Ethical Challenges in the Applications of Motivational Interviewing in HIV Care

Isra Black; Lisa Forsberg

Ethical Challenges in the Applications of Motivational Interviewing in HIV Care

Isra Black, Lisa Forsberg

York Law School

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

This chapter engages with ethical challenges of using motivational interviewing (MI) and MI-based interventions in HIV care. We first outline two general ethical worries in respect of MI use. We argue that the relational and technical components of MI provide insufficient ethical action guidance and ethical safeguards respectively. It is necessary to consider factors external to the method of MI in order to establish the ethical permissibility of its applications. We subsequently consider the ethics of MI in the context of HIV care, specifically in relation to pre-exposure prophylaxis, medication adherence, and disclosure of HIV/AIDS diagnosis/prognosis. Our framework for discussion of these specific issues may be relevant to other applications of MI in HIV care.

Original language	English
Title of host publication	Motivational Interviewing in HIV Care
Editors	Antoine Douaihy, K Rivet Amico
Publisher	Oxford University Press
Chapter	17
ISBN (Print)	9780190619954
Publication status	Published - Dec 2019

Bibliographical note

This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details.

Access to Document

Black and Forsberg, Ethical Challenges in the Applications of Motivational Interviewing in HIV Care AAM
This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details.
Accepted author manuscript, 143 KB

Cite this

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abstract = "This chapter engages with ethical challenges of using motivational interviewing (MI) and MI-based interventions in HIV care. We first outline two general ethical worries in respect of MI use. We argue that the relational and technical components of MI provide insufficient ethical action guidance and ethical safeguards respectively. It is necessary to consider factors external to the method of MI in order to establish the ethical permissibility of its applications. We subsequently consider the ethics of MI in the context of HIV care, specifically in relation to pre-exposure prophylaxis, medication adherence, and disclosure of HIV/AIDS diagnosis/prognosis. Our framework for discussion of these specific issues may be relevant to other applications of MI in HIV care.",

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AB - This chapter engages with ethical challenges of using motivational interviewing (MI) and MI-based interventions in HIV care. We first outline two general ethical worries in respect of MI use. We argue that the relational and technical components of MI provide insufficient ethical action guidance and ethical safeguards respectively. It is necessary to consider factors external to the method of MI in order to establish the ethical permissibility of its applications. We subsequently consider the ethics of MI in the context of HIV care, specifically in relation to pre-exposure prophylaxis, medication adherence, and disclosure of HIV/AIDS diagnosis/prognosis. Our framework for discussion of these specific issues may be relevant to other applications of MI in HIV care.

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