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Explore Therapeutic Interventions for Substance Abuse

Test your knowledge on different therapeutic interventions for substance abuse with this quiz! Learn about the effectiveness of 12-step facilitation therapy, motivational enhancement therapy, and cognitive-behavioural skills training. Discover the differences between outpatient and inpatient treatment options.

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Questions and Answers

Motivational interviewing is a therapeutic approach that was developed by

Bill Miller

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

Listening and reflecting

The technique of motivational interviewing has been studied in terms of

What, how, when, why and for whom

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

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

The four central principles of motivational interviewing are described in

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

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

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

In what type of patients is motivational interviewing most effective?

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

What was the primary aim of Project MATCH?

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

Which patients responded best to motivational enhancement therapy?

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

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

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

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

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

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

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

What is resistance in therapy associated with?

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

What is the main focus of motivational interviewing?

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

When is motivational interviewing most effective?

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

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

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

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

<p>Empathy</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</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</p> Signup and view all the answers

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

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

What is resistance in therapy associated with?

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

What is a core tenet of motivational interviewing?

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

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

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

What is the aim of motivational interviewing?

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

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