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Therapist influence on client language during motivational interviewing sessions.

Theresa B Moyers1, Tim Martin

  • 1Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, NM 87131-1161, USA. tmoyers@unm.edu

Journal of Substance Abuse Treatment
|April 18, 2006
PubMed
Summary

Therapist behaviors in motivational interviewing (MI) directly influence client change talk. Motivational enhancement therapy (MET) sessions showed that MI-consistent therapist actions elicit client motivation, while inconsistent actions increase resistance.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Addiction Treatment

Background:

  • Motivational interviewing (MI) is a therapeutic approach designed to enhance intrinsic motivation for behavior change.
  • Client language favoring change is considered a key mechanism in MI's effectiveness.
  • Specific therapist behaviors are recommended to elicit client change talk.

Purpose of the Study:

  • To investigate the relationship between therapist behaviors and client speech in motivational enhancement therapy (MET).
  • To examine if therapist adherence to MI principles influences subsequent client language.

Main Methods:

  • Analysis of 38 MET sessions from Project MATCH.
  • Utilized a sequential behavioral coding system to analyze therapist-client interactions.

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  • Calculated conditional probabilities between therapist behaviors (MI-consistent and MI-inconsistent) and client speech.

    • Main Results:

    • MI-consistent therapist behaviors were significantly more likely to be followed by client self-motivational statements.
    • MI-inconsistent therapist behaviors were more likely to precede client resistance.
    • Therapist actions demonstrably shape client language during MI sessions.

    Conclusions:

    • Therapist behaviors play a crucial role in eliciting client change talk within MI.
    • Adherence to MI principles by therapists is vital for fostering client motivation and reducing resistance.
    • Findings support the theoretical underpinnings of MI and its practical application in addiction treatment.