Motivational Interviewing: Helping People Change

The groundbreaking clinical guide and text - more than 450,000 in print!

Now in a fully rewritten fourth edition, this is the authoritative presentation of motivational interviewing (MI), the powerful approach to facilitating change. It has been updated and streamlined to be even more user-friendly as a practitioner guide and course text. MI originators William R. Miller and Stephen Rollnick elucidate the four tasks of MI—engaging, focusing, evoking, and planning—and vividly demonstrate what they look like in action. A wealth of vignettes and interview examples illustrate the dos and donts of successful implementation in diverse contexts. The book reviews the evidence base for the approach and covers ways to assess the quality of MI. The companion website provides reflection questions, annotated case material, and additional helpful resources.

New to This Edition:

• Most of the book is entirely new.
• Addresses the breadth of MI applications not only in counselling and psychotherapy, but also in health care, education, coaching, management, and other contexts.
• Discusses delivering MI remotely, simple versus complex affirmations, strategic use of directional questions, ethical considerations, and other new or expanded topics.
• Increased emphasis on using MI throughout a clients process of change and growth, not just in the preparatory stage.
• Pedagogical Features
• New or updated online materials, including reflection questions and annotated cases.
• Key points at the end of each chapter.
• “Personal Perspective” and “For Therapists” boxes in every chapter.
• Extended bibliography and quick-reference glossary.
• New self-assessment tool that targets the component skills of MI.

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Table of Contents

Preface to the Fourth Edition

I. Helping People Change and Grow

1. The Mind and Heart When Helping sample
2. What Is Motivational Interviewing?
3. A Flowing Conversation

II. Practicing Motivational Interviewing

4. Engaging: “Can We Walk Together?”

5. Focusing: “Where Are We Going?”

6. Evoking: “Why Would You Go There?”

7. Planning: “How Will You Get There?”

III. A Deeper Dive into Motivational Interviewing

8. Deeper Listening

9. Focusing: A Deeper Dive

10. Evoking: Cultivating Change Talk

11. Offering Information and Advice

12. Supporting Persistence

13. Planting Seeds

14. Responding to Sustain Talk and Discord

15. Practicing Well

IV. Learning and Studying Motivational Interviewing

16. Learning Motivational Interviewing

17. Learning from Conversations about Change

18. Studying Motivational Interviewing

Glossary of Motivational Interviewing Concepts

Index

"Miller and Rollnick masterfully guide us through the story of how MI has developed over four decades and bring its sophisticated simplicity to life in a way that stimulates the mind, touches the heart, and invites best practice. This text will remain the favorite companion for all professional helpers who want to weave MI into what they do. The fourth edition has an increased emphasis on growth, in addition to change, underscoring the importance of supporting persistence and maintenance of change."
- Steve Martino, PhD, Department of Psychiatry, Yale University School of Medicine; member, Motivational Interviewing Network of Trainers

"Miller and Rollnick continue to advance the method and message of MI in this sparkling fourth edition. The authors build on another decade of central involvement in the rapidly expanding MI research and practice community. Beyond simply updating the research, the authors have set out to succinctly explain the essence of MI and encourage innovative adaptations. This eagerly awaited volume will accompany practitioners—from many fields and at multiple professional levels—in their journeys toward greater success and satisfaction."
- Richard P. Barth, PhD, MSW, School of Social Work, University of Maryland

"The fourth edition of Motivational Interviewing is an incredibly helpful resource for those in the helping professions and those training graduate students in health care, education, or psychology. It contains much of value for novice and advanced MI users. Transcripts of flowing conversations highlight the innovative ways that MI supports people to change and grow."
- Wendy M. Reinke, PhD, Department of Educational, School, and Counseling Psychology, and Missouri Prevention Science Institute, University of Missouri–Columbia

"The fourth edition of this go-to text is like a home-cooked meal served up with all your favorites, but with a healthy dose of new concepts, skills, and upgraded terminology. Miller and Rollnick bring their trademark rigor and humility to this compelling refresh of the MI ‘bible.’ Replete with poignant clinical examples, the book strikes a perfect balance of the conceptual and practical. The new 'Personal Perspective' and 'For Therapists' features woven into each chapter work exceedingly well. The fourth edition is yet again a 'must read' for practitioners and a superbtext for any MI-related course—I will use it in mine."
- Kenneth Resnicow, PhD, Irwin M. Rosenstock Collegiate Professor of Public Health, University of Michigan