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Advice and Guidance – New Modern Paradigms

Part One: Defining Advice and Guidance

'Advice and guidance' refers to a very large spectrum of helping social activity and contact, of which there can be no one fixed definition. The historical context and texts covering the social conditions and practice of advice and guidance are in constant flux, particularly in the twentieth century.

MI "steers clear of the both the hard and soft approach", either being overly-directive and strongly representing the court's authority, or defending the probationer even when court order violations occur (Clark et al. 2006:43). Fundamentally, MI has no concept of "unconditional empathy", but instead forces an 'improving contradiction' on the client, through his or her own analysis.

The evidence-based practice (EBP) of MI, along with a MI Skills Code for assessing educators and in particular patient-educator interactions, places the concept of MI itself on a more empirical basis, with the testing of good practice an intrinsic merit. As well, having EBP as a central tenet places MI within the management culture of the NHS (and the dominant political culture), meaning MI may graft more readily to the NHS rather than a more tendentious 'person-centred approach', without EBP feedback processes.  Indeed, "a systematic review and meta-analysis of randomised controlled trials show that motivational interviewing in a scientific setting outperforms traditional advice given in the treatment of a broad range of behavioural problems and diseases." (Rubak et al. 2005: 306).

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