MITI 4.2.1 is the standard instrument for rating a clinician's fidelity to Motivational Interviewing. Alongside global scores, it tallies behavior counts — discrete, tally-able clinician utterances such as reflections, questions, affirmations, and MI-consistent or MI-inconsistent moves. These behavior counts are the instance-highlighting targets modelled here.

Work in progress. This scale currently ships domain definitions only — the curated per-domain agent skills are still being authored and need source verification against the MITI 4.2.1 manual. Domains may change as the scale is completed.

Domains (9)

Domain	ABBR	Description	Severity	Skill
Giving Information	GI	The clinician gives information, educates, provides feedback, or gives an opinion without persuading.	—	—
Persuade	PER	The clinician overtly tries to change the client's opinion using logic, arguments, facts, or self-disclosure without emphasizing autonomy.	—	—
Question	QUE	The clinician asks a question of the client (open or closed).	—	—
Simple Reflection	SR	A reflection that conveys understanding or repeats the client's meaning, adding little or no new content.	—	—
Complex Reflection	CR	A reflection that adds substantial meaning or emphasis, conveying a deeper interpretation of the client's meaning.	—	—
Affirmation	AF	The clinician accentuates something positive, affirming the client's strengths, efforts, or worth.	—	—
Seeking Collaboration	SC	The clinician explicitly attempts to share power or acknowledge the client's expertise about themselves.	—	—
Emphasizing Autonomy	EA	The clinician highlights the client's sense of control, freedom of choice, or personal autonomy.	—	—
Confrontation	CON	The clinician confronts the client — disagreeing, arguing, correcting, warning, shaming, blaming, or moralizing.	—	—

Giving InformationGI

The clinician gives information, educates, provides feedback, or gives an opinion without persuading.

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PersuadePER

The clinician overtly tries to change the client's opinion using logic, arguments, facts, or self-disclosure without emphasizing autonomy.

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QuestionQUE

The clinician asks a question of the client (open or closed).

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Simple ReflectionSR

A reflection that conveys understanding or repeats the client's meaning, adding little or no new content.

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Complex ReflectionCR

A reflection that adds substantial meaning or emphasis, conveying a deeper interpretation of the client's meaning.

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AffirmationAF

The clinician accentuates something positive, affirming the client's strengths, efforts, or worth.

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Seeking CollaborationSC

The clinician explicitly attempts to share power or acknowledge the client's expertise about themselves.

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Emphasizing AutonomyEA

The clinician highlights the client's sense of control, freedom of choice, or personal autonomy.

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ConfrontationCON

The clinician confronts the client — disagreeing, arguing, correcting, warning, shaming, blaming, or moralizing.

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