Motivational Interviewing
clinical, research · Motivational Interviewing: Helping People Change (1991)
A client-centered counseling style that elicits behavior change by exploring and resolving ambivalence.
Core Concepts
The Problem
People often resist direct advice, leading to entrenchment rather than change.
The Claim
By using empathy, supporting autonomy, and developing discrepancy between current behavior and personal goals, practitioners can guide individuals to self-motivate.
Key Evidence
- •Multiple meta-analyses show efficacy for addiction, health behavior change, and treatment adherence.
Practical Implication
This approach has been applied beyond addiction treatment to healthcare, management, and education.
Nuance & Limits
It requires skillful delivery; poorly done it can feel manipulative or overly directive under the guise of autonomy.
Source Material
Citation Density
high
Related Ideas
Both emphasize client autonomy and internal motivation, but ACT uses mindfulness and values clarification.
Both rely on reflective listening, but motivational interviewing is more directive about change.
Gaps
- ⚠ Lack of clarity on adaptation for brief interactions or non-clinical settings.
Discuss Further
Open this concept in an AI assistant for deeper discussion, critique, or exploration.