Edward Via College of Osteopathic Medicine, Auburn, AL, USA.
University of North Texas Health Science Center, Ft. Worth, TX, USA.
J Clin Psychol. 2018 Apr;74(4):626-636. doi: 10.1002/jclp.22534. Epub 2017 Sep 22.
Counselor and client language have been identified as mechanisms of change in motivational interviewing (MI) counseling sessions. This study evaluated whether language patterns exhibited during MI sessions with substance users in the community would also be found during MI sessions with substance users in the criminal justice system.
Forty audio recordings of MI sessions with substance-using probationers were coded and analyzed sequentially using the Motivational Interviewing Skills Code (MISC) 2.5. Analyses examined the relationship between counselor and client language, and the relationship between client language and client substance use after 2 months.
Counselor MI inconsistent language was associated with decreased change talk (lnOR = - 0.76, p < .05) though not with increased sustain talk. Both sustain talk (b = - 4.591, t = - 18.634 p < .001) and MI inconsistent language MIIN (b = - 4.419, t = - 19.886, p < .001) were positively associated with substance use at 2 months. Sustain talk early in the session (i.e., during deciles 1 and 2) was significantly greater among clients who reported using substances at 2 months, compared to clients who did not use substances.
These findings are broadly consistent with previous literature documenting the association between counselor language, client language, and client outcome.
顾问和客户的语言已被确定为动机性访谈（MI）咨询会议中的变革机制。本研究评估了社区中物质使用者的 MI 会议期间表现出的语言模式是否也会在刑事司法系统中的物质使用者的 MI 会议期间出现。
对 40 名使用物质的缓刑犯的 MI 会议的音频记录进行了编码和顺序分析，使用动机性访谈技能编码（MISC）2.5 进行了分析。分析检查了顾问和客户语言之间的关系，以及客户语言与客户在 2 个月后的物质使用之间的关系。
顾问的 MI 不一致语言与减少的变化谈话（lnOR=-0.76，p<.05）有关，而与增加的维持谈话无关。维持谈话（b=-4.591，t=-18.634，p<.001）和 MI 不一致语言 MIIN（b=-4.419，t=-19.886，p<.001）都与 2 个月时的物质使用呈正相关。在会议早期（即第 1 和第 2 个十分位数）的维持谈话在 2 个月时报告使用物质的患者中明显更高，与未使用物质的患者相比。
这些发现与以前记录顾问语言、客户语言和客户结果之间关联的文献广泛一致。
