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</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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