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Motivational interviewing and recovery: experiences of hope, meaning, and empowerment

Scott Glassman (Clinical Assistant Professor at Department of Psychology, Philadelphia College of Osteopathic Medicine, Phildelphia, Pennsylvania, USA)
Petra Kottsieper (Assistant Professor at Department of Psychology, Philadelphia College of Osteopathic Medicine, Phildelphia, Pennsylvania, USA)
Allan Zuckoff (Lecturer at Departments of Psychology and Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA)
Elizabeth A. Gosch (Professor at Department of Psychology, Philadelphia College of Osteopathic Medicine, Phildelphia, Pennsylvania, USA)

Advances in Dual Diagnosis

ISSN: 1757-0972

Publication date: 12 August 2013

Abstract

Purpose

Non-participation in outpatient dual diagnosis services presents a challenge for providers assisting clients in their recovery. To better understand factors that facilitate participation, the purpose of this paper is to examine positive recovery states – hope, meaning, and empowerment – as they relate to motivational interviewing (MI) and service use.

Design/methodology/approach

Six dually diagnosed adults completed four baseline assessments, four MI sessions, a post-MI tape-assisted recall interview, and one-month follow-up measures. Simulation modeling analysis of phone survey responses, comparisons of baseline and intervention phase data, and grounded theory analysis of interviews were conducted to determine MI's relationship to the dependent variables.

Findings

MI was associated with modest improvement in levels of participation, hope, empowerment, and with greater change in life purpose. Key recovery themes were: positive sense of self, increased self-efficacy, and improved relationships. Feelings of safety and trust were tied to greater self-disclosure while more active emotions were more closely linked to the discussion of recovery progress.

Research limitations/implications

The paper's finding are limited by small sample size and phone survey response sets.

Practical implications

To better help dually diagnosed clients sustain treatment involvement, MI practitioners should pay special attention to recovery accomplishments, values, abilities, and self-esteem, while linking these attributes to service participation where appropriate and creating a safe, valuing atmosphere conducive to self-disclosure.

Originality/value

This is the first paper to measure key recovery constructs within MI process, and to explore the role of positive emotions related to MI, recovery, and service participation.

Keywords

Acknowledgements

The authors wish to thank PCOM for its generous grant for this research and the support of Dr Richard Kriebel, Dr Robert DiTomasso, and Marcia Pastella-Brady. Grateful acknowledgement is also extended to Kerri Garruba, Linden Lalley-Chareczko, Elizabeth Palumbo, Jodi Yarnell, Lisa Hunter, Sara Pegarella, and Julie Radico for their diligent assistance with data collection, transcription, and coding.

Citation

Glassman, S., Kottsieper, P., Zuckoff, A. and A. Gosch, E. (2013), "Motivational interviewing and recovery: experiences of hope, meaning, and empowerment", Advances in Dual Diagnosis, Vol. 6 No. 3, pp. 106-120. https://doi.org/10.1108/ADD-04-2013-0011

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Publisher

:

Emerald Group Publishing Limited

Copyright © 2013, Emerald Group Publishing Limited

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