Motivational Interviewing: Helping People Change
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- Create Date：2022-05-24 06:53:59
- Update Date：2025-09-06
- Status：finish
- Author：William R. Miller
- ISBN：1609182278
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Summary
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。
This book is in the Applications of Motivational Interviewing series。 New to This Edition: *Reflects major advances in understanding and teaching MI。 *Fully restructured around the new four-process model。 *Additional case examples and counseling situations。 *Reviews the growing evidence base and covers ways to assess MI fidelity。 Pedagogical Features Include: *Online reflection questions and annotated cases， ideal for classroom discussion。 *Key points at the end of each chapter。 *Engaging boxes with special topics and personal reflections。 *Extended bibliography and quick-reference glossary。
This book is in the Applications of Motivational Interviewing series。 New to This Edition: *Reflects major advances in understanding and teaching MI。 *Fully restructured around the new four-process model。 *Additional case examples and counseling situations。 *Reviews the growing evidence base and covers ways to assess MI fidelity。 Pedagogical Features Include: *Online reflection questions and annotated cases， ideal for classroom discussion。 *Key points at the end of each chapter。 *Engaging boxes with special topics and personal reflections。 *Extended bibliography and quick-reference glossary。
Reviews
Caroline
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Always interesting learning about different perspectives into conversations with clients。 I find MI helpful and grounding in being a supportive therapist
Jess
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This is a very good resource and a wonderful companion for the education I received regarding motivational interviewing。 It is a textbook I decided to invest in and have continued to go back to and review in order to be a better therapist。 It offers a reminder of the core principles required for motivational interviewing and the pitfalls that a professionals can fall into when offering therapy。
Angel
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Excellent book。 Helpful guide to practice and theory。 MI has changed my practice。
Alina Orel
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Great balance between theory and practice （examples， dialogues）。 Contains microskills useful to every counsellor。
Markus Molina
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Usually I'm not a big fan of textbooks， but this one was written in a way that made sense and will be handy to go back and look at with techniques I think are very affective。 Usually I'm not a big fan of textbooks， but this one was written in a way that made sense and will be handy to go back and look at with techniques I think are very affective。 。。。more
Jamie Pennington
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A very good book。 I learned a lot that I have already begun to use on my job as a case manager。
Nora
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I learned quite a lot！ Good stuff to reference
Kait
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I don't really feel it's necessary to rate something purely educational。 I will say I understand a LOT more about MI now compared to before， and it did a good job explaining it， however it was at times very repetitive and I feel like it could have been half the size。 I don't really feel it's necessary to rate something purely educational。 I will say I understand a LOT more about MI now compared to before， and it did a good job explaining it， however it was at times very repetitive and I feel like it could have been half the size。 。。。more
Ron Peters
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I'm no therapist！ I came across a discussion of Motivational Interviewing （MI） in Adam Grant’s （2021） Think Again， and it piqued my interest。 I studied psychology as an undergrad， but this was back when dinosaurs roamed the earth， so MI appeared after my time。Philosophically， MI leans to a non-directive style， but it isn’t as totally non-directive as Rogerian therapy。 On the other hand， it is the opposite of something like Albert Ellis’ Rational Emotive Therapy， where therapists seeks out client I'm no therapist！ I came across a discussion of Motivational Interviewing （MI） in Adam Grant’s （2021） Think Again， and it piqued my interest。 I studied psychology as an undergrad， but this was back when dinosaurs roamed the earth， so MI appeared after my time。Philosophically， MI leans to a non-directive style， but it isn’t as totally non-directive as Rogerian therapy。 On the other hand， it is the opposite of something like Albert Ellis’ Rational Emotive Therapy， where therapists seeks out clients’ ‘irrational’ beliefs and dispute with clients to replace them with what the therapist regards as rational ones。The approach focuses on the ambivalence or cognitive dissonance that people often have when they try to make their mind up about committing to behavior change。 People who smoke cigarettes， for instance， typically have a good idea of the arguments for and against， but they often find themselves uncomfortably ‘stuck’ and unable to commit to a course of action。 Motivational interviewing is designed to help people make their own minds up about， and find their own motivations for， change。It’s been a while since I read a textbook， but this wasn’t dull or unduly taxing。 Some of these ideas would transfer well to self-help。 E。g。， the work on clarifying and prioritizing values would help anyone working alone on prioritizing behaviors to change and finding sufficient reasons to commit to change。 You could then apply other self-change approaches to the actual behavior change， e。g。， those outlined in James Clear’s （2018） Atomic Habits。In addition， the book contains good descriptions of basic therapeutic skills such as reflective listening and core interviewing skills such as the use of Open questions， Affirming， Reflecting， and Summarizing （OARS）。 I wonder why all of us aren’t taught to use these skills every day？ 。。。more
Matthew
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Essential reading for therapists。
Jo
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The last two sections could do well in a separate book。 Nonetheless this manual is comprehensive， and teaches MI in a way structured much like a college course。 A bit repetitive at times， but does so in a way that strengthens the core concepts and provides variety in applications。
Angel FS
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It's a must-read for any professional working with people， especially psychologists。 It's a must-read for any professional working with people， especially psychologists。 。。。more
Cassie
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Read for work！！
Nikki Reads A Lot
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Great way of working through change 😊
Helder Barroso
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In my line of work as a coach in the health and wellbeing world I found this book very useful。 It definitely flagged some of my directorship traits that I need to work on as a coach to a more guidance approach。 A 4 out 5 stars for me and one for the shelf to for future reference。
Jaakko
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Read every year。
Liz
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Must read for healthcare providers， especially to help overcome hesitancy on certain health topics。
Kristy
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The go-to guide for Motivational Interviewing。 This coaching technique to motivate people to make behavior changes has proven to be very successful with people overcoming addictions and other changes in their life by building buy-in and self efficacy。 I read all of the sections recommended for the NBHWC exam。
Sophieb
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Useful for every psychologist （in training）
Miles
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Several friends recommended William R。 Miller and Stephen Rollnick’s Motivational Interviewing as a reliable and longstanding practice that would be useful for an aspiring counselor to explore。 The book is a terrific resource for professionals and laypeople interested in the language of change and dynamics of personal development。Miller and Rollnick originally invented motivational interviewing （MI） in the 1980s as a talk therapy treatment for alcohol addiction。 They have continued to evolve its Several friends recommended William R。 Miller and Stephen Rollnick’s Motivational Interviewing as a reliable and longstanding practice that would be useful for an aspiring counselor to explore。 The book is a terrific resource for professionals and laypeople interested in the language of change and dynamics of personal development。Miller and Rollnick originally invented motivational interviewing （MI） in the 1980s as a talk therapy treatment for alcohol addiction。 They have continued to evolve its theory and practice over the last several decades; MI is now used in a variety of contexts and has been fruitfully integrated with other therapeutic methods。 The approach borrows the conceptual foundations of Rogerian client-centered therapy， but also departs from it by being considerably more goal-oriented。 The explicit purpose of MI is to help clients change their lives in ways that will minimize harm and promote growth and flourishing:"Motivational interviewing is a collaborative， goal-oriented style of communication with particular attention to the language of change。 It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion。" （29）In MI， the counselor’s prime directive is to draw out a client’s intrinsic motivations for change， rather than confronting them with extrinsic motivations or taking an authoritative tone:"Telling someone that 'You can’t，' and more generally trying to constrain someone’s choices typically evokes psychological reactance， the desire to reassert one’s freedom。 On the other hand， directly acknowledging a person’s freedom of choice typically diminishes defensiveness and can facilitate change。 This involves letting go of the idea and burden that you have to （or can） make people change。 It is， in essence， relinquishing a power that you never had in the first place。" （19）Motivational Interviewing is a process-oriented text that provides many concrete examples of how Miller and Rollnick’s theories succeed or fail in practice， as well as discussions of MI’s efficacy as demonstrated by academic research。 The authors also have a talent for metaphor， often invoking creative references to music， dance， travel， and the natural world。 The book strikes an excellent balance between instructional information and values-driven reflections on the art of therapeutic consultation。Miller and Rollnick break down the method of MI into four stages: engaging， focusing， evoking， and planning。 Their simplest articulation is as follows:"Engaging is about 'Shall we travel together？'Focusing asks 'Where to？'Evoking is about 'Whether？' and 'Why？'Planning is about 'How？' and 'When？'" （271）The four stages occur in sequence as the client makes their way toward change， but Miller and Rollnick point out that any stage can be revisited as needed。Engaging is the stage of MI that most closely resembles client-centered therapy。 It is all about listening well， creating a safe and acceptant space for the client， and demonstrating empathic attention to the client’s perspective and needs。 Miller and Rollnick’s descriptions and examples of “reflective listening” are especially helpful， making it easy to see why their method is so effective when utilized properly。 “Processes for engaging do differ across cultures，” they write， “but listening lies at the heart of nearly all of them” （349）。Once a solid rapport has been established， the consultation enters the focusing stage。 This is where counselor and client collaboratively explore goals for change and agree on an intended outcome or set of outcomes。 Miller and Rollnick recommend that counselors adopt a “guiding” style––a compromise between “following” （allowing the client to dictate the direction of the conversation） and “directing” （taking the reins in order to produce the counselor’s desired outcome）:"Midway between directing and following sits a guiding style。 Guiding promotes a collaborative search for direction， a meeting of expertise in which the focus of treatment is negotiated。 The client’s agenda is important， and any limitations inherent in the context are taken into account。 The clinician’s expertise is also a possible source of goals。 The focusing process of MI commonly starts in this middle ground between directing and following， where the focus， momentum， and content are mutually forged。" （99）After focusing comes evoking， which is arguably the most crucial and challenging of the four stages。 Evoking is the process by which a counselor seeks to elicit and strengthen the client’s personal reasons for change。 This is done through delving into the client’s ambivalence––their reasons for and against making the change or changes identified during the focusing stage。 Careful attention is paid to “change talk” and “sustain talk”:"Sustain talk and change talk are conceptually opposite––the person’s arguments against and for change––and they predict different outcomes。 A predominance of sustain talk or an equal mix of change and sustain talk is associated with maintenance of the status quo， whereas a predominance of change talk predicts subsequent behavior change。" （165）Affirming and encouraging change talk is the main mechanism by which MI practitioners help clients articulate and commit to their intrinsic motivations for change。 “Evoking is a co-creative process through which the person’s potential for change is released，” Miller and Rollnick tell us。 “The motivation for change is emerging even as you speak together。” （182） Here we see another strong connection to Carl Rogers’s theory of personal growth， which prizes client autonomy and asserts that meaningful and lasting change typically stems from behavioral adaptations that are self-chosen rather than imposed from the outside。The planning stage is precisely what it sounds like。 “Planning is the clutch that engages the engine of change talk，” where client and counselor work out the details of how to transform the client’s desires for change into reality （30）。 Miller and Rollnick provide many useful examples and resources for how this can be accomplished， all the while staying true to their ethos of supporting the client as they discover what works best for them。Although MI certainly seems like a great system， there are a couple apparent limitations I’d like to highlight。 The first is simply that much of MI won’t apply to clients who aren’t seeking change or don’t need to change their behavior in any profound way。 The second is that， by locating the potential and responsibility for change primarily within the client， MI runs the risk of downplaying or ignoring structural factors that may render change difficult or even impossible。 To their credit， Miller and Rollnick are aware of this issue and mention it several times in the book。 It’s important to remember that， due to external circumstances completely beyond their control， some people seeking counseling may not have the power to transform their lives in the way MI suggests。 This isn’t really a criticism， but rather an acknowledgment that MI is just one of many effective tools we can use to meet humanity’s variety of mental health needs。This review was originally published on my blog， words&dirt。 。。。more
Matthew Hesketh
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It's a text book It's a text book 。。。more
Kristina Harju
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Excellent book， easy & simple to understand methods。
Lucy Reeder
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Parts I through IV were very helpful for my understanding of MI。 I hope to implement this technique into my clinical practice and I feel I have a much deeper understanding now than when I learned about MI in my MSW program。 Grateful the book incorporates real world examples of cases， as well as reflections， summaries， and questions that fit into the MI style。
Mary Robison
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This book was excellent and very helpful for me as I pursue a degree in counseling。 The MI process is straightforward and presented in a clear manner with examples。 Though the last 100 pages are more just informational about how MI can be used and integrating MI into various practices， overall this is a great approach to working with people。 I particularly liked the elements of applied linguistics regarding change and sustain talk， which highlights how powerful language is in a person's life。 This book was excellent and very helpful for me as I pursue a degree in counseling。 The MI process is straightforward and presented in a clear manner with examples。 Though the last 100 pages are more just informational about how MI can be used and integrating MI into various practices， overall this is a great approach to working with people。 I particularly liked the elements of applied linguistics regarding change and sustain talk， which highlights how powerful language is in a person's life。 。。。more
Dragon
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Loved this book and will be implementing the techniques。 Many people aren't ready to change things that they do， and this is a great tool to move them into later stages of change。 Loved this book and will be implementing the techniques。 Many people aren't ready to change things that they do， and this is a great tool to move them into later stages of change。 。。。more
Marwa M。
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اخييييييراااا 。。 حاسة اني بقرأه من عشر سنين بس الحمد لله خلص 🥴💪الكتاب من المركز القومي للغات والترجمة وعليه خصم 70% يعني سعره زهيد جدا جدا مقارنة بالمحتوى وجودته。حبيته ومفيد جدا للمتخصصين في المقام الاولى ولاي حد حابب يطور مهاراته في الاقناع والتواصل، ممتع في قرأته （خصوصا الفصول الاولى） عيبه الوحيد ان في حاجات كانت ممكن تبقى اكثر اختصارا وكانت طوووووووووويلة بدون داع
Heikki
，
Tosi hyvä kirja， jos työskentelet asiakkaiden kanssa keskustellen niin kannattaa lukea。
Steven
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Motivational Interviewing is less about chit chat and is contingent upon listening and respecting personal life choices an individual has decided on， and thereby not resorting to taking on an authoritative role of: "I have more experience than you do in life， therefore you should listen to me when I tell you this"。More importantly， Motivational Interviewing teaches the practitioner to value the insight of their subject， by placing themselves in their subject's shoes， rather than desiring their s Motivational Interviewing is less about chit chat and is contingent upon listening and respecting personal life choices an individual has decided on， and thereby not resorting to taking on an authoritative role of: "I have more experience than you do in life， therefore you should listen to me when I tell you this"。More importantly， Motivational Interviewing teaches the practitioner to value the insight of their subject， by placing themselves in their subject's shoes， rather than desiring their subject to submit to what it is they feel is best for him/her。 。。。more
Mirjam
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Okay， but very focused on addiction care although the title suggests a broader application。
Pacific Stoa
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