email page print page All Topic Reviews A New Understanding of Mental Disorders A Theory of Feelings Addictions Memory and the Self "Intimate" Violence against Women 1001 Solution-Focused Questions 101 Healing Stories 101 Things I Wish I'd Known When I Started Using Hypnosis 50 Great Myths of Popular Psychology 50 Reasons People Give for Believing in a God 8 Keys to Body Brain Balance A Brief History of Modern Psychology A Conceptual History of Psychology A Conceptual History of Psychology: Exploring the Tangled Web A Cooperative Species A Guide to Teaching Introductory Psychology A History of Modern Experimental Psychology A History of Psychology in Autobiography A History of Social Psychology A History of the Brain A History of the Mind A Hole in the Head A Matter of Security A Mind of Its Own A Natural History of Human Thinking A Place for Consciousness A Short Introduction to Promoting Resilience in Children A Social History of Psychology A Stroll With William James A System Architecture Approach to the Brain A Theory of Freedom A Very Bad Wizard Abducted About Faces Accounts of Innocence Action, Emotion and Will Adapting Minds Addiction and Self-Control ADHD & Me ADHD in Adults Adieu to God Adolescence and Body Image Adult Bipolar Disorders Advances in Culture and Psychology Advances in Identity Theory and Research Affect Regulation, Mentalization, and the Development of Self Affective Mapping Against Empathy Against Happiness Ages and Stages All Joy and No Fun All Out! All We Have to Fear Alterations of Consciousness American Psychiatric Publishing Textbook of Neuropsychiatry and Clinical Neurosciences An Argument for Mind Ancient Bodies, Modern Lives And Breathe Animal Madness Animal Tool Behavior Animals in Translation Anomalous Cognition Aping Mankind Artificial Consciousness Aspects of Psychologism Asperger Syndrome and Your Child Asperger Syndrome, Adolescence, and Identity Assessment and Treatment of Childhood Problems, Second Edition Assisted Suicide and the Right to Die Attached Attention is Cognitive Unison Autism and the Myth of the Person Alone Autopsy of a Suicidal Mind Becoming an Effective Psychotherapist Behaving Behavioral Genetics in the Postgenomic Era Being No One Believing Between Two Worlds Beyond Appearance Beyond Blue Beyond Bullying Beyond Madness Beyond Melancholy Beyond the Brain Beyond the DSM Story Big Dreams Biofeedback for the Brain Bipolar Children Bipolar Disorder Bipolar Kids Blackwell Handbook of Childhood Cognitive Development Blind Spots Blindsight & The Nature of Consciousness Blubberland Blush Bodies Body Consciousness Body Image, Eating Disorders, and Obesity in Youth Body Sense Body Work Borderline Personality Disorder Borderline Personality Disorder and the Conversational Model Born Digital Born to Be Good Born Together - Reared Apart Bounce Boundaries in Human Relationships Bounded Rationality Bowen Theory's Secrets Bozo Sapiens Brain and Culture Brain and the Gaze Brain Arousal and Information Theory Brain Bugs Brain Change Therapy Brain Circuitry and Signaling in Psychiatry Brain Fiction Brain, Mind, and Human Behavior in Contemporary Cognitive Science Brain-Based Therapy with Adults Brain-Wise Brainstorm Brainstorming Braintrust Brainwashing Branded Breaking Murphy's Law Bright-Sided Buddha's Brain Bullying and Teasing Buyology Can't You Hear Them? 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Doing without Concepts Drunk Tank Pink Educating People to Be Emotionally Intelligent Effective Intentions Effective Writing in Psychology Effortless Attention Embodied Minds in Action Embracing Mind Embracing Uncertainty EMDR Therapy and Somatic Psychology Emotion and Consciousness Emotion Experience Emotion Regulation Emotion, Evolution, And Rationality Emotional Intelligence Emotionally Involved Emotions Emotions Emotions and Life Emotions in Humans and Artifacts Emotions Revealed Emotions, Aggression, and Morality in Children Emotions, Stress, and Health Empathy Enjoyment Erotic Morality Escape Your Own Prison Essays in Social Neuroscience Essential Sources in the Scientific Study of Consciousness Ethical Issues in Forensic Mental Health Research Ethically Challenged Professions Everyday Mind Reading Evidence for Psi Evidence-Based Mental Health Practice Evil Men Evolution and Human Behavior Evolution and Learning Evolution, Games, and God Evolution, Gender, and Rape Evolutionary Psychology and Violence Evolutionary Psychology as Maladapted Psychology Exacting Beauty Experiences of Depression Experimenter Explaining the Brain Explaining the Brain Explorations in Neuroscience, Psychology and Religion Exploring Transsexualism Expression and the Inner Extending Self-Esteem Research Extraordinary Beliefs Fact and Value in Emotion Faking It Fatigue as a Window to the Brain Favorite Activities for the Teaching of Psychology Feeling Good Feeling Pain and Being in Pain Feelings and Emotions Finding Meaning, Facing Fears Fitting In Is Overrated Five Constraints on Predicting Behavior Flourishing Flow: The Psychology of Optimal Experience Folk Psychological Narratives Fooling Houdini Forever Young Formulation in Psychology and Psychotherapy Foucault, Psychology and the Analytics of Power Foundational Issues in Human Brain Mapping Foundations of Psychological Thought Free Will as an Open Scientific Problem Freedom And Neurobiology Freedom Evolves From Axons to Identity From Madness to Mental Health From Neurons to Self-Consciousness From Passions to Emotions From Philosophy to Psychotherapy From Symptom to Synapse Frontiers of Consciousness Gay, Straight, and the Reason Why Generosity Genes, Environment, and Psychopathology Genetic Nature/Culture Genius Getting Under the Skin Glued to Games Going Sane Got Parts? 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How People Change How Professors Think How The Body Shapes The Mind How the Body Shapes the Way We Think How the Mind Explains Behavior How the Mind Uses the Brain How to Change Someone You Love How We Reason How We Remember Hughes' Outline of Modern Psychiatry Human Human Bonding Human Reasoning and Cognitive Science Hume’s Moral Philosophy and Contemporary Psychology Hypnotism Hysteria iBrain Identifying Hyperactive Children Identifying the Mind iDisorder Imagination and the Meaningful Brain Imitation and the Social Mind Impulse Control Disorders Impulsivity In an Unspoken Voice In Defense of Sentimentality In Doubt In Search of Happiness In the Wake of 9/11 Individual and Collective Memory Consolidation Inner Experience and Neuroscience Inner Presence Inside the American Couple Integrated Behavioral Health Care Integrating Evolution and Development Integrating Psychotherapy and Pharmacotherapy Integrity and the Fragile Self Intellectual Disability Intelligence Intelligence, Destiny, and Education Intentions and Intentionality Interdependent Minds Interpreting Minds Into the Minds of Madmen Intoxicating Minds Introspection Vindicated Intuition Inventing Personality Investigating the Psychological World Irrationality Is There Anything Good About Men? 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Social Policy Putnam Camp Putting a Name to It Quantum Memory Power Quiet Radical Distortion Radical Embodied Cognitive Science Radical Externalism Radical Grace Rape Re-Visioning Psychiatry Real Materialism Reality Check Reconstructing Reason and Representation Reconstructing the Cognitive World Recovery in Mental Illness Recreative Minds Redirect Reducing Adolescent Risk Regulating Emotions Relational Being Relational Mental Health Relational Suicide Assessment Reliability in Cognitive Neuroscience Remembering Home Remembering Our Childhood Research Advances in Genetics and Genomics Researching Children's Experience Resilience in Children Restoring Resilience Rethinking ADHD Rethinking Learning Disabilities Rethinking Middle Years Rethinking the Western Understanding of the Self Revolution in Psychology Roadmap to Resilience Romance and Sex in Adolescence and Emerging Adulthood Schadenfreude Schizophrenia Revealed Schizophrenia, Culture, and Subjectivity Science and Pseudoscience in 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More than ten years have passed since Miller and Rollnick introduced the
concept of Motivational Interviewing (MI) as an effective counselling style for
addicts. Since then, MI has steadily gained support among counsellors, has
spread to new patient groups and new treatment settings, and its effectiveness
has been tested empirically. The new edition of Motivational Interviewing contains
all you need to know about these new developments while still giving an
accessible, easily readable introduction to the theory and practice of MI.
To understand what the introduction
of MI meant, it helps to remember what traditional addiction treatment was
like. Many people -- both laypeople and professionals -- held the view that as
long as an addict hadnt hit the gutter, he/she would never change. Many
professionals saw their main task as trying to break their patients
resistance. Only when the patient stopped resisting and accepted the diagnosis
could therapy even begin. Some counsellors would altogether refuse to work with
addicts because they were seen as difficult and unthankful patients or as
unwilling to change.
In their original work, Miller and Rollnick suggested that it was
probably not the patients who were to blame for such difficult processes but
more likely the unsuitable therapeutic style. As an alternative, they
introduced Motivational Interviewing, a non-confrontational but still directive
style of interaction on the basis of Prochaska & DiClementes
trans-theoretical model and Banduras self-efficacy concept, among others.
While the first edition had largely defined MI by contrasting it with
other therapeutic styles, the second edition takes a slightly different
approach by trying to define MI without resorting to what it is not. There is
now more conceptual clarity than in the first book. But the general principles
of MI practice remain the same: 1) express empathy, 2) develop discrepancy, 3)
roll with resistance and 4) support self-efficacy.
The book doesnt only elaborate on what these principles mean, it also
gives numerous illustrations of how they can be applied in the form of
client-interviewer dialogue. In addition, the authors point out what traps to
avoid (e.g. righting reflex, expert trap). For most clinicians, parts II
(Practice) and III (Learning Motivational Interviewing) will probably be the
most valuable parts of the book.
The remainder of the book deals with conceptual issues and empirical
evidence. These chapters, making up almost half of the books volume, were
written by different contributing authors. As in the first edition, Carlo Di
Clementes chapter on how to use MI in different stages of change is probably
the most readable. However, some of the other chapters are less convincing, and
sometimes the collection of issues they deal with seem a bit fragmented.
Occasionally the reader cant help wondering if different authors mean the same
thing when they talk about MI in its various applications or adaptations. It
seems that MI has branched out so much that one can lose sight of the genuine
article. This possible conceptual confusion is dealt with in a separate chapter
by Rollnick and coworkers.
There are two chapters that deal with the empirical support for MI and
its adaptions in which contributing authors, rather than Miller and Rollnick,
review the studies. This works well. After all, sometimes others are better
suited than parents to describe a childs strengths and weaknesses. The current
status of empirical research on MI, gleaned from the chapters by Burke,
Arkowitz & Dunn and by Zweben & Zuckoff, is that MI works well but no
one knows exactly how it works. While its plausible to assume that MI is
better suited than other approaches to ensure treatment adherence, this has not
really been convincingly demonstrated.
The chapters dealing with MI with couples (Burke et al.) and especially
the closing chapter about MI in group settings, show the limitations of MI.
These chapters should be a consolation for those who, after practising MI with
individual patients, found themselves wondering why the therapy group doesnt
In sum, the second edition of Miller & Rollnicks Motivational
Interviewing should be valuable for everyone who works with sceptical,
ambivalent clients. It should be especially valuable for those working in the
addiction field. Readers who already own the first edition might still want to
get the new book because, though the chapters about practicing MI are rather
similar to those in the old edition, the conceptual issues and possible
adaptations of MI are now dealt with in more depth.
Finally, some of the chapters might even be of interest to general
readers who wonder why people sometimes change -- and why they more often
© 2003 Jürgen Klecker
Jürgen Klecker, Dipl.-Psych., is a
clinical psychologist trained at the University of Würzburg, Germany and at
Trinity College Dublin, Ireland. Hes worked as a teaching assistant in
clinical psychology and held several seminars on applied cognitive behavior
therapy. He now works as a drug therapist in a privately owned clinic.