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Should Substance Use Counselors Choose a Direction For Their Clients? Motivational Interviewing Trainers May Be
David P Forman1, Theresa B Moyers1
1University of New Mexico, Department of Psychology, Center for Alcoholism, Substance Abuse, and Addictions.
Alcoholism Treatment Quarterly
|October 18, 2021
Summary
Motivational Interviewing (MI) training may be inconsistent. Many trainers teach "equipoise," a strategy conflicting with MI principles, potentially impacting substance use counseling.
Area of Science:
- Behavioral Science
- Clinical Psychology
- Addiction Counseling
Background:
- Motivational Interviewing (MI) is a collaborative approach to behavior change.
- MI emphasizes a client-centered relationship and practitioner guidance.
- The role of practitioner directionality in MI is a key theoretical element.
Purpose of the Study:
- To investigate how Motivational Interviewing trainers decide to use directionality.
- To identify potential discrepancies between MI theory and training practices.
Main Methods:
- Survey of 111 Motivational Interviewing trainers.
- Participants selected content for a hypothetical MI training session.
Main Results:
- Nearly half of MI trainers included teaching "always maintain an attitude of equipoise."
- This "equipoise" strategy contradicts established MI theory and empirical evidence.
- A significant theoretical division exists within the MI training community.
Conclusions:
- The study reveals a potential rift in Motivational Interviewing training regarding directionality.
- This discrepancy may have implications for the effective delivery of substance use counseling.
- Further research is needed to reconcile theoretical tenets with practical training approaches.
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