Applying motivational interviewing principles in a modified interpersonal group for comorbid addiction |
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Authors: | Malat Jan Morrow Suzanne Stewart Pamela |
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Affiliation: | Centre for Addiction and Mental Health, Departmentof Psychiatry, University of Toronto, Ontario, Canada. Jan_malat@camh.net |
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Abstract: | The application of motivational interviewing (MI) principles in modified interpersonal group therapy (MIGT) addresses two gaps in the literature. First, it explicitly extends MIGT to non-abstinent, addicted patients who are in the precontemplative and contemplative stages of change in contrast to most MIGT models where abstinence is usually required. Second, it provides a novel, process-oriented group intervention for MI, in contrast to current applications of group-based MI which are more structured in their format. The main modification in technique was to prioritize the horizontal exploration of substance use disclosures with a focus on the here-and-now experience of disclosure and the interpersonal impact on the group, in order to: (1) encourage members to openly discuss their ambivalence and shifting motivational states, (2) harness the evocative impact of substance use disclosures between members to elicit change talk (self-motivational statements), and (3) selectively reinforce change talk when it emerges from these exchanges. The authors illustrate these concepts with a case report of an open-ended MIGT group with comorbid mental illness and addiction. |
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