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Motivational Interviewing with Couples: A Framework for Behavior Change Developed with Sexual Minority Men

by Tyrel J. Starks

A couple-centered model for motivational interviewing

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AlbakiReads Editorial

A couple-centered model for motivational interviewing

Tyrel J. Starks presents motivational interviewing through an explicitly relational lens: the couple, not either partner alone, is treated as the client. Grounded in Interdependence Theory, the book examines how satisfaction, investment, and commitment within a relationship can support behavior change. It pairs conceptual foundations with a counseling lexicon for shared sessions, including ways to hold space for both partners, identify relationship strengths, work through conflict, clarify joint goals, and make plans together. Extended session examples involving sexual minority male couples anchor the approach in practice, while broader chapters address substance use, sexual health, sexual satisfaction, and future directions for couple-based MI.

Good fit for readers who enjoy

  • Counselors and psychotherapists studying motivational interviewing with couples
  • Clinicians working with relationship-related health behaviors, including substance use and sexual health
  • Students and practitioners interested in affirmative work with sexual minority male couples

Themes

Motivational interviewingCouples counselingBehavior changeInterdependence TheorySexual health and satisfaction

Based on publisher information and book metadata.

Book overview

Based on more than ten years of research, Motivational Interviewing With Couples provides a comprehensive introduction to the theoretical foundations, processes, and strategies unique to Motivational Interviewing (MI) with couples. Drawing on Interdependence Theory, this approach to MI positions the couple as the client. Relationship functioning--the extent to which partners are satisfied with, invested in, and committed to the relationship--is viewed as a mechanism to achieve change. MI-based interventions historically have been shown effective in promoting behavior change across a broad range of problem areas, including substance use and sexual health, two issues that are discussed at length in the book. While the initial concepts of this intervention are substantially informed by work with sexual minority male couples, the principles can be applied broadly to couple-based processes relevant to a wide array of health behaviors and regardless of clients' gender and sexual orientation.

In addition to introducing Interdependence Theory and discussing its implications for MI, Motivational Interviewing With Couples offers a lexicon of counseling techniques used specifically in couples' sessions. These strategies address the challenges of balancing attention to the relationship as well as both individual partners, drawing out relationship strengths, clarifying shared goals, mitigating conflict in session, and planning together for change. Chapters include extended examples of MI sessions involving sexual minority male couples to illustrate the practice of couples MI. Three special issues chapters focus on common challenges in therapy; future directions for MI research and practice; and how to integrate attention to sexual satisfaction within couples as well as sexual safety, helping to shift the view of sex therapy as a specialty field focused on dysfunction or sexual risk reduction to one that integrates sexuality as a component of overall health and well-being.
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