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Article Review: Toward a Theory of Motivational Interviewing

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Please read the attached article "Toward a Theory of Motivational Interviewing," by William R. Miller and Gary S. Rose and answer the following questions:

1. What is the research question? Is it an empirical/answerable question?
2. What are the key concepts? How are they operationalized?
3. Is the significance/rationale for this study explained? What gaps in the body of knowledge does the literature review suggest?
4. What research method was used? Is it appropriate for the research question to be answered?
5. What are the hypotheses? Are they testable by the research method selected?
6. What are the Independent & Dependent Variables (IV&DV)?
7. What types of data are to be collected? What data collection methods were used? Are the methods appropriate for the types of data?
8. Did the authors develop new data collection instruments? How is reliability of the instruments ensured?
9. What are the key findings? Are the hypotheses supported or rejected?
10. How is validity of findings ensured?
11. What limitations of generalizability were identified by the authors?
12. What new questions are suggested for future research?

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Solution Preview

This article is a literature review - it is summarizing many studies concerning Motivational Interviewing and outcomes. Hence, it is not an experiment in itself.

For drug abusers (and many others), therapists' bedside manners were extremely important in their eventual cure. There are 5 basic elements to this kind of patient empathy (we can also call this Motivational Interviewing, MI):
1. giving options: laying out possibilities in a non-judgmental way.
2. stressing personal responsibility: respecting the client's autonomy
3. giving advice: treating this as a collective concept (not talking down to them).
4. empathetic style: always recognize the client's point of view
5. feedback: friendly and non-confrontational: the point is to evoke the client's own wishes to comply rather than forcing the issue.

These elements are far more important than had previously been thought. These methods have been proven successful in nearly every area of health science. There are SOME (a small minority) of studies that show little significance in this method of counseling. But the bulk of work in this field shows it to be very successful.

Motivational Interviewing shows great success in overcoming patient resistance to personal change. This ...

Solution Summary

Empirical answerable questions are examined. The key concepts and how they are operationalized are determined.