Motivational Interviewing

Third Edition
Helping People Change

William R. Miller and Stephen Rollnick

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September 7, 2012
ISBN 9781609182274
Price: $65.00 $55.25
482 Pages
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October 18, 2012
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482 Pages
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This bestselling work for professionals and students is the authoritative presentation of motivational interviewing (MI), the powerful approach to facilitating change. The book elucidates the four processes of MI—engaging, focusing, evoking, and planning—and vividly demonstrates what they look like in action. A wealth of vignettes and interview examples illustrate the "dos and don'ts" of successful implementation in diverse contexts. Highly accessible, the book is infused with respect and compassion for clients. The companion Web page provides additional helpful resources, including reflection questions, an extended bibliography, and annotated case material.

New to This Edition: Pedagogical Features Include:

This title is part of the Applications of Motivational Interviewing Series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

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


“Not only has the original book become a classic, but MI has taken the world by storm....The methods described gel extremely well with social work's strengths/empowerment perspective.”

Journal of Social Work Practice in the Addictions


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

Drug and Alcohol Review


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

Community Mental Health Journal


“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


“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


“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


“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)
Table of Contents

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


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 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 at the Cochrane Institute of Primary Care and Public Health at Cardiff University, United Kingdom. A clinical psychologist with many years of experience and a codeveloper of MI, as well as a cofounder of the Motivational Interviewing Network of Trainers, Dr. Rollnick provides consultancy and training on the subjects of motivation, change, and MI. His research and guidelines for good practice have been widely published, and his work on implementation continues, with a current focus on children with HIV/AIDS in Africa, pregnant teens in deprived communities, and MI for teachers and sports coaches. With William R. Miller, Dr. Rollnick is coauthor of the classic work Motivational Interviewing: Helping People Change, now in its third edition.
Audience

Practitioners and students across the mental health and health care disciplines, including addictions specialists, clinical psychologists, psychiatrists, social workers, family therapists, counselors, nurses, physicians, and health educators.
Will be widely adopted in graduate-level courses in addictions treatment, psychotherapy, counseling, clinical practice, and related topics.
Previous editions published by Guilford:

Second Edition, © 2002
ISBN: 9781572305632

First Edition, © 1992
ISBN: 9780898624694
New to this edition:

Pedagogical Features: