Brown University, Center for Alcohol and Addiction Studies, Providence, RI 02912, United States.
University of Washington, Department of Psychiatry and Behavioral Sciences, Seattle, WA 98195, United States.
Curr Opin Psychol. 2019 Dec;30:1-5. doi: 10.1016/j.copsyc.2018.12.010. Epub 2018 Dec 18.
This work provides an overview of Motivational Interviewing (MI) theory, the nature of the evidence for its mechanisms of action, and considers future directions. There are three hypotheses purported to explain how MI works: The Technical Hypothesis, the Relational Hypothesis, and the Conflict Resolution Hypothesis. In contrast to the latter two hypotheses, the Technical Hypothesis has received the most empirical attention in the MI process literature. Research shows that clinician technical skills in MI are well-defined, they relate to the intended client mechanisms (i.e. change talk and sustain talk), but the evidence supporting client mechanisms as predictors of subsequent changes to behavior is less conclusive. Future research and clinical implications are briefly considered.
本文概述了动机式访谈（MI）理论，阐述了其作用机制的证据本质，并探讨了未来的发展方向。有三个假说被认为可以解释 MI 是如何起作用的：技术假说、关系假说和冲突解决假说。与后两个假说相比，技术假说在 MI 过程文献中受到了最多的实证关注。研究表明，临床医生在 MI 中的技术技能是明确的，它们与预期的客户机制（即改变谈话和维持谈话）相关，但支持客户机制作为随后行为变化预测因素的证据并不那么确凿。简要考虑了未来的研究和临床意义。
