Examining motivational interviewing in drug abuse therapy
A study designed to assess the usefulness of a single session of motivational interviewing in drug abuse treatment showed that the single session of the psychotherapy technique had no effect on drug use outcomes. However, results of a subsequent analysis suggest that the therapist may have pressed for change before the individual was ready.
Motivational interviewing is designed to strengthen a persons commitment to changing their behavior by focusing on such factors as desire, self-efficacy, need, readiness, and reasons. In the original study, University of New Mexico researchers randomly assigned 152 outpatients and 56 inpatients to receive or not receive a single session of motivational interviewing as part of their drug abuse therapy. The researchers assessed drug use at the pretreatment baseline and at 3, 6, 9, and 12 months following study entry. They found that adding a single session of motivational interviewing failed to have a positive effect on abstinence.
In a follow-up study, a psycholinguist watched videotapes of 84 persons undergoing motivational interviewing--representing a subset of individuals from the earlier study--and their therapists to analyze the language they used.
For the psycholinguistic analysis, each session was broken into four parts: motivational interviewing, assessment feedback, additional motivational interviewing, and developing a change plan. The researchers found that during the motivational interviewing segments, the study participants used language that showed a strong commitment to drug abstinence. However, the analysis also revealed that individuals began "resisting," or using weaker language, when the therapist switched to giving assessment feedback. There was also a precipitous decline in commitment language when the therapist pressed for a plan to initiate behavior changes.
WHAT IT MEANS: The finding from the first study--the failure of motivational interviewing to have a positive impact on drug use behaviors--was unexpected because previous assessments had shown that the technique improved treatment retention, adherence, and outcome. Results of the second study suggest that therapists should modify manual-guided motivational interviewing techniques when faced with individuals whose language, especially during assessment feedback, begins to reflect a decline in their initial desire to reduce drug use. By pressing for change before a person is ready, the therapist can undermine the existing motivation for behavior change.
Dr. William Miller and his colleagues published these NIDA-funded studies in the August 2003 and October 2003 issues of the Journal of Consulting and Clinical Psychology.
Blair Gately | EurekAlert!
The most recent press releases about innovation >>>
Die letzten 5 Focus-News des innovations-reports im Überblick:
In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.
Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...
Mapping the interaction of a single atom with a single photon may inform design of quantum devices
Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...
A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.
Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...
In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.
“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...
The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.
The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...