Chasing change talk: The clinician's role in evoking client language about change

University of New Mexico, Albuquerque, NM 87131, USA.
Journal of substance abuse treatment (Impact Factor: 2.9). 04/2010; 39(1):65-70. DOI: 10.1016/j.jsat.2010.03.012
Source: PubMed

ABSTRACT Client "change talk," or language in favor of changing a target behavior, is a hypothesized active ingredient of motivational interviewing that can predict actual behavioral change. This study isolated and manipulated change talk in a context resembling a psychotherapeutic encounter, comparing its prevalence in two conditions: change talk evocation (CT) and functional analysis (FA). Using a single-baseline (ABAB) design, clinicians alternated between CT and FA, consequating change talk only in the CT condition. Clinicians were 9 clinical psychology graduate students, and clients were 47 undergraduates with concerns about drinking. The hypothesis that greater Percentage Change Talk would be observed in CT than in FA was supported, t(46) = 6.561, p < .001, d = 1.19. A rationale for the development of a behavioral rating system to evaluate clinicians' proficiency in recognizing, responding to, and evoking client change talk is presented.

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    • ", self - defenses ) . In MI , counter - change language is captured in terms of sustain talk ( Miller and Rose , 2009 ; Glynn and Moyers , 2010 ) . An example of counter - change language that change recipients could use to defend their self - integrity would be " I see this differently ! "
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    ABSTRACT: Human behavior contributes to a waste of environmental resources and our society is looking for ways to reduce this problem. However, humans may perceive feedback about their environmental behavior as threatening. According to self-determination theory (SDT), threats decrease intrinsic motivation for behavior change. According to self-affirmation theory (SAT), threats can harm individuals' self-integrity. Therefore, individuals should show self-defensive biases, e.g., in terms of presenting counter-arguments when presented with environmental behavior change. The current study examines how change recipients respond to threats from change agents in interactions about environmental behavior change. Moreover, we investigate how Motivational Interviewing (MI) — an intervention aimed at increasing intrinsic motivation — can reduce threats at both the social and cognitive level. We videotaped 68 dyadic interactions with change agents who either did or did not use MI (control group). We coded agents verbal threats and recipients' verbal expressions of motivation. Recipients also rated agents' level of confrontation and empathy (i.e., cognitive reactions). As hypothesized, threats were significantly lower when change agents used MI. Perceived confrontations converged with observable social behavior of change agents in both groups. Moreover, behavioral threats showed a negative association with change recipients' expressed motivation (i.e., reasons to change). Contrary to our expectations, we found no relation between change agents' verbal threats and change recipients' verbally expressed self-defenses (i.e., sustain talk). Our results imply that MI reduces the adverse impact of threats in conversations about environmental behavior change on both the social and cognitive level. We discuss theoretical implications of our study in the context of SAT and SDT and suggest practical implications for environmental change agents in organizations.
    Frontiers in Psychology 07/2015; 6:1-16. DOI:10.3389/fpsyg.2015.01015 · 2.80 Impact Factor
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    • "Developing a supportive environment/relationship and evoking change talk, or any selfexpressed language that is an argument for change is critical in the facilitation of motivational interviewing. The evidence for motivational interviewing provides compelling verification for the notion that the therapist can influence clients' expression of change talk and that there is a relationship between change talk and behavior (Forgatch & Patterson, 1985; Glynn & Moyers, 2010; Miller, Yahne, Moyers, Martinez, & Pirritano, 2004; Moyers & Martin, 2006). Nock and Kazdin (2005) pioneered the application of motivational interviewing in the context of parenting with their Parent Enhancement Intervention, a model that assesses caregiver perception of readiness and that attempts to improve parental engagement and adherence (i.e., attendance). "
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    • "Participants are encouraged to use change talk (e.g., " I want to, " " If I do this … than , " " I am willing to " ) when talking about problem areas (e.g., substance use). Glynn and Moyers (2010) argue that participants themselves have the answers they need to change. Through "
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