A discourse analysis of client and practitioner talk during motivational interviewing sessions. Volume 1 - Research Component and Volume 2 - Clinical Component

Lane, Claire Alice (2012). A discourse analysis of client and practitioner talk during motivational interviewing sessions. Volume 1 - Research Component and Volume 2 - Clinical Component. University of Birmingham. Clin.Psy.D.

[img]
Preview
Lane12ClinPsyD1.pdf
PDF

Download (10MB)
[img] Lane12ClinPsyD2.pdf
PDF
Restricted to Repository staff only until 1 December 2022.

Download (33MB)

Abstract

Despite many studies of language use in motivational interviewing, the vast majority have based this upon the quantitative coding of practitioner and client linguistic behaviours in order to relate these to client change outcomes. The current study aimed to investigate how clients and practitioners co-constructed the process of change using discourse analysis. Ten MI sessions for alcohol use were analysed in terms of how alcohol was verbally constructed, the functions and effects of rhetorical strategies employed and subject positions. Power and subjectivity were considered alongside these strands of analysis. The findings suggest that clients and therapists constructed alcohol as either a destroyer or facilitator, drawing upon discourses of differing degrees of power, which impacted upon the availability of client positions of agency and expertise in relation to alcohol. There was also a diversity of function within categories of client and practitioner speech. These findings have implications for clinical practice, in terms of moving beyond the recognition of ‘types of client talk’ and responding with an ‘MI consistent’ verbal behaviour, and moving towards reinvigorating the spirit of MI in relation to clinical outcome.

Type of Work: Thesis (Doctorates > Clin.Psy.D.)
Award Type: Doctorates > Clin.Psy.D.
Supervisor(s):
Supervisor(s)EmailORCID
Copello, AlexUNSPECIFIEDUNSPECIFIED
Rolfe, AlisonUNSPECIFIEDUNSPECIFIED
Licence:
College/Faculty: Colleges (2008 onwards) > College of Life & Environmental Sciences
School or Department: School of Psychology
Funders: None/not applicable
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > HV Social pathology. Social and public welfare
URI: http://etheses.bham.ac.uk/id/eprint/3708

Actions

Request a Correction Request a Correction
View Item View Item

Downloads

Downloads per month over past year