Skip to main content

Motivational Interviewing in the Reciprocal Engagement Model of Genetic Counseling: a Method Overview and Case Illustration

Abstract

Motivational Interviewing is a well-described counseling method that has been applied to a broad range of health behavior encounters. Genetic counseling is an emerging area of utilization for the method of Motivational Interviewing. The relational and technical elements of the MI method are described within the context of genetic counseling encounters. Case excerpts will be used to illustrate incorporation of MI methods into the Reciprocal Engagement Model of the genetic counseling encounter.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  • Aviram, A., & Westra, H. A. (2011). The impact of motivational interviewing on resistance in cognitive behavioral therapy. Psychotherapy Research, 21, 698–708.

    Article  PubMed  Google Scholar 

  • Beutler, L. E., Harwood, T. M., Michelson, A., Song, X., & Holman, J. (2011). Resistance/reactance level. Journal of Clinical Psychology, 67, 133–142.

    Article  PubMed  Google Scholar 

  • Chan, F. (2015). Counseling theories and techniques for rehabilitation and mental health counseling. New York: Springer.

    Google Scholar 

  • Copeland, L., McNamara, R., Kelson, M., & Simpson, S. (2015). Mechanisms of change within motivational interviewing in relation to health behaviors outcomes: a systematic review. Patient Education and Counseling, 98, 401–411.

    Article  PubMed  Google Scholar 

  • Daly, M. (2014). Breast cancer risk counseling: a teachable moment? Journal of the National Comprehensive Cancer Network, 12, 1361–1362.

    PubMed  Google Scholar 

  • Dunn, C., Deroo, L., & Rivara, F. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Addiction, 96, 1725–1742.

    CAS  Article  PubMed  Google Scholar 

  • Gaume, J., Gmel, G., Fouzi, M., & Daeppen, J. B. (2008). Counsellor behaviors and patient language during brief motivational interpretations: a sequential analysis of speech. Addiction, 103, 1793–1800.

    Article  PubMed  Google Scholar 

  • Geus de, E., Eijzenga, W., Menko, F. H., Sijmons, R. H., deHaes, H. C. J. M., Aalfs, C., & Smets, E. (2016). Design and feasibility of an intervention to support cancer genetic counselees in informing their at-risk relatives. Journal of Genetic Counseling, 25, 1179–1187.

    Article  Google Scholar 

  • Glynn, L., & Moyers, T. (2010). Chasing change talk: the clinican's role in evoking client language about change. Journal of Substance Abuse Treatment, 39, 65–70.

    Article  PubMed  Google Scholar 

  • Hartzler, B., Beadnell, B., & Rosengren, D. (2010). Deconstructing proficiency in motivational interviewing: mechanics of skilful practitioner delivery during brief simulated encounters. Behavioural and Cognitive Psychotherapy, 38, 611–628.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hettema, J., Steele, J., & Miller, W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111.

    Article  PubMed  Google Scholar 

  • Karno, M. P., & Longabaugh, R. (2005). An examination of how therapist directiveness interacts with patient anger and reactance to predict alcohol use. Journal of Studies on Alcohol, 66, 825–832.

    Article  PubMed  Google Scholar 

  • Knight, K. M., McGowan, L., Dickens, C., & Bundy, C. (2006). A systematic review of motivational interviewing in physical health care settings. British Journal of Health Psychology, 11, 319–332.

    CAS  Article  PubMed  Google Scholar 

  • Linehan, M. (1997). Validation and psychotherapy. In L. S. Greenberg & A. C. Bohart (Eds.), Empathy reconsidered: new directions in psychotherapy (pp. 353–392). Washington DC: American Psychological Association.

    Chapter  Google Scholar 

  • Lundahl, B., Moleni, T., Burke, B., Butters, R., Tollefson, D., Butler, C., & Rollnick, S. (2013). Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling, 93, 157–168.

    Article  PubMed  Google Scholar 

  • Martins, R. K., & McNeil, D. W. (2009). Review of motivational interviewing in promoting health behaviors. Clinical Psychology Review, 29, 283–293.

    Article  PubMed  Google Scholar 

  • McCarthy Veach, P., Bartels, D. M., & LeRoy, B. S. (2007). Coming full circle: a reciprocal-engagement model of genetic counseling practice. Journal of Genetic Counseling, 16, 713–728.

    Article  Google Scholar 

  • Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009). Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychology, 28(6), 690–701.

  • Miller, W. (2012). Equipoise and equanimity in motivational interviewing. Motivational Interviewing: Training, Research, Implementation, Practice, 1, 31–32.

    Article  Google Scholar 

  • Miller, W. R., & Rollnick, S. (2009b). Ten things motivational interviewing is not. Behavioural and Cognitive Psychotherapy, 37, 129–140.

    Article  PubMed  Google Scholar 

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

    Google Scholar 

  • Miller, W. R., & Rose, G. S. (2009a). Towards a theory of motivational interviewing. American Psychologist, 64, 27–37.

    Google Scholar 

  • Morton, K., Beauchamp, M., Prothero, A., Joyce, L., Saunders, L., Spencer-Bowdage, S., Dancy, B., et al. (2015). The effectiveness of motivational interviewing for health behavior change in primary care settings: a systematic review. Health Psychology Review, 9, 205–223.

    Article  PubMed  Google Scholar 

  • Moyers, T., Martin, T., Manuel, J., Hendrickson, S., & Miller, W. R. (2005). Assessing competence in the use of motivational interviewing. Journal of Substance Abuse Treatment, 28, 19–26.

    Article  PubMed  Google Scholar 

  • Redlinger-Grosse, K., Veach, P. M., Cohen, S., LeRoy, B. S., MacFarlane, I. M., & Zierhut, H. (2015). Defining our clinical practice: the identification of genetic counseling outcomes utilizing the reciprocal engagement model. Journal of Genetic Counseling, 25, 239–257.

    Article  PubMed  Google Scholar 

  • Reihl, J. P., & Roy, C. (1980). Conceptual models for nursing practice (Second ed.). Norwalk: Appleton Century Crofts.

    Google Scholar 

  • Resnicow, K., & McMaster, F. (2012). Motivational interviewing: moving from why to how with autonomy support. International Journal of Behavioral Nutrition and Physical Activity, 9, 9–19.

    Article  Google Scholar 

  • Rogers, C. R. (1986). Carl Rogers on the development of the person-centered approach. Person Centered Review, 1, 257–259.

    Google Scholar 

  • Rollnick, S., Miller, W. R., & Butler, C. (2008). Motivational interviewing in health care: helping patients change behavior. New York: Guilford Press.

    Google Scholar 

  • Rubak, S., Sandbaek, A., Lauritzen, T., & Christensen, B. (2005). Motivational interviewing: a systematic review and meta-analysis. British Journal of General Practice, 55, 305–312.

    PubMed  PubMed Central  Google Scholar 

  • VanBuskirk, K., & Wetherell, J. L. (2014). Motivational interviewing used in primary care a systematic review and meta-analysis. Journal of Behavioral Medicine, 37, 768–780.

    Article  PubMed  Google Scholar 

  • Waldron, H. B., & Miller, W. R. (2001). Client anger as a predictor of differential response to treatment. In W. P. Longabaugh (Ed.), R, Project MATCH hypotheses: Results and causal chain analyses (pp. 134–148). Bethesda: National Institute on Alcohol Abuse and Alcoholism.

    Google Scholar 

  • Westra, H., & Aviram, A. (2013). Core skills in motivational interviewing. Psychotherapy, 50, 273–278.

    Article  PubMed  Google Scholar 

  • Zahm, K. W., Veach, P. M., Martyr, M. A., & LeRoy, B. S. (2015). From novice to seasoned practitioner: a qualitative investigation of genetic counselor professional development. Journal of Genetic Counseling, 25, 818–834.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

Sincerest gratitude to Kriss Haren, MA RHC III, Claire Davis, MS CGC, and Daniela Iacoboni, MS CGC for their reviews and edits on the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Erin Ash.

Ethics declarations

Conflict of Interest

Erin Ash declares that she has no conflict of interest.

Human Studies and Informed Consent

No human studies was carried out by the author for this article.

Animal Studies

No animal studies was carried out by the author for this article.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Ash, E. Motivational Interviewing in the Reciprocal Engagement Model of Genetic Counseling: a Method Overview and Case Illustration. J Genet Counsel 26, 300–311 (2017). https://doi.org/10.1007/s10897-016-0053-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10897-016-0053-8

Keywords

  • Motivational interviewing
  • Reciprocal engagement model