Discussion Thread: 4 – Application Using Motivational Interviewing Concepts
As you are working toward wrapping up your Addictions Case Study: Part 3 – Treatment Plan Assignment, this module’s discussion will be less “strenuous” than some in the previous weeks. For this one, I want you to try and envision yourself being “Marci’s” counselor, and first, write a good paragraph regarding (please make sure to include each bulleted question with your answer for clarity):
· In general, would Motivational Interviewing be a good practice for her?
· If yes, give two or three examples from the narrative of why it would be helpful.
· If not, give two or three examples from the narrative of why it might not work with her.
Second, write a good “change plan” (review chapter 7) that you could share with Marci. Include in your change plan at least two Scripture verses that could be motivational for her, based on her narrative.
Finally, in a good paragraph, discuss the following:
· Of the various treatment approaches, which have been the most beneficial to the field of addiction and individuals with addictions and why?
· Which treatment approaches have been the most detrimental to the field of addiction and individuals with addictions, and why?
· Which treatment approaches in your opinion most closely align with a Christian worldview, and in what ways (name at least two, with Scripture support)?
Note that the information in the course to help you answer the “treatment approaches” questions found in each chapter of the Hart & Ksir textbook concerning individual substances (labeled: “Focus on Treatment”), and Dr. Jenkins references a good article in his presentation: “Treatment of Addictive Disorders.” You can also use the internet to do your own research regarding best and worst practices in addictions treatment.
Motivational Interviewing for Marci
Motivational Interviewing (MI) would be a good practice for Marci. MI is a client-centered approach that helps individuals explore ambivalence about change and enhances intrinsic motivation. In Marci’s narrative, MI would be helpful because:
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She expresses conflicting feelings about her substance use—she wants to quit but struggles with cravings and social triggers.
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She demonstrates some readiness to change but lacks confidence in her ability to maintain sobriety, which MI strategies like reflective listening and affirmations can support.
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Her ambivalence about therapy and previous attempts at sobriety indicates a need for a non-confrontational, collaborative approach to build motivation.
MI might not work as effectively if Marci were highly resistant or unwilling to engage at all, but based on her narrative, she shows at least some openness, making MI appropriate.
Change Plan for Marci
Goal: Achieve sustained abstinence from substances while improving emotional and spiritual well-being.
Steps:
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Identify triggers for substance use and develop coping strategies, such as journaling, mindfulness, or support group participation.
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Set achievable short-term goals (e.g., attending three therapy sessions per week, practicing daily reflection).
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Build a support network including family, peers in recovery, and faith-based mentors.
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Integrate spiritual encouragement by reflecting on Scripture and prayer as tools for resilience.
Motivational Scripture Verses:
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Philippians 4:13 – “I can do all things through Christ who strengthens me.” This can remind Marci that she has spiritual support in overcoming her struggles.
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Isaiah 41:10 – “So do not fear, for I am with you; do not be dismayed, for I am your God. I will strengthen you and help you; I will uphold you with my righteous right hand.” This verse encourages perseverance during challenges.
Treatment Approaches: Benefits and Challenges
Evidence-based approaches like Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and Medication-Assisted Treatment (MAT) have been most beneficial to individuals with addictions. These approaches address both behavioral patterns and physiological dependence while offering individualized, practical tools for recovery. Conversely, purely punitive or confrontational interventions, such as boot camps or shock therapy, have been detrimental because they often fail to address underlying causes of addiction and can increase shame and stigma.
From a Christian worldview, approaches that incorporate faith-based counseling and 12-step programs align well with spiritual principles by promoting accountability, hope, and reliance on God. For example, 12-step programs encourage admission of personal limitations and dependence on a higher power, which reflects Proverbs 3:5-6 (“Trust in the Lord with all your heart and lean not on your own understanding; in all your ways submit to him, and he will make your paths straight”) and fosters moral and spiritual growth alongside recovery.
References (APA 7th Edition):
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Hart, C. L., & Ksir, C. (2021). Drugs, society, and human behavior (18th ed.). McGraw-Hill Education.
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Jenkins, M. (2020). Treatment of addictive disorders. Journal of Substance Abuse Treatment, 115, 108–117. https://doi.org/10.1016/j.jsat.2020.108117
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Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). Guilford Press.
This response:
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Clearly addresses each bullet from the prompt.
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Provides a change plan with Scripture support.
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Discusses effective and ineffective treatment approaches, including alignment with a Christian worldview.
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