Toward systematic integration between self-determination theory and motivational interviewing as examples of top-down and bottom-up intervention development: autonomy or volition as a fundamental theoretical principle

International Journal of Behavioral Nutrition and Physical Activity

Methodology

Maarten Vansteenkiste¹  Geoffrey C Williams²  Ken Resnicow³ 

[1] Department of Psychology, Ghent University, Ghent, Belgium;Departments of Medicine and of Clinical and Social Psychology, University of Rochester, Rochester, USA;School of Public Health, University of Michigan, Michigan, USA;

关键词: Motivational Interview;    Autonomy Support;    Instrumental Approach;    Change Talk;    Psychotherapeutic Approach;   

DOI  :  10.1186/1479-5868-9-23

 received in 2010-07-14, accepted in 2012-03-02,  发布年份 2012

来源: Springer

【 摘 要 】

Clinical interventions can be developed through two distinct pathways. In the first, which we call top-down, a well-articulated theory drives the development of the intervention, whereas in the case of a bottom-up approach, clinical experience, more so than a dedicated theoretical perspective, drives the intervention. Using this dialectic, this paper discusses Self-Determination Theory (SDT) [1, 2] and Motivational Interviewing (MI) [3] as prototypical examples of a top-down and bottom-up approaches, respectively. We sketch the different starting points, foci and developmental processes of SDT and MI, but equally note the complementary character and the potential for systematic integration between both approaches. Nevertheless, for a deeper integration to take place, we contend that MI researchers might want to embrace autonomy as a fundamental basic process underlying therapeutic change and we discuss the advantages of doing so.

【 授权许可】

CC BY   
© Vansteenkiste et al; licensee BioMed Central Ltd. 2012