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Rating: 
Summary: A new classic
Review: If change were easy, a lot of us (psychologists, counselors, health care providers) would be out of work. Still, that doesn't stop us from complaining about those clients and patients who just won't do what we think is in their best interest. Motivational Interviewing, a "client-centered, directive method for enhancing intrinsic motivation," was developed specifically to help faciliate change in "resistant" populations and has been embraced by addictions treatment and general health care professionals alike. The entirely re-written, highly readable, second edition of MOTIVATIONAL INTERVIEWING updates readers on the state of the art and science of MI, and provides a practical guide for helping people to make all kinds of behavior changes. The book opens with a brief review of the converging lines of inquiry that supported the development of MI and an overview of core concepts such as readiness to change, ambivalence, and an interpersonally-based understanding of motivation. The second section is a guide to practice. While "spirit" is emphasized over technique, this section is filled with practical advice on how to increase motivation for change while minimizing resistance. A new chapter on ethics addresses the concerns that arise when attempting to motivate clients to do something they aren't sure they want to do. Consistent with the method's client-centered approach, the third section constitutes a chapter on learner-centered training in MI. The fourth section - comprising about half the volume - includes diverse contributed chapters on applications of MI. These include a discussion of MI and the Stages of Change model with which it is often associated; an excellent review of efficacy research in MI; adaptations of MI such as brief advice and MI with couples or groups; and applications with specific populations and settings. The application chapters necessarily vary in format but share in common careful consideration of the rationale for MI in the particular setting and the available evidence for success along with offering clinical wisdom from the field. The first edition of Motivational Interviewing has become a modern classic in the field, and the second edition is a worthy successor. Whereas the first edition presented MI as an alternative to traditional approaches to treating addictions, the second edition presents MI as an approach to helping people get "unstuck" regardless of the kind of behavior change in question. The key principles are more fully thought out, yet streamlined and presented in an almost conversational tone. The humanistic values that underlie MI are more consistently evident, yet the dedication to empirical validation of clinical insights remains. There is enough new material to justify buying this book even if you already have the first edition. - reviewed by Deborah Van Horn - first posted 5/16/02, updated 5/18/04.
Rating:
Summary: An Essential Guide to Exploring and Resolving Ambivalence
Review: When do you use a Motivational Interviewing approach? Whenever there is ambivalence for change. How often does ambivalence for change occur? At almost any time people are considering some kind of change. In this 2nd edition of Motivational Interviewing, the authors are very clear that MI is not an approach that obviates the use of other therapy approaches, such as CBT, but is an approach that prepares people for change. I have been a trainer in Motivational Interviewing since 1995 (see http://www.cathycoletraining.com) and am privileged to have received my training from the authors, Drs. Miller and Rollnick. The first edition, Motivational Interviewing, Preparing People to Change Addictive Behavior, provided information that has helped many professionals working in addictions a way to more effectively engage clients in the process of change. The 2nd edition is written so that professionals working with clients around any issues...mental health, health behavior, addictions, health promotion, life coaching...are able to apply the methods for exploring and resolving ambivalence for change. The first three chapters of the book set the stage for understanding the nature of change and ambivalence for change so that the reader is more fully prepared to understand the value of fully understanding the client situation and eliciting desire, ability, reasons, need and committment for change from the client. This approach differs from the often tendency to understand the client's situation and then in a well meaning way, prescribe the needed steps for change. The strategies for interacting with clients via the use of open ended questions and the use of reflective responses is clearly discussed. Methods for eliciting change talk and responding to the concept of resistance are easily understood and examples are provided that will assist readers in considering how this approach will fit into their unique situations. Of great value to me has been the expanded view of the concept of client resistance. From the MI approach, resistance is seen as occuring in context and is conceived of as dissonance...just a lack of harmony, or being on the same page together. When viewed in this way, it just signals the professional that another approach is needed. How to 'roll with resistance' is then illustrated very clearly. This edition of Motivational Interviewing has expanded my ability to provide training. Even more importantly, the emphasis of this edition has underscored even more for me,that in my provision of psychotherapy, MI is not an approach to be pulled out for special occasions but is the treatment philosophy from which I approach all clients, despite the particular therapy modality utilized in the specific work.
Rating:
Summary: An Essential Guide to Exploring and Resolving Ambivalence
Review: When do you use a Motivational Interviewing approach? Whenever there is ambivalence for change. How often does ambivalence for change occur? At almost any time people are considering some kind of change. In this 2nd edition of Motivational Interviewing, the authors are very clear that MI is not an approach that obviates the use of other therapy approaches, such as CBT, but is an approach that prepares people for change. I have been a trainer in Motivational Interviewing since 1995 (see http://www.cathycoletraining.com) and am privileged to have received my training from the authors, Drs. Miller and Rollnick. The first edition, Motivational Interviewing, Preparing People to Change Addictive Behavior, provided information that has helped many professionals working in addictions a way to more effectively engage clients in the process of change. The 2nd edition is written so that professionals working with clients around any issues...mental health, health behavior, addictions, health promotion, life coaching...are able to apply the methods for exploring and resolving ambivalence for change. The first three chapters of the book set the stage for understanding the nature of change and ambivalence for change so that the reader is more fully prepared to understand the value of fully understanding the client situation and eliciting desire, ability, reasons, need and committment for change from the client. This approach differs from the often tendency to understand the client's situation and then in a well meaning way, prescribe the needed steps for change. The strategies for interacting with clients via the use of open ended questions and the use of reflective responses is clearly discussed. Methods for eliciting change talk and responding to the concept of resistance are easily understood and examples are provided that will assist readers in considering how this approach will fit into their unique situations. Of great value to me has been the expanded view of the concept of client resistance. From the MI approach, resistance is seen as occuring in context and is conceived of as dissonance...just a lack of harmony, or being on the same page together. When viewed in this way, it just signals the professional that another approach is needed. How to 'roll with resistance' is then illustrated very clearly. This edition of Motivational Interviewing has expanded my ability to provide training. Even more importantly, the emphasis of this edition has underscored even more for me,that in my provision of psychotherapy, MI is not an approach to be pulled out for special occasions but is the treatment philosophy from which I approach all clients, despite the particular therapy modality utilized in the specific work.
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