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The neuroscience of motivational interviewing change talk


Please use this identifier to cite or link to this item: http://hdl.handle.net/1928/13151

The neuroscience of motivational interviewing change talk

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Title: The neuroscience of motivational interviewing change talk
Author: Houck, Jon
Advisor(s): Tesche, Claudia
Committee Member(s): Yeo, Ronald
Bogenschutz, Michael
Moyers, Theresa
Department: University of New Mexico. Dept. of Psychology
Subject: motivational interviewing
change talk
LC Subject(s): Motivational interviewing.
Change (Psychology)
Substance abuse--Treatment
Clinical neuropsychology.
Degree Level: Doctoral
Abstract: Motivational interviewing (MI) is a directive, client-centered therapeutic method employed in the treatment of substance abuse, with strong evidence of effectiveness. To date, the sole mechanism of action in MI with any consistent empirical support is “change talk” (CT), which is generally defined as in-session verbal commitments by clients to change their problem behavior. “Sustain talk” (ST) incorporates verbal commitments to maintain the status quo. MI maintains that during addiction treatment clients essentially talk themselves into change. Multiple studies have supported this theory, revealing that the frequency and strength of these change talk utterances from MI treatment sessions predict substance use outcomes. Although a causal chain has now been established linking therapist speech, client change talk, and substance use outcomes, to date the neural substrate of change talk has been largely uncharted. Participants were 10 individuals who were ambivalent about their substance use. Each participant had a recorded MI session with an expert therapist. Following each participant’s session the precise time of each change talk (CT) or sustain talk (ST) utterance was noted, and these utterances were extracted from the recording as separate files. During a MEG scan participants heard approximately 200 repetitions of these utterances, intermingled and presented in a random order. MEG and MRI data were analyzed using the Freesurfer, MNE, and AFNI software packages. Time frequency analysis of MEG data was conducted using MATLAB. Results suggest that early processing of CT occurs in a right-hemisphere network that includes inferior frontal gyrus, insula, and superior temporal cortex. In addition, time frequency analysis revealed significant activity in the theta band in both IFG and insula. These results support a representation of change talk at the neural level, and are consistent with the role of these structures in cognitive dissonance processing. In general, these findings suggest that during MI treatment sessions, therapists who are able to evoke this special kind of language are tapping into neural circuitry that could be essential for behavior change.
Graduation Date: July 2011
URI: http://hdl.handle.net/1928/13151

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