Motivational Interviewing, Third Edition: Helping People Change (Applications of Motivational Interviewing) - Hardcover

Miller, William R.; Rollnick, Stephen

Hardcover

ISBN 10: 1609182278 ISBN 13: 9781609182274

Verlag: Guilford Publications, 2012

Inhaltsangabe

This book has been replaced by Motivational Interviewing, Fourth Edition, ISBN 978-1-4625-5279-5.

Über diesen Titel

Über die Autorinnen und Autoren

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 in the School of Medicine, Cardiff University, Wales, United Kingdom. He is a codeveloper of motivational interviewing, with a career in clinical psychology and academia that focused on how to improve conversations about change. He has worked in diverse fields, with special interests in mental health and long-term health conditions like 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 the classic work Motivational Interviewing: Helping People Change, now in its third edition. He has traveled worldwide to train practitioners in many settings and cultures, and now works as a trainer and consultant in healthcare and sports.

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 in the School of Medicine, Cardiff University, Wales, United Kingdom. He is a codeveloper of motivational interviewing, with a career in clinical psychology and academia that focused on how to improve conversations about change. He has worked in diverse fields, with special interests in mental health and long-term health conditions like 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 the classic work Motivational Interviewing: Helping People Change, now in its third edition. He has traveled worldwide to train practitioners in many settings and cultures, and now works as a trainer and consultant in healthcare and sports.

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Motivational Interviewing

Helping People Change

By William R. Miller

The Guilford Press

Copyright © 2013 The Guilford Press
All rights reserved.

ISBN: 978-1-60918-227-4

Contents

Cover, 
Series Page, 
Title Page, 
Copyright Page, 
Dedication, 
About the Authors, 
Preface to the Third Edition, 
PART I. WHAT IS MOTIVATIONAL INTERVIEWING?, 
CHAPTER 1. Conversations about Change, 
CHAPTER 2. The Spirit of Motivational Interviewing, 
CHAPTER 3. The Method of Motivational Interviewing, 
PART II. ENGAGING: The Relational Foundation, 
CHAPTER 4. Engagement and Disengagement, 
CHAPTER 5. Listening: Understanding the Person's Dilemma, 
CHAPTER 6. Core Interviewing Skills: OARS, 
CHAPTER 7. Exploring Values and Goals, 
PART III. FOCUSING: The Strategic Direction, 
CHAPTER 8. Why Focus?, 
CHAPTER 9. Finding the Horizon, 
CHAPTER 10. When Goals Differ, 
CHAPTER 11. Exchanging Information, 
PART IV. EVOKING: Preparation for Change, 
CHAPTER 12. Ambivalence: Change Talk and Sustain Talk, 
CHAPTER 13. Evoking the Person's Own Motivation, 
CHAPTER 14. Responding to Change Talk, 
CHAPTER 15. Responding to Sustain Talk and Discord, 
CHAPTER 16. Evoking Hope and Confidence, 
CHAPTER 17. Counseling with Neutrality, 
CHAPTER 18. Developing Discrepancy, 
PART V. PLANNING: The Bridge to Change, 
CHAPTER 19. From Evoking to Planning, 
CHAPTER 20. Developing a Change Plan, 
CHAPTER 21. Strengthening Commitment, 
CHAPTER 22. Supporting Change, 
PART VI. MOTIVATIONAL INTERVIEWING IN EVERYDAY PRACTICE, 
CHAPTER 23. Experiencing Motivational Interviewing, 
CHAPTER 24. Learning Motivational Interviewing, 
CHAPTER 25. Applying Motivational Interviewing, 
CHAPTER 26. Integrating Motivational Interviewing, 
PART VII. EVALUATING MOTIVATIONAL INTERVIEWING, 
CHAPTER 27. Research Evidence and the Evolution of Motivational Interviewing, 
CHAPTER 28. Evaluating Motivational Conversations, 
APPENDIX A. Glossary of Motivational Interviewing Terms, 
APPENDIX B. Reflection Questions, 
APPENDIX C. The Case of Julia, 
APPENDIX D. Is That Motivational Interviewing?, 
APPENDIX E. A Bibliography of Motivational Interviewing, 
References, 
Index, 
About Guilford Press, 
Discover Related Guilford Titles, 

CHAPTER 1

Conversations about Change

Things do not change: We change.

— HENRY DAVID THOREAU

A fool takes no pleasure in understanding, but only in expressing personal opinion.

— PROVERBS 18:2

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.

A CONTINUUM OF STYLES

It is possible to think about helping conversations as lying along a continuum (see Box 1.1). At one end is a directing style, in which the helper is providing information, instruction, and advice. A director is someone who tells people what to do and how to proceed. The implicit communication in directing is "I know what you should do, and here's how to do it." A directing style has complementary roles for the recipient of direction, such as obeying, adhering, and complying. Common examples of directing are a physician explaining how to take a medication properly, or a probation officer explaining the contingencies and consequences imposed by the court.

At the opposite end of this continuum is a following style. Good listeners take an interest in what the other person has to say, seek to understand, and respectfully refrain (at least temporarily) from inserting their own material. The implicit communication of a helper in a following style is "I trust your own wisdom, will stay with you, and will let you work this out in your own way." Some complementary roles to a following style are taking the lead, going ahead, and exploring. There are times in most practices when following is appropriate — simply to listen as a human companion, for example, with a dying patient for whom everything necessary has been done, or a client who enters a session with strong emotion.

In the middle is a guiding style. Imagine going to another country and hiring a guide to help you. It is not the guide's job to order you when to arrive, where to go, and what to see or do. Neither does a good guide simply follow you around wherever you happen to wander. A skillful guide is a good listener and also offers expertise where needed. MI lives in this middle ground between directing and following, incorporating aspects of each. Helping a child to learn a new task involves guiding — not doing too much or too little to help. Box 1.2 provides some verbs associated with each of these three styles of communication, all of which occur naturally in everyday life.

THE RIGHTING REFLEX

We appreciate and admire those who choose to be helpers. Henri Nouwen (2005) observed that "anyone who willingly enters into the pain of a stranger is truly a remarkable...

Details zur Ausgabe

• Verlag: Guilford Publications
• Erscheinungsdatum: 2012
• Sprache: Englisch
• ISBN 10: 1609182278
• ISBN 13: 9781609182274
• Einband: Gebundene Ausgabe
• Auflage: 3
• Anzahl der Seiten: 482
• Kontakt zum Hersteller: Nicht verfügbar
• Verantwortliche Person: Nicht verfügbar