Motivational Interviewing: Contributions From Structure Determinism

摘要

Motivational interviewing is a widely used treatment, introduced by William Miller in 1983. The original target of the method was substance use disorders, but it has since been used to address a variety of other mental health concerns. Because it was developed inductively from clinical insights rather than deductively from a set of theoretical postulates, practitioners have had difficulty understanding how or why the method works. Previous attempts to fill that theoretical gap have not been fully successful. Thus, in this article, we apply principles of structure determinism, a constructivist model, in an attempt to clarify how core aspects of motivational interviewing function and how the method might be strengthened.