疗师和客户的反应，在治疗过程中，和治疗后的结果。
The widely disseminated clinical method of motivational interviewing (MI) arose through a convergence of science and practice. Beyond a large base of clinical trials, advances have been made toward "looking under the hood" of MI to understand the underlying mechanisms by which it affects behavior change. Such specification of outcome-relevant aspects of practice is vital to theory development and can inform both treatment delivery and clinical training. An emergent theory of MI is proposed that emphasizes two specific active components: a relational component focused on empathy and the interpersonal spirit of MI, and a technical component involving the differential evocation and reinforcement of client change talk. A resulting causal chain model links therapist training, therapist and client responses during treatment sessions, and posttreatment outcomes.