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Note: A related 2-DVD set illustrating MI in action is available from The Change Companies.

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“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 (on the third edition)


“Excellently written and a genuine pleasure to read....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 (on the third edition)


“The strength of this book lies in its reader-friendly yet scholarly approach.”

—Community Mental Health Journal (on the second edition)


“Not only has the original book become a classic, but motivational interviewing (MI) has taken the world by storm....The methods described gel extremely well with social work's strengths/empowerment perspective. I highly recommend this volume to the practitioner in the field and to social work educators who wish to grasp the essence of a method that integrates client-centered therapy with advice giving and directive feedback.”

—Journal of Social Work Practice in the Addictions (on the second edition)


“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 (on the second edition)


“Highly recommended to all practitioners in health settings and to clinicians supervising and teaching others.”

—Drug and Alcohol Review (on the second edition)


“The writing is clear, concise, and engaging. *****!”

—Doody's Review Service


“Miller and Rollnick masterfully guide us through the story of how MI has developed over four decades and bring its sophisticated simplicity to life in a way that stimulates the mind, touches the heart, and invites best practice. This text will remain the favorite companion for all professional helpers who want to weave MI into what they do. The fourth edition has an increased emphasis on growth, in addition to change, underscoring the importance of supporting persistence and maintenance of change. This book is very useful for any graduate-level curricula that focus on behavior change and/or psychotherapy skills.”

—Steve Martino, PhD, Department of Psychiatry, Yale University School of Medicine; member, Motivational Interviewing Network of Trainers


“Miller and Rollnick continue to advance the method and message of MI in this sparkling fourth edition. The authors build on another decade of central involvement in the rapidly expanding MI research and practice community. Beyond simply updating the research, the authors have set out to succinctly explain the essence of MI and encourage innovative adaptations. This eagerly awaited volume will accompany practitioners—from many fields and at multiple professional levels—in their journeys toward greater success and satisfaction.”

—Richard P. Barth, PhD, MSW, School of Social Work, University of Maryland


“The fourth edition of Motivational Interviewing is an incredibly helpful resource for those in the helping professions and those training graduate students in health care, education, or psychology. It contains much of value for novice and advanced MI users. Transcripts of flowing conversations highlight the innovative ways that MI supports people to change and grow.”

—Wendy M. Reinke, PhD, Department of Educational, School, and Counseling Psychology, and Missouri Prevention Science Institute, University of Missouri–Columbia


“The fourth edition of this go-to text is like a home-cooked meal served up with all your favorites, but with a healthy dose of new concepts, skills, and upgraded terminology. Miller and Rollnick bring their trademark rigor and humility to this compelling refresh of the MI ‘bible.’ Replete with poignant clinical examples, the book strikes a perfect balance of the conceptual and practical. The new 'Personal Perspective' and 'For Therapists' features woven into each chapter work exceedingly well. The fourth edition is yet again a 'must read' for practitioners and a superbtext for any MI-related course—I will use it in mine.”

—Kenneth Resnicow, PhD, Irwin M. Rosenstock Collegiate Professor of Public Health, University of Michigan

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Table of Contents

Preface to the Fourth Edition

I. Helping People Change and Grow

1. The Mind and Heart When Helping

2. What Is Motivational Interviewing?

3. A Flowing Conversation

II. Practicing Motivational Interviewing

4. Engaging: “Can We Walk Together?”

5. Focusing: “Where Are We Going?”

6. Evoking: “Why Would You Go There?”

7. Planning: “How Will You Get There?”

III. A Deeper Dive into Motivational Interviewing

8. Deeper Listening

9. Focusing: A Deeper Dive

10. Evoking: Cultivating Change Talk

11. Offering Information and Advice

12. Supporting Persistence

13. Planting Seeds

14. Responding to Sustain Talk and Discord

15. Practicing Well

IV. Learning and Studying Motivational Interviewing

16. Learning Motivational Interviewing

17. Learning from Conversations about Change

18. Studying Motivational Interviewing

Glossary of Motivational Interviewing Concepts

Index

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About the Authors

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 and in the first edition of Motivational Interviewing (1991), coauthored with Stephen Rollnick. Dr. Miller’s research has focused particularly on the treatment and prevention of addictions and more broadly on the psychology of change. He is a recipient of two career achievement awards from the American Psychological Association, the international Jellinek Memorial Award, and an Innovators Award from the Robert Wood Johnson Foundation, among many other honors. His publications include 65 books and over 400 articles and chapters. His website is https://williamrmiller.net.

• Author's website
• All titles by William R. Miller

Stephen Rollnick, PhD, is Honorary Distinguished Professor in the School of Medicine at Cardiff University, Wales, United Kingdom. He is cofounder of motivational interviewing, with a career in clinical psychology and academia that focused on how to improve conversations about change, and helped to create the Motivational Interviewing Network of Trainers (https://motivationalinterviewing.org). He has worked in diverse fields, with special interests in mental health and long-term health conditions such as 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 four editions of the classic work Motivational Interviewing. He has traveled worldwide to train practitioners in many settings and cultures, and he now works as a trainer and consultant in health care and sports. His website is www.stephenrollnick.com.

• Author's website
• All titles by Stephen Rollnick

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Audience

Practitioners, trainees, and graduate students in clinical psychology; clinical social work; psychiatric nursing; mental health, substance use, and pastoral counseling; psychiatry; medicine; and allied health fields.

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Course Use

The definitive MI text for graduate-level courses in addictions treatment, psychotherapy, counseling, and clinical practice.

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Special package offer: Motivational Interviewing, Fourth Edition, by William R. Miller and Stephen Rollnick, is the authoritative presentation of MI. Building Motivational Interviewing Skills, Second Edition, by David B. Rosengren, is packed with training exercises and examples. Motivational Interviewing and CBT, by Sylvie Naar and Steven A. Safren, shows how combining strategies can optimize outcomes. Together, this package provides an essential foundation for learning and practicing MI.

Order all 3 items for $119.95, instead of $159.00 if bought separately!

order package

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Previous editions published by Guilford:

Third Edition, © 2013
ISBN: 9781609182274

Second Edition, © 2002
ISBN: 9781572305632

First Edition, © 1992
ISBN: 9780898624694

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New to this edition:

• Most of the book is entirely new.
• Addresses the breadth of MI applications not only in counseling and psychotherapy, but also in health care, education, coaching, management, and other contexts.
• Discusses delivering MI remotely, simple versus complex affirmations, strategic use of directional questions, ethical considerations, and other new or expanded topics.
• Increased emphasis on using MI throughout a client's process of change and growth, not just in the preparatory stage.