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Moderators of Response to Motivational Interviewing for Partner-violent Men
Authors:Christopher M. Murphy  Erin L. Linehan  Jacqueline C. Reyner  Peter H. Musser  Casey T. Taft
Affiliation:1. Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD, 21250, USA
2. VA Boston Healthcare System and Boston University School of Medicine, Boston, MA, USA
Abstract:Careful attention to motivation for change may enhance the effects of interventions for partner-violent men. The present study tested predictions about differential response to a two-session motivational intake (MI) for partner-violent men, which was compared to a structured intake (SI) control. For those who were initially reluctant to change, MI produced greater forward movement in stage of change. For those who claimed to have already solved their problems with partner abuse, MI produced greater backward movement in stage of change and greater homework compliance in subsequent group cognitive-behavioral therapy (CBT). MI led to a stronger collaborative working alliance for those high in contemplation of change, and greater group session attendance for those with high trait anger. Contrary to hypotheses, analyses of post-CBT partner assault revealed a differentially greater benefit of MI for participants with lower levels of pretreatment contemplation and trait anger. The findings provide qualified support for the expectation that MI has the greatest beneficial effects on those who appear initially reluctant to change.
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