Drage, L, Masterson, C, Tober, G et al. (2 more authors) (2019) The Impact of Therapists’ Responses to Resistance to Change: A Sequential Analysis of Therapist Client Interactions in Motivational Interviewing. Alcohol and Alcoholism, 54 (2). pp. 173-176. ISSN 0735-0414
Abstract
Aims
The study aims to examine how therapists trained in motivational interviewing (MI) respond to resistance and whether this has an impact on subsequent client speech.
Methods
Fifty recorded Motivational Enhancement Therapy sessions were examined using a sequential behavioural coding method for speech. Client counter-change talk formed the baseline for coding and categorizing subsequent therapist speech and the following client speech. Transitional analysis identified the probable occurrence of specific therapist and client utterances at each stage.
Results
Following client expressed resistance or counter-change talk, MI consistent therapist utterances were most commonly observed. A moderate to strong predictive relationship was found between MI-consistent therapist speech and subsequent client change talk. A moderate predictive relationship was found between therapist MI-consistent behaviours and client ambivalence. A moderate to strong predictive relationship was found between MI-inconsistent therapist speech and subsequent client counter-change talk and a weak negative predictive relationship was found between MI-inconsistent therapist speech and client expressed ambivalence.
Conclusions
In the face of initial expressed resistance to change, MI-consistent therapist speech appears to increase subsequent client utterances regarding intentions to change drinking behaviour.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2019. Medical Council on Alcohol and Oxford University Press. This is an author produced version of a paper published in Alcohol and Alcoholism . Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | drinking behavior; speech; ambivalence; motivational interviewing; clients; resistance to change |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 28 Jan 2019 11:05 |
Last Modified: | 23 Feb 2020 01:38 |
Status: | Published |
Publisher: | Oxford University Press |
Identification Number: | 10.1093/alcalc/agz003 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:141618 |