Chasing change talk: The clinician's role in evoking client language about change

TitleChasing change talk: The clinician's role in evoking client language about change
Publication TypeJournal Article
Year of Publication2010
AuthorsGlynn, LH, Moyers, TB
JournalJournal of Substance Abuse Treatment
PublisherElsevier Science
Place PublishedNetherlands
Publication Languageeng
ISBN Number0740-5472
Accession Number2010-11875-010
KeywordsAlcohol Drinking, Alcohol Drinking Patterns, behavior change, Causal mechanism, Change talk, client language, Functional Analysis, Language, motivational interviewing, Psychotherapy, Therapeutic Processes

Client “change talk,” or language in favor of changing a target behavior, is a hypothesized active ingredient of motivational interviewing that can predict actual behavioral change. This study isolated and manipulated change talk in a context resembling a psychotherapeutic encounter, comparing its prevalence in two conditions: change talk evocation (CT) and functional analysis (FA). Using a single-baseline (ABAB) design, clinicians alternated between CT and FA, consequating change talk only in the CT condition. Clinicians were 9 clinical psychology graduate students, and clients were 47 undergraduates with concerns about drinking. The hypothesis that greater Percentage Change Talk would be observed in CT than in FA was supported, t(46)=6.561, p<.001, d=1.19. A rationale for the development of a behavioral rating system to evaluate clinicians' proficiency in recognizing, responding to, and evoking client change talk is presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)

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