Motivation for treatment: A review with special emphasis on alcoholism.

Miller, William R.

doi:10.1037/0033-2909.98.1.84

Cited by 564 publications

(319 citation statements)

References 219 publications

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“…Three of the more commonly used measures in this regard are the Readiness Ruler, staging (stage of change) algorithm, and the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). The Readiness Ruler (Miller, 1985(Miller, , 1999 represents a 1-10 continuum of "readiness to change," with the anchor points not ready to change to unsure to ready to change to trying to change. A similar measure, the Marijuana Ladder, consists of a diagram of a ladder with 10 "rungs," several of which are anchored by verbal labels of different degrees of readiness to change.…”

mentioning

confidence: 99%

Comparison of the Concurrent and Predictive Validity of Three Measures of Readiness to Change Marijuana Use in a Clinical Sample of Adolescents

Maisto¹,

Krenek²,

Chung³

et al. 2011

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:The measurement of readiness to change has become common practice in alcohol and drug treatment of both adults and adolescents. Nevertheless, there is relatively little research on the validity of measures of readiness to change among treated adolescents. The purpose of this study was to compare three measures of readiness to change marijuana use commonly used in clinical research and practice with adolescents: the Readiness Ruler, the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES; Factors 1 and 2, Recognition and Taking Steps, respectively), and a staging algorithm. Method: The participants were 174 adolescents presenting for intensive outpatient alcohol and drug treatment who reported current marijuana use at the initial assessment. Evidence for concurrent validity was assessed by computing simple correlations among readiness measures, and correlations of each readiness measure with marijuana involvement (percentage of days abstinent in the last 30 days, problem severity score, and marijuana abuse and dependence symptom count [based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria]) at both the initial/baseline assessment and at a 6-month follow-up assessment. Evidence for predictive validity was based on the results of multilevel regression models of the readiness measures in predicting frequency of marijuana use, symptoms, and problems at 6 months from the initial readiness assessment and then in predicting marijuana use, symptoms, and problems at 12 months from the readiness assessment at 6 months. Results: The results showed evidence for good concurrent and predictive validity for the ruler, the staging algorithm, and Taking Steps but poor evidence for the validity of Recognition. The ruler emerged as the measure with the most clinical utility when brevity and ease of administration are taken into account. Conclusions: Research and clinical implications of the fi ndings are discussed. (J. Stud. Alcohol Drugs, 72, 592-601, 2011)

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mentioning

confidence: 99%

Comparison of the Concurrent and Predictive Validity of Three Measures of Readiness to Change Marijuana Use in a Clinical Sample of Adolescents

Maisto¹,

Krenek²,

Chung³

et al. 2011

J. Stud. Alcohol Drugs

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“…Self-stigma: Building on Scheff (1966)'s discussion of individuals' internalization of cultural stereotypes of mental illness, Link (1987) summarized two negative consequences that might arise through individuals' association with mental health institutions, premised upon the largely negative images of mental illness and mental services in Western culture and beyond: First, individuals may devalue themselves since they are now officially falling into an institutional category that is negatively viewed by the public, and second, individuals may develop defensive or other negative social actions and interactions due to internalized concerns of how others may think of them. As for the former, studies have shown that in fear of losing self-esteem, self-efficacy, or self-autonomy, individuals might choose not to seek professional assistance despite the fact that they are suffering mental distress (Miller 1985;Nadler 1986a, b;Vogel et al 2006). As for the latter, individuals might avoid services or even rearrange their lives because of feelings of shame, embarrassment, or guilt that could be invoked by fear that others would find out that they are receiving services .…”

Section: Beliefs and Expectations About The Efficacy Of Professional mentioning

confidence: 99%

Conceptualizing Culturally Infused Engagement and Its Measurement for Ethnic Minority and Immigrant Children and Families

Yasui

Pottick

Chen

2017

Clin Child Fam Psychol Rev

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Despite the central role culture plays in racial and ethnic disparities in mental health among ethnic minority and immigrant children and families, existing measures of engagement in mental health services have failed to integrate culturally specific factors that shape these families' engagement with mental health services. To illustrate this gap, the authors systematically review 119 existing instruments that measure the multi-dimensional and developmental process of engagement for ethnic minority and immigrant children and families. The review is anchored in a new integrated conceptualization of engagement, the culturally infused engagement model. The review assesses culturally relevant cognitive, attitudinal, and behavioral mechanisms of engagement from the stages of problem recognition and help seeking to treatment participation that can help illuminate the gaps. Existing measures examined four central domains pertinent to the process of engagement for ethnic minority and immigrant children and families: (a) expressions of mental distress and illness, (b) causal explanations of mental distress and illness, (c) beliefs about mental distress and illness, and (d) beliefs and experiences of seeking help. The findings highlight the variety of tools that are used to measure behavioral and attitudinal dimensions of engagement, showing the limitations of their application for ethnic minority and immigrant children and families. The review proposes directions for promising research methodologies to help intervention scientists and clinicians improve engagement and service delivery and reduce disparities among ethnic minority and immigrant children and families at large, and recommends practical applications for training, program planning, and policymaking.

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“…may reinforce the client's view that relationships are inevitably grounded in coercion and control, rather than in understanding, trust, and support" (p. 609). Empirical literature with other populations and other treatment modalities concludes that, in addition to being ineffective, confrontational approaches frequently lead to other negative outcomes (Gurman & Kniskern, 1978;Lambert & Bergin, 1994;Miller, 1985). Given that the risk for a negative outcome appears to be especially relevant to those of very low self-esteem and lower social status (Kaplan, 1982;Lambert & Bergin, 1994), abusers may be particularly unresponsive or even at risk for deterioration in the face of unbridled or harsh confrontation.…”

Section: Difficulty Of Engaging the Resistant Batterermentioning

confidence: 99%

“…One reason is that standard treatment formats fail in their efforts to engage resistant batterers, who normally comprise most court-ordered offenders. For example, the typical stance of the Duluth model is to confront the batterer's denial, although confrontational approaches with other resistant populations (such as substance abusers) have been proven to lead to negative outcomes (Lambert & Bergin, 1994;Miller, 1985). Moreover, the use of skills-training and other behavioral techniques in cognitive-behavioral approaches assumes a well-motivated client (Daniels & Murphy, 1997).…”

Section: Introductionmentioning

confidence: 99%

Stages of Change and the Group Treatment of Batterers

Alexander¹

2007

PsycEXTRA Dataset

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A Stages of Change (SOC) treatment approach, supplemented by Motivational Interviewing techniques (Miller & Rollnick, 2002), was compared with a standard cognitive-behavioral therapy gender-reeducation (CBTGR) approach for its effectiveness in reducing men's violence against their partners. A total of 528 male batterers from the Montgomery County, Maryland Abused Persons Program were randomly assigned to 49 26-week groups in either the SOC or CBTGR condition. English-speaking and Spanish-speaking groups were conducted in both treatment conditions. While certain differences emerged between English-and Spanish-speakers and their partners, men in the two treatment conditions (and their partners) did not differ with respect to demographics, lifetime violence, psychopathology, multiple admissions, histories of trauma, or source of referral as a function of their assignment to different treatment conditions. Differences between women who were successfully contacted for follow-up and those who were not were minimal, indicating the generalizability of victim follow-up reports.Self-reported aggression at post-treatment was unrelated to treatment condition. However, based on victim follow-up reports, the SOC curriculum was more effective than standard treatment in reducing women's risk for physical aggression, especially among English-speakers. The SOC condition was particularly effective for first-time offenders, for men who were court-ordered to treatment and for men in an earlier underlying stage of change. On the other hand, the SOC condition was no more effective than the CBTGR condition in reducing the violence of men with multiple admissions, suggesting the need for warning their victims and for using a coordinated community response. The SOC condition was also not effective for men who were self-referred to treatment, presumably because it did not quickly provide the anger-management and conflict resolution skills these men were seeking. The two treatments did not differ in rates of attendance (either number of sessions attended or treatment completion), working alliance or group cohesion. Different predictors of attendance did emerge between the two conditions. Moreover, blind ratings of audiotapes of sessions significantly differentiated the two conditions. Specific treatment considerations for Spanish-speakers were explored as was the necessity of attending to the trauma histories of both men and their partners. Finally, the reactions of therapists working with the SOC curriculum were described as were the limitations of this study and suggestions for future research. It was concluded that within the context of these limitations, this project allowed a fairly rigorous but also realistic test of the usefulness of SOC treatment in reducing men's risk for violence.

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Motivation for treatment: A review with special emphasis on alcoholism.

Cited by 564 publications

References 219 publications

Comparison of the Concurrent and Predictive Validity of Three Measures of Readiness to Change Marijuana Use in a Clinical Sample of Adolescents

Comparison of the Concurrent and Predictive Validity of Three Measures of Readiness to Change Marijuana Use in a Clinical Sample of Adolescents

Conceptualizing Culturally Infused Engagement and Its Measurement for Ethnic Minority and Immigrant Children and Families

Stages of Change and the Group Treatment of Batterers

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