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Updated: Apr 14, 2026

Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
Published on: December 23, 2025
Client experiences of motivational interviewing: An interpersonal process recall study.
Sarah A Jones1, Gary Latchford1, Gillian Tober2
1Leeds Institute of Health Sciences, University of Leeds, UK.
Clients found motivational interviewing (MI) for alcohol abuse to be a complex interaction impacting their thoughts and feelings. Key elements included a non-confrontational approach, therapist qualities, and the therapeutic relationship.
Area of Science:
- Psychology
- Addiction Treatment
- Qualitative Research
Background:
- Motivational interviewing (MI) is a therapeutic approach used for alcohol abuse.
- Understanding the client's subjective experience of therapy is crucial for optimizing treatment outcomes.
Purpose of the Study:
- To explore clients' experiences of the therapy process in motivational interviewing for alcohol abuse.
- To identify key therapeutic elements from the client's perspective.
Main Methods:
- Qualitative study employing grounded theory.
- Interviews with nine clients using interpersonal process recall (IPR) with video-recorded MI sessions.
- Analysis of transcribed interviews using grounded theory.
Main Results:
- Clients perceived a single MI session as a complex interpersonal interaction.
- This interaction influenced clients' cognitive and affective intrapersonal processes.
- Identified important aspects included non-confrontational approach, affirmation, and discrepancy development.
Conclusions:
- Client experiences partially confirm hypothesized MI processes.
- Therapeutic relationship and therapist qualities, common to all therapies, are highlighted as important.
- Client perspectives are vital for research, with IPR being a suitable methodology.
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