I. What Is Motivational Interviewing?
1. Conversations about Change
2. The Spirit of Motivational Interviewing
3. The Method of Motivational Interviewing
II. Engaging: The Relational Foundation
4. Engagement and Disengagement
5. Listening: Understanding the Person’s Dilemma
6. Core Interviewing Skills: OARS
7. Exploring Values and Goals
III. Focusing: The Strategic Direction
8. Why Focus?
9. Finding the Horizon
10. When Goals Differ
11. Exchanging Information
IV. Evoking: Preparation for Change
12. Ambivalence: Change Talk and Sustain Talk
13. Evoking the Person’s Own Motivation
14. Responding to Change Talk
15. Responding to Sustain Talk and Discord
16. Evoking Hope and Confidence
17. Counseling with Neutrality
18. Developing Discrepancy
V. Planning: The Bridge to Change
19. From Evoking to Planning
20. Developing a Change Plan
21. Strengthening Commitment
22. Supporting Change
VI. Motivational Interviewing in Everyday Practice
23. Experiencing Motivational Interviewing
24. Learning Motivational Interviewing
25. Applying Motivational Interviewing
26. Integrating Motivational Interviewing
VII. Evaluating Motivational Interviewing
27. Research Evidence and the Evolution of Motivational
Interviewing
28. Evaluating Motivational Conversations
Appendix A. Glossary of Motivational Interviewing Terms
Appendix B. A Bibliography of Motivational Interviewing,
Christopher J. McLouth
William R. Miller, PhD, is Emeritus Distinguished Professor of
Psychology and Psychiatry at the University of New Mexico. He
introduced motivational interviewing in a 1983 article in the
journal Behavioral Psychotherapy and in the first edition of
Motivational Interviewing: Helping People Change, written with
Stephen Rollnick, in 1991. Dr. Miller's research has focused
particularly on the treatment and prevention of addictions, with
broader implications for the psychology of change. He is a
recipient of the international Jellinek Memorial Award, two career
achievement awards from the American Psychological Association, and
an Innovators in Combating Substance Abuse Award from the Robert
Wood Johnson Foundation, among many other honors. The Institute for
Scientific Information lists Dr. Miller as one of the world's most
cited scientists.
Stephen Rollnick, PhD, is Honorary Distinguished Professor in the
School of Medicine, Cardiff University, Wales, United Kingdom. He
is a codeveloper of motivational interviewing, with a career in
clinical psychology and academia that focused on how to improve
conversations about change. He has worked in diverse fields, with
special interests in mental health and long-term health conditions
like diabetes, heart disease, and HIV/AIDS. Dr. Rollnick has
published widely in scientific journals and has written many books
on helping people to change behavior. He is coauthor (with William
R. Miller) of the classic work Motivational Interviewing: Helping
People Change, now in its third edition. He has traveled worldwide
to train practitioners in many settings and cultures, and now works
as a trainer and consultant in healthcare and sports.
"A superb, readable guide to theory and practice. MI has
fundamentally changed the way we think about working with less
motivated clients, especially in today's health care climate, with
its emphasis on evidence-based brief treatments. The four-part
framework introduced in this edition greatly simplifies the way
that MI is delivered. Miller and Rollnick do a superb job of
breaking down a complex process. At each step, readers see exactly
why the provider is choosing certain questions or statements over
others."--Scott T. Walters, PhD, Professor and Chair, Department of
Health Behavior and Health Systems, University of North Texas
Health Science Center; member, Motivational Interviewing Network of
Trainers (MINT)"This book builds on the prior editions, but the
result is substantially different, because it incorporates so many
new concepts, skills, research findings, and practical
applications. Written in a user-friendly manner, with many sample
dialogues, this is an immensely useful resource. It is a 'must
have' for anyone who is learning MI or utilizing the approach in
clinical practice, from students to seasoned
professionals."--Melinda Hohman, PhD, School of Social Work, San
Diego State University; member, Motivational Interviewing Network
of Trainers (MINT)
"The most complete explication of MI to date. Building on the
explosion of MI research in the past decade, most of the material
in this third edition is new, including compelling advances in
understanding how MI influences the process of personal change.
This book is destined to have an enormous impact on the field. It
is a 'must-adopt' text for courses in psychology, counseling,
social work, mental health, addictions, and health care more
broadly."--Timothy J. O'Farrell, PhD, Department of Psychiatry,
Harvard Medical School
"We have used Motivational Interviewing in our program for several
years. It prepares students to work effectively with ambivalent and
court-ordered clients using methods that are evidence based and
appropriate for our profession. Students really appreciate learning
this technique; they've commented that even though they thought
they already knew how to interview, Miller and Rollnick present a
very different and meaningful approach."--Patricia M. Henry, LMSW,
Department of Social Work, California State University, Bakersfield
(on the second edition)
"Motivational Interviewing is one of the few texts that I can
assign to my MSW students year after year for my Clinical Practice
course and know they will love it as much as I do. Some of my
students have 20 years of social service experience and some are
fresh out of their BSW programs, but all find something practical,
insightful, and useful in the text. No other text does a better job
of helping people understand how to work with ambivalence in
clients. I love how I don't have to spend time in class coming up
with examples that bring the concepts down to earth--the book is
filled with believable, instructive case studies and sample
dialogues. Students can learn the concepts by reading the text as
homework, which gives us time in class to practice and role-play
the techniques. This is one of the few books I assign that my MSW
students keep after graduation."--Jonathan B. Singer, PhD, LCSW,
School of Social Work, Temple University (on the second
edition)
"Miller and Rollnick afford practitioners conceptual and practical
tools to improve therapeutic outcomes. In my Counseling Challenging
Adolescents course, I have found that this text strengthens
graduate students' clinical repertoires on multiple levels, while
allowing them to continue to explore the broad array of theoretical
perspectives that hold personal appeal for them. Very few of my
students sell back this book at the end of the term!"--Kurt L.
Kraus, EdD, Department of Counseling and College Student Personnel,
Shippensburg University of Pennsylvania (on the second edition)
"MI is a core clinical skill that is crucial for psychologists,
social workers, counselors, or anybody who hopes to help people
discover their own intrinsic motivation to change. This book not
only explains what MI is, but also explains the research and theory
that support it in a clear and accessible way. I have had more
positive feedback from students regarding this book than any other
text I've used, and it is wonderful to watch the light go on in
their eyes as they gain understanding about behavior change and how
MI works. I could not imagine a course in addiction science without
MI!"--Monica C. Skewes, PhD, Department of Psychology and Center
for Alaska Native Health Research, University of Alaska Fairbanks
(on the second edition)-
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