Motivational Interviewing: Theoretical Foundations

Angela-Wood
Southeastern Louisiana University

Key Points

  1. Motivational interviewing, developed by Bill Miller and Stephen Rollnick, has expanded from addressing alcohol use in DUI offenders to a wide range of behavioral and health-related issues.
  2. It’s a client-centered, non-directive approach, focusing on resolving ambivalence and encouraging internal motivation for change.
  3. While suitable for various diagnoses and populations, its effectiveness depends on the cognitive capacity of the individual to understand and engage in the process.
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Motivational interviewing, developed by Bill Miller and Stephen Rollnick, first emerged in a book published in 1991. Since then, it has undergone four editions, the last one in 2023. Aimed initially at addressing alcohol use in individuals cited for driving under the influence or intoxicated, this approach has evolved beyond those with severe alcohol dependency issues.

The Genesis of Motivational Interviewing

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