Druglink article 2013 – Sometimes it’s best to break the rules by Mike Ashton

When the mandates of motivational interviewing mean you seem less than genuine, the socially skilled counsellor will do more of what comes naturally.

Motivational interviewing is the most influential counselling style in substance use treatment. Its originator William Miller reframed resistance as neither the manifestation of a character flaw nor a symptom of disease, but a product of interactions with therapists who impose abstinence goals and stigmatising diagnoses (study1). He developed an approach that explicitly avoided such deterrent interactions, instead relying on amplification of the client’s ambivalence about their substance use.

Sometimes it’s best to break the rules (PDF)