Clients' perceptions of motivational interviewing with couples: A qualitative examination of male couples' statements to counsellors in session

IF 1.2 Q3 PSYCHOLOGY, CLINICAL Counselling & Psychotherapy Research Pub Date : 2023-11-14 DOI:10.1002/capr.12723
Tyrel J. Starks, Carolyn Cruse, Kory D. Kyre, Stephen C. Bosco, Karen S. Ingersoll
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Abstract

Background

The past two decades have seen expanding interest in the application of motivational interviewing (MI) with couples. Thus far, the literature detailing the development of MI with couples has focused primarily on elucidating counselling processes and techniques or on evaluating intervention effects. To date, no published studies have examined client perceptions of the counselling process in MI with couples.

Methods

This study involved qualitative analysis of 55 sessions from 24 couples (48 individuals) who received short (three-session) courses of MI with couples in the context of a randomised controlled trial. All participants identified as cisgender male and were 18 or older. In each couple, at least one partner was aged 18–29, HIV negative and reported drug use in the past 30 days.

Results

Analysis revealed that client couples attributed the benefits of MI with couples to expectancy-related effects (merely structuring time to talk) and common factors (the presence of the counsellor as a non-judgmental observer). Clients also conveyed appreciation for techniques and activities that enhanced dyadic functioning through communication skill building and the identification of shared values. Finally, clients appreciated the opportunity to discuss drug use and sexual behaviour in an integrated way.

Discussion

Findings indicated the utility of counsellor-delivered behavioural interventions. They also align with recent formulations of the counsellor's role in MI with couples and the introduction of facilitating dyadic functioning as a distinct process. Finally, they highlight the potential value of training counsellors to address the intersection of drug use, sexual risk and sexual pleasure in sessions. These dimensions of practice receive inconsistent attention across counselling training programme curricula.

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客户对情侣动机访谈的看法:对男性夫妇在咨询过程中向咨询师所作陈述的定性研究
在过去的二十年里,人们对夫妻激励式面谈(MI)的应用越来越感兴趣。迄今为止,详细介绍夫妻关系管理(MI)发展的文献主要集中在阐明咨询过程和技巧或评估干预效果上。本研究对 24 对夫妇(48 人)的 55 个疗程进行了定性分析,这些夫妇在随机对照试验中接受了短期(三疗程)的夫妇多元智能课程。所有参与者均为男性,年龄在 18 岁或以上。分析表明,客户夫妇将与夫妻共同进行的多元智能的益处归因于与期望相关的效应(仅仅是安排时间交谈)和共同因素(辅导员作为非评判性观察者在场)。客户还对通过培养沟通技巧和确定共同价值观来增强夫妻功能的技巧和活动表示赞赏。最后,咨询对象对有机会以综合方式讨论吸毒和性行为表示赞赏。这些研究结果表明了心理咨询师提供的行为干预的实用性,同时也与最近对心理咨询师在夫妻关系管理中的角色的阐述以及将促进夫妻关系功能作为一个独特过程的引入相吻合。最后,它们强调了对辅导员进行培训的潜在价值,以在课程中解决吸毒、性风险和性快感的交叉问题。在咨询培训课程中,这些实践方面受到的关注并不一致。
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来源期刊
Counselling & Psychotherapy Research
Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
4.40
自引率
12.50%
发文量
80
期刊介绍: Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.
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