Motivational interviewing in substance abuse treatment: Negotiating roadblocks

Some students of motivational interviewing have found aspects of the technique and/or underlying philosophy problematic. Six such concerns are described: (1) that the technique seems too passive; (2) that it appears to collaborate with the user's denial; (3) that it may take too much time; (4) that it seems to support the status quo; (5) that interviewers who use it appear naive; and (6) that it may be presented as the right thing for all people at all times. Alternative views to these six concerns are offered. These alternative views may allow practitioners to feel more comfortable adding motivational interviewing to their collection of counseling skills for use with individuals who abuse substances.