Motivational Interviewing: Foundations for Change
Online Course Materials: Articles Audios Articles Videos
Developed by Sage de Beixedon Breslin, Ph.D.
General Course Description
Motivational Interviewing is a non-judgmental, non-confrontational, person-centered method for eliciting behavioral change by facilitating the exploration of and resolution of ambivalence and the discovery and use of intrinsic motivation. Developed in part by clinical psychologists William R Miller, Ph.D. and Stephen Rollnick, Ph.D, Motivational Interviewing was first used with those with substance abuse and addiction issues. It is now used for a wide variety of issues. Motivational interviewing incorporates four basic therapeutic skills: the use of open-ended questions, affirmations, reflective listening, and summative statements to the client. These techniques help to identify behaviors that are inconsistent with personal values and goals. Accepting the client’s actual readiness to change and encouraging the client to weigh the pros and cons of change enhance the therapeutic alliance and enable the client to make more productive choices that are consistent with stated goals.
This introductory course begins with an audio introduction which provides insight into factors which may need to be addressed prior to directly assessing motivation. Next, four articles provide information about the concept and process of Motivational Interviewing and review its foundation and development over time. Research is presented to identify how it is used as a general counseling style, as well as in use with very specific issues. The second section is comprised of two videos which demonstrate the value of Motivational Interviewing in a healthcare setting (and the potential for empathic failure when it is not used!). Additional resources and references are provided for further study, but they are not part of the course.
Identify the basic principles of Motivational Interviewing.
Describe the techniques utilized in Motivational Interviewing.
Explain the benefits associated with Motivational Interviewing.
- Cooper, L. (2017). Motivational interviewing: an evidence-based treatment for older adults. Innovation in Aging, 1(1), p. 18. https://doi.org/10.1093/geroni/igx004.067
- Haugan, P.S.; Berge, M.C.; Breiseth, V.; Sund, E.R. and Hedlund, M. (2019). Does training in Motivational Interviewing affect the ability to build working alliance? – an intervention study. Society, Health & Vulnerability, 10:1. DOI: 10.1080/20021518.2019.1595365
- Laws, M. B., Magill, M., Mastroleo, N. R., Gamarel, K. E., Howe, C. J., Walthers, J., … Kahler, C. W. (2018). A sequential analysis of motivational interviewing technical skills and client responses. Journal of Substance Abuse Treatment, 92, 27–34. doi:10.1016/j.jsat.2018.06.006
- Introduction to Motivational Interviewing
- History, Background, and Theory
- The spirit of Motivational Interviewing
- The Method of Motivational Interviewing
- Processes of Motivational Interviewing
- Core Skills of Motivational Interviewing (OARS)
- Asking Open-ended questions
- Reflective listening
- Addressing Ambivalence
- Sustain talk vs. Change talk
- DARNCAT acronym for change talk
- Taking steps
- Identifying and Exploring Values