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The evolution of motivational interviewing.

William R Miller1

  • 1Department of Psychology, The University of New Mexico, Albuquerque, NM, USA.

Behavioural and Cognitive Psychotherapy
|May 12, 2023
PubMed
Summary

Motivational interviewing (MI) has evolved significantly since 1983, proving effective across professions and nations. Its core processes enhance other therapies, particularly cognitive behavioral therapies.

Keywords:
cognitive-behavior therapymotivational interviewingtherapist effects

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Area of Science:

  • Psychology
  • Behavioral Science

Background:

  • Motivational interviewing (MI) originated in 1983 and has since become a widely adopted practice globally.
  • Its efficacy is supported by hundreds of controlled clinical trials and extensive process research.

Approach:

  • This review examines the historical development and evolution of MI.
  • It explores the underlying mechanisms and factors contributing to MI's effectiveness.
  • Parallels are drawn between MI core processes and effective psychotherapy characteristics.

Key Points:

  • Proficiency in MI is enhanced through feedback and coaching on observed practice.
  • MI's core processes align with characteristics of effective therapists identified over 70 years of psychotherapy research.
  • MI serves as an evidence-based therapeutic style for improving the delivery of other treatments.

Conclusions:

  • Motivational interviewing is a robust, evidence-based intervention with broad applicability.
  • MI can be effectively integrated with other therapeutic modalities, such as cognitive behavioral therapies.
  • The principles of MI offer valuable insights into effective therapeutic practice.