Talk:Motivational interviewing

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Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 04:31, 17 January 2022 (UTC)

Applications?

I just noticed the new additions to the "applications" section and am confused by the inclusion of co-occurring disorders and homeless services. MI is an approach appropriate to discussions of behavior change, which is why substance abuse, adherence to treatment in chronic illness, and health coaching were there before. Gambling is a great example, and why I'm not questioning its inclusion. In co-occurring disorders, the MI components of a patient-practitioner conversation would be changing substance use behavior and adherence to treatment for the mental illness - both of which were already covered. In services to homeless individuals, one would assume that the target behaviors would be similar (adherence to treatment of chronic conditions, substance use, etc.). Why include these separately?Cknoepke (talk) 14:31, 6 September 2011 (UTC)

Examples of techniques

The article seems to focus on the philosophy more than the techniques of MI. I've just created Decisional balance sheet to explain one example of a technique. Anyone want to work with me on developing more examples of techniques?--Peter cohen (talk) 18:22, 9 December 2011 (UTC)

I would support that. We should be careful to make sure that the techniques described are in-keeping with MI and it's philosophy (as there are a lot of techniques/therapies out there that use the term "motivational interviewing" without actually utilizing the same principles), however. Decisional balance is a great one to have since it is discussed in a lot of the MI literature and fits rather neatly into the philosophy. Some others that might be useful to incorporate include the "Typical Day Exercise", "Agenda Setting", "Readiness/Confidence/Importance Ruler", etc. Cknoepke (talk) 22:00, 12 December 2011 (UTC)

The ruler was certainly something I used in my practice, though not as much as the decisional balance. One of my colleagues was very keen on the miracle question which I am sure is mentioned somewhere in the second edition of Miller and Rollnick though I can't find in the index. We should really have an article on that as it's also popuplar in family therapy. Another technique which isn't specifically MI but can be used to elicit motivations is the drink diary which with extra fields can find some of the typical day type things and do more than count units. We've got articles on some therapeutic diaries such as sleep diary. I'll have a think on how to organise these and see what I have the references for.--Peter cohen (talk) 23:08, 12 December 2011 (UTC)

Thank you for doing that research/legwork. A lot of the things you mention are good therapeutic techniques, but might not fall directly into MI in a strict sense. The miracle question is popular in a lot of mixed cognitive therapies and it certainly gets used by people who are "doing" motivational interviewing, but I'm not surprised to hear that it's difficult to find in Miller et Al.'s work. Drinking diary is a popular notion in a lot of harm reduction-type interventions, including Miller's own "Drinker's Check Up" - so it's hard to define what aspects of it are strictly "MI" (especially if you define MI as an interpersonal discursive philosophy, in which the journaling/drink tracking is really only an exercise used to start conversation and raise awareness in the course of developing discrepancy). Good on you to look, though, as I'm interested to see if/where you find anything.

You and I are taking on a bit of a challenge, I think, as describing MI practices is more difficult than you would think. One of the central components of any good MI training is that it is more of a "way of being" or a philosophy of practice than a set of intructable activities (hence the philosophy-heavy nature of the article as it existed before). It is indeed possible to do these exercises with clients without being MI-adherent, but it is also possible to be MI-adherent without doing any of these at all.

I don't know if that last point helps, but I think it's good to keep in mind as we work on this. Thanks again.Cknoepke (talk) 16:00, 16 December 2011 (UTC)

"The researchers excluded clients if they reported insufficient residential stability."

I've changed the sentence "The researchers reported and excluded clients if they reported insufficient residential stability." by removing the words in bold, because it's not clear what this means, and could be misleading. I see two interpretations:

1. Most likely, the researchers reported how many clients were excluded.
2. Otherwise, perhaps they referred these clients to someone else?

I couldn't replace this by anything, as I don't have access to the source, so can't quote the number of clients they excluded. So if somebody does, this might be a useful small addition to the information. — Preceding unsigned comment added by Evgeni Sergeev (talk • contribs) 12:54, 9 September 2014 (UTC)

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Student involvement

Hi all, we are a group of Oral Health Therapist students from La Trobe Univeristy. As a task we have been asked to contribute and edit to this page on Motivational Interviewing as part of our subject. If there are any comments or feedback you would like to leave, please do so as we are not experienced in editing a Wikipedia page. — Preceding unsigned comment added by JTawadros (talk • contribs) 16:40, 21 June 2019 (UTC)

@JTawadros: Thanks for the introduction. I have already noticed many errors that have been introduced into the article, although I won't take time to correct them right now. For example, there are problems with capitalization: headings should use sentence case ("Like this") not title case ("Not Like This"). Do not begin paragraphs with one or more spaces, as this presents the paragraph as a "code block" (MOS:CODE). When you added your comment to this page, you inserted it into the middle of an existing comment section; I moved it to the end of the page. Clicking on the "New section" link at the top of the page will insert a new section at the end of the page, which is more appropriate if you do not intend to edit an existing talk page section. And you should "sign" your talk page comments by typing four tildes (like this: ~~~~). Thanks, Biogeographist (talk) 17:45, 21 June 2019 (UTC)

@Biogeographist: Thank you for your feedback, I will advise and pass on this feedback to the rest of the students involved.JTawadros (talk) 15:19, 22 June 2019 (AET)

Ongoing edits

I'm new to Wikipedia and this topic is interesting to me. What are the ongoing plans for additions to this page? I'm especially interested in the applications section. Is anyone currently working on tying in the research articles into the "narrative" of explaining the applications of motivational interviewing? Mgill161 (talk) 01:59, 28 September 2022 (UTC)

Limitations: Motivation

The section titled "motivation" in the "limitations" section does not seem like a limitation of MI to me. In particular, it states: "Professionals attempting to encourage people to make a behavioral change often underestimate the effect of motivation. Simply advising clients how detrimental their current behavior is and providing advice on how to change their behavior will not work if the client lacks motivation..."

This seems like the whole point of motivational interviewing--to assist clients in finding and building their intrinsic motivation for behavioral change, rather than just to try to convince them of it.

I'm tempted to delete that subsection, but I'm new to Wikipedia editing and would appreciate others' thoughts. PenguinyPenguiny (talk) 02:30, 21 May 2023 (UTC)