title: Therapist and Client Interactions in Motivational Interviewing for Social Anxiety Disorder.
abstract: OBJECTIVE
  The aim of the present study is to assess the bidirectional associations between therapist and client speech during a treatment based on motivational interviewing (MI) for social anxiety disorder.
  
  
  METHODS
  Participants were 85 adults diagnosed with social anxiety who received MI prior to entering cognitive behavioral therapy. MI sessions were sequentially coded using the Motivational Interviewing Skill Code 2.5.
  
  
  RESULTS
  Therapist MI-consistent behaviors, including open questions as well as positive and negative reflections, were more likely to be followed by client change exploration (change talk and counter-change talk). Therapist MI-inconsistent behaviors were more likely to precede client neutral language. Client language was also found to influence therapist likelihood of responding in an MI-consistent manner.
  
  
  CONCLUSIONS
  The findings support the first step of the MI causal model in the context of social anxiety and direct future research into the effect of therapist and client behaviors on MI treatment outcome.
authors: Macquarie University.
authors: Mia
authors: M
authors: Romano
authors: Macquarie University.
authors: Jelena
authors: J
authors: Arambasic
authors: Macquarie University.
authors: Lorna
authors: L
authors: Peters
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D062405:Motivational Interviewing / Q000379:methods*; D000072861:Phobia, Social / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D011369:Professional-Patient Relations
keywords: change talk; motivational interviewing processes; sequential analysis; social anxiety; therapist behaviors