This book has been replaced by Motivational Interviewing, Fourth Edition, ISBN 978-1-4625-5279-5.
Review:
“Highly recommended to all practitioners in health settings and to clinicians supervising and teaching others.” ― Drug and Alcohol Review Published On: 2012-09-09
“The strength of this book lies in its reader-friendly yet scholarly approach.” ― Community Mental Health Journal Published On: 2012-09-09
“This approach is one that can be powerfully used by occupational therapy practitioners who are working in mental health and substance abuse settings, or any psychosocial behavioral health setting….In preparing professional students for practice, I view this approach as foundational to their effectiveness in building motivation and strengthening commitment to change with their clients.” ― Occupational Therapy in Mental Health Published On: 2006-01-03
“This text is filled with exemplary phrases that psychiatrists can incorporate into their lexicons….MI is compatible with evidence-based clinical skills and a variety of psychotherapy perspectives, including psychodynamic psychotherapy, cognitive-behavioral therapy, experiential therapy, and family systems theory. The book illustrates clinical case examples to prepare psychiatrists who work in all different types of settings….This is a user-friendly, engaging, and comprehensive text that should be required reading for all practicing clinicians.” ― Clinical Psychiatry News Published On: 2013-04-01
“Excellently written and a genuine pleasure to read, being highly accessible for clinical practitioners and lay people alike….This book is essential reading for anyone in the business of helping people to change and will be considered an invaluable resource for many years to come.” ― Addiction Today Published On: 2013-07-12
About the Author:
They happen naturally every day: conversations about change. We ask things of each other and are keenly attuned to the aspects of natural language that signal reluctance, willingness, and commitment. In fact, a primary function of language, besides conveying information, is to motivate, to influence each other’s behavior. It can be as simple as asking someone to pass the salt or as complex as negotiating an international treaty.
There are also particular conversations about change that occur as consultations with a professional, where one person seeks to help another to make changes. Counselors, social workers, clergy, psychologists, coaches, probation officers, and teachers all regularly engage in such conversations. A large proportion of health care is concerned with managing chronic conditions for which people’s own behavior and lifestyle determine their future health, quality of life, and longevity. Thus physicians, dentists, nurses, dietitians, and health educators are also regularly engaged in conversations about behavior and lifestyle change (Rollnick, Miller, & Butler, 2008).
Other professional conversations focus on change that is not so directly about behavior, unless “behavior” is defined in so broad a manner as to encompass all of human experience. Forgiveness, for example, is a significant psychological issue with broad health implications (Worthington, 2003, 2005). The focus of forgiveness may be someone who has died, and its impact more on internal mental and emotional health than on overt behavior. Self-concept, decisions, chosen attitudes, grief, and acceptance are all common clinical issues that can influence behavior, but are themselves more matters of internal resolution. In this edition we explicitly include such change as a worthy potential focus of MI (Wagner & Ingersoll, 2009).
MI involves attention to natural language about change, with implications for how to have more effective conversations about it, particularly in contexts where one person is acting as a helping professional for another. Our experience is that many such conversations occur in a rather dysfunctional way, albeit with the best of intentions. MI is designed to find a constructive way through the challenges that often arise when a helper ventures into someone else’s motivation for change. In particular, MI is about arranging conversations so that people talk themselves into change, based on their own values and interests. Attitudes are not only reflected in but are actively shaped by speech.
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