Explore Therapeutic Interventions for Substance Abuse
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Questions and Answers

Motivational interviewing is a therapeutic approach that was developed by

  • Steve Rollnick
  • Bill Miller (correct)
  • Norwegian colleagues
  • South African psychologists

The process of discovering motivational interviewing was described as a gradual process of

  • Listening and reflecting (correct)
  • Evaluating in different settings
  • Negotiating with patients
  • Analyzing academic data

The technique of motivational interviewing has been studied in terms of

  • What, how, when, why and for whom (correct)
  • Theoretical models and behavior change
  • Dissemination and evaluation in various settings
  • Inter-personal processes and academic analysis

The core tenet of motivational interviewing is that the patient's motivation to change is enhanced through

<p>A gentle process of negotiation (D)</p> Signup and view all the answers

The four central principles of motivational interviewing are described in

<p>Box 1 (A)</p> Signup and view all the answers

Which technique in motivational interviewing highlights the patient's ambivalence?

<p>Double-sided reflection (C)</p> Signup and view all the answers

What is the assumption behind using 'amplified' reflection in motivational interviewing?

<p>The patient's resistance will lead to a withdrawal back to the middle ground (D)</p> Signup and view all the answers

In what type of patients is motivational interviewing most effective?

<p>Patients with anger issues (D)</p> Signup and view all the answers

What is the recommended approach for therapists when faced with a patient's anger in motivational interviewing?

<p>Reflect back the emotion and take a low power position (C)</p> Signup and view all the answers

What is the importance of stringent quality control in motivational interviewing?

<p>To ensure therapists adhere to the process (B)</p> Signup and view all the answers

Which of the following interventions yielded substantial and equivalent outcomes for up to a year following treatment?

<p>All of the above (D)</p> Signup and view all the answers

What was the primary aim of Project MATCH?

<p>To match patients to specific forms of intervention (C)</p> Signup and view all the answers

Which patients responded best to motivational enhancement therapy?

<p>Patients with higher state-trait anger (B)</p> Signup and view all the answers

What other problem behaviors can motivational enhancement therapy be used for?

<p>All of the above (D)</p> Signup and view all the answers

What is a strong predictor of therapist efficacy in motivational interviewing?

<p>Empathy (B)</p> Signup and view all the answers

Which two instruments are available to measure therapist adherence to motivational interviewing principles?

<p>Motivational Interviewing Skill Code (MISC) and Motivational Interviewing Treatment Integrity (MITI) (C)</p> Signup and view all the answers

What are the two components of readiness to change in most models of health behavior change?

<p>Importance/conviction and confidence/self-efficacy (A)</p> Signup and view all the answers

Which model breaks down the concept of readiness to change into stages?

<p>Transtheoretical model of change (D)</p> Signup and view all the answers

What is one of the implications of the transtheoretical model of change?

<p>For each stage, certain helping behaviors are particularly constructive (B)</p> Signup and view all the answers

What is resistance in therapy associated with?

<p>Anger or defensiveness (B)</p> Signup and view all the answers

According to Rollnick & Miller (1995), what are the first four items in Box 2 that explore the reasons for a better therapeutic alliance and outcome?

<p>Shifting decisional balance (D)</p> Signup and view all the answers

What is the aim of motivational intervention outlined in Fig. 1?

<p>To increase the importance of change (B)</p> Signup and view all the answers

According to Miller and his group at CASAA, how does the therapist's interaction style influence change?

<p>It facilitates change (D)</p> Signup and view all the answers

What was the outcome of comparing motivational feedback using the Drinker's Check-Up with feedback using a confrontation-based approach?

<p>Motivational feedback was more effective (A)</p> Signup and view all the answers

What intervention was found to improve abstinence rates 3 months after discharge from an in-patient clinic?

<p>Motivational feedback prior to admission (D)</p> Signup and view all the answers

What is the main focus of motivational interviewing?

<p>Working with resistance (A)</p> Signup and view all the answers

What is the purpose of using 'amplified' reflection in motivational interviewing?

<p>To overstate the patient's resistance and 'negative change' position (B)</p> Signup and view all the answers

How does a therapist handle a patient's anger in motivational interviewing?

<p>Reflect back the emotion of the outburst and take a low power position (C)</p> Signup and view all the answers

What is the importance of stringent quality control in motivational interviewing?

<p>To ensure therapists adhere to the spirit of the process (C)</p> Signup and view all the answers

When is motivational interviewing most effective?

<p>In people who are angry (A)</p> Signup and view all the answers

What are the specific behaviors that Rollnick & Miller (1995) defined as leading to a better therapeutic alliance and outcome?

<p>Providing warmth and optimism (B)</p> Signup and view all the answers

What is the aim of motivational intervention outlined in Fig. 1?

<p>To increase the importance of change (D)</p> Signup and view all the answers

What is the outcome of comparing motivational feedback using the Drinker's Check-Up with feedback using a confrontation-based approach?

<p>Poorer drinking outcomes 1 year later (D)</p> Signup and view all the answers

What is the largest clinical trial ever conducted for alcoholism treatment methods?

<p>Project MATCH (C)</p> Signup and view all the answers

What was the primary aim of Project MATCH?

<p>To assess the effectiveness of different alcoholism treatment methods (B)</p> Signup and view all the answers

Which three interventions were randomly assigned to patients in the collaborative study?

<p>12 sessions of 12-step facilitation therapy (A)</p> Signup and view all the answers

What were the outcomes of the three treatment modalities in the study?

<p>The three treatment modalities yielded substantial and equivalent outcomes for up to a year following treatment (D)</p> Signup and view all the answers

Which patients responded best to motivational enhancement therapy in the follow-up period?

<p>Patients with higher state-trait anger (C)</p> Signup and view all the answers

What problem behaviors can motivational enhancement therapy be used for?

<p>Cannabis misuse, polydrug misuse, and bulimia nervosa (D)</p> Signup and view all the answers

What is a strong predictor of therapist efficacy in motivational interviewing?

<p>Empathy (D)</p> Signup and view all the answers

What are the two instruments available to measure therapist adherence to motivational interviewing principles?

<p>Motivational Interviewing Skill Code (MISC) and Motivational Interviewing Treatment Integrity (MITI) code (C)</p> Signup and view all the answers

What are the two components of readiness to change in most models of health behavior change?

<p>Importance/conviction and confidence/self-efficacy (B)</p> Signup and view all the answers

Which model breaks down the concept of readiness to change into stages?

<p>Transtheoretical model of change (D)</p> Signup and view all the answers

What are the two forms of resistance that can impede behavior change?

<p>Resistance related to the 'problem' and resistance related to the patient-therapist relationship (C)</p> Signup and view all the answers

What is resistance in therapy associated with?

<p>Poor outcome to therapy (A)</p> Signup and view all the answers

Motivational interviewing is a directive, patient-centered counseling style that aims to help patients explore and resolve their ambivalence about behavior change. What is one of the techniques used in motivational interviewing?

<p>Amplified reflection (D)</p> Signup and view all the answers

What is a core tenet of motivational interviewing?

<p>Collaborative relationship between therapist and patient is essential (C)</p> Signup and view all the answers

Who co-wrote the textbook on motivational interviewing with Bill Miller?

<p>A psychologist from Wales (D)</p> Signup and view all the answers

What is the aim of motivational interviewing?

<p>To resolve patient's ambivalence about behavior change (A)</p> Signup and view all the answers

What is the process of discovering motivational interviewing described as?

<p>A gradual process of listening and reflecting (B)</p> Signup and view all the answers

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