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Motivational Interviewing Under a Behavior Analysis Perspective

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Behavior Analysis and Substance Dependence

Abstract

Motivational interviewing (MI) is a treatment method developed in the field of substance use disorders (SUD), whose use has been shown to be effective both for reducing substance use as well as for reducing risk behaviors and increasing healthy behaviors such as adherence to exercise, diet, and medication. Despite its popularity, its strategies are still poorly disseminated among the behavior analysts’ community. In part, this limited diffusion is due to changes in the organization of principles and methods adopted in MI that have occurred over the years. Furthermore, the fact that the theoretical foundations of MI are not derived from behavioral principles, may make it difficult to integrate MI into the practice of the behavior analyst. This chapter aims to introduce MI to behavior analysts’ community as defined in the third edition of the book “Motivational Interviewing”, published in 2013, as well as to offer an interpretation of its main concepts and strategies from the perspective of Behavior Analysis principles. Translating to behavior analysts’ community the main concepts and strategies of this approach, which basically guides rules for planning verbal contingencies that aim to reinforce the patient’s verbal behavior of commitment to change, may help in the incorporation of this cost-effective practice for the treatment of SUD by these professionals.

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Notes

  1. 1.

    Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: preparing people to change addictive behavior. New York: The Guilford Press.

  2. 2.

    Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: preparing people for change (2nd ed.). New York: The Guilford Press.

  3. 3.

    Miller, W. R. & Rollnick, S. (2013). Motivational Interviewing: helping people change (3rd ed.). New York: The Guilford Press.

  4. 4.

    Originally, in English, the acronym is OARS, formed by open questions, affirming, reflections and summarizing.

  5. 5.

    The so-called autoclitic operant consists of a verbal unit that occurs together with other basic operants, modifying the effects of these basic operants on the listener (Barros, 2003; Borloti, 2004; Skinner, 1957).

  6. 6.

    Establishing operations are environmental events that momentarily change the effectiveness of a stimulus as a reinforcer or punisher. This concept, in behavioral terms, is related to what is called motivation in generic terms (Michael, 1993; Miguel, 2000).

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Oliveira, C.S.R., Huziwara, E.M. (2021). Motivational Interviewing Under a Behavior Analysis Perspective. In: Oliani, S.M., Reichert, R.A., Banaco, R.A. (eds) Behavior Analysis and Substance Dependence. Springer, Cham. https://doi.org/10.1007/978-3-030-75961-2_13

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