Portland Community College | Portland, Oregon

Course Number:
AD 155
Course Title:
Motivational Interviewing & Addiction
Credit Hours:
Lecture Hours:
Lecture/Lab Hours:
Lab Hours:
Special Fee:

Course Description

Facilitates the acquisition of motivational interviewing counseling skills as applied to the arena of addiction counseling. Prerequisites: AD 150, AD 151. Prerequisites/concurrent: WR 122. Corequisites: AD 157. Audit available.

Intended Outcomes for the course

Upon completion of the course students will be able to:

  • Apply the principles of Motivational Interviewing to a counseling session in order to facilitate client movement toward self-motivating statements and beliefs.
  • Apply the principles and micro-counseling skills of the Anchor Point System to a counseling session with someone who has concerns about their use of mood altering chemicals or behaviors in order to facilitate the client movement toward self-motivating statements and beliefs.
  • Evaluate a counseling session to determine its compliance with the principles of Motivational Interviewing and the Anchor Point System in order to facilitate ongoing professional development and quality assurance.

Outcome Assessment Strategies

The following assessment strategies will be employed:

1. Objective tests will be utilized, focusing on intended outcomes imbedded in lectures, readings and other multimedia presentations.

2. Synthesis papers will be utilized that focus on the student applying the targeted concepts to a fictional character/scenario/case study.

3. Analysis of video segments that attempt to portray the targeted skills.

Course Content (Themes, Concepts, Issues and Skills)

1) History of confrontation as a counseling technique

2) Stages of Change (Prochaska and DiClemente)

3) Motivational Interviewing (Miller)

A) Five General Principles

1) Expressing Empathy

2) Developing Discrepancy

3) Rolling with Resistance

4) Supporting Self-Efficacy

5) Avoid argumentation

B) General Practice

1) Open Questions

2) Reflective Listening

3) Affirmations

4) Summarizing

5) Self-Motivational Statements

4) "Loss of Control" as an identifying characteristic of addiction

5) Anchor Point System (Gieber)

A) Responding to content.

B) Responding to feeling.

C) Using "Third Party" Investigation.

D) Using "Historical Perspective".

E) Using "Decoding"

F) Identification of value conflict related to "Loss of Control".

G) Setting the "Anchor Point".

H) Summarizing the interview including working with the clients

"Definition of Addiction".

6) Peer review as adjunct to skill mastery