MI and change theory Critique tthis post

Respectfully critique this’ posts noting any agreement or differences of opinion. Use at least 2 scholarly references.


Motivational Interviewing (MI) is a concept used within psychotherapy where the therapist and or Psychiatric Mental Health Nurse Practitioner (PMHNP) facilitates the patient’s accountability in identifying the need for change and the ways in which the patient can create change, based in the impetus for change (Angelini & Efran, 2021; Bahner & Stenqvist, 2020). Initially suggested by W. Miller, and later furthered by Miller and Rollnick, MI was successfully used for those seeking assistance in managing substance abuse, anxiety, and suicidal ideation (SI), however, may be extended to treatment with patients with other conditions (Angelini & Efran, 2021) such as high-risk sexual behaviors (Bahner & Stenqvist, 2020). Foundational to MI is application of open-ended questions, reflection, “reflective listening, and affirmation” (Bahner & Stenqvist, 2020, para. 8), as well as a therapeutic relationship with the therapist.

MI assumes that one might be ambivalent about change, and that that idea is an acceptable, workable consideration, not a strange phenomenon (Angelini & Efran, 2021). Without judgment or confrontation, the therapist seeks to move the patient from change uncertainty to change acceptance and action. These concepts of MI are akin to the nursing process; engage the patient (problem identification identify direction (plan), evoke action (intervene), and create change

Change Theory involves cognitive-behavioral strategies that also allow the patient to identify their problem, action plan, and approach to resolving said issue (Wagner, 2022). Rogers Theory of Change includes principles that like MI, hand over control to change to the client, but foster knowledge, persuasion, decision-making, implementation, and confirmation through a therapeutic relationship between client and therapist (Wagner, 2022).

            Both Change Theory and MI require a relationship between therapist and patient that drives to resolve issue through behavior changes of the patient. Change Theory is more team focused between the therapist and patient, while the MI therapist provides more discussion in identifying the interest in changing, which may then help the client to make a change. With these ideas in mind, the informed therapist knows how to progress with the patient assisting or guiding the patient to a goal of changed behavior and improved outcomes.


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