Motivational interviewing is a directive, clientcentred counselling style for eliciting behaviour change by helping clients to explore and resolve ambivalence. There is hope in the range of alternative approaches available. Theory and methods have evolved apace, reflecting new knowledge on the process of behavior change, a growing body of outcome research, and the development of new. Rose massachusetts school of professional psychology the widely disseminated clinical method of motivational interviewing mi arose through a convergence of science and practice. Theory and methods have evolved apace, reflecting new knowledge on the process of behavior change, a growing body of outcome research, and the development of new applications within and beyond the addictions field. When this happens, it is easy for any of us to try to persuade or even argue with clients. Of particular note has been the development of motivational interviewing mi, a directive, clientcentered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Stephen rollnick and a great selection of similar new, used and collectible books available now at great prices. The first edition became a modern classic in the field.
Examining miller and rollnicks motivational interviewing approach through the ways paradigm introduction pressuring clients to change can have a paradoxical effect the greater the force applied, the more clients resist, resuming or redoubling their undesired or destructive behaviours. This bestselling work has introduced hundreds of thousands of professionals and students to motivational interviewing mi, a proven approach to helping people. A brief guide to motivational interviewing the hrb. It is a personcentred approach for evoking a clients own motivation for and commitment to change. Mar 02, 2012 motivational interviewing mi is indeed a bottomup model that emerged from practical experience in the field of alcohol treatment. When steve rollnick and i began training mi trainers in 1993, our approach was. Motivational interviewing mi was selected for comparison with coactive coaching due to our perception of their similarities, and. Miller and rollnick, 2002 demonstrating mi spirit encourages ownership, enhances selfefficacy, assumes competency respect autonomy vs. These idea started to circulate, and came to the attention of stephen rollnick, a. Motivational interviewing training new trainers manual. Its use has spread into health care, criminal justice, education and most recently into sport. Toward a theory of motivational interviewing william r. In addition to interviewdidactic portions where he clearly lays out the philosophy and essential components of mi, viewers are treated to a lengthy live session with a volunteer client. Chapter 3motivational interviewing as a counseling style motivational interviewing is a way of being with a client, not just a set of techniques for doing counseling.
The client is responsible for choosing and carrying out personal change. It is based on the idea that people are not always in a state of readiness to change their patterns of drinking, smoking, drug use, exercise or diet. Stephen rollnick is a cofounder of motivational interviewing mi, first introduced 1983 by william r. Motivational interviewing mi is indeed a bottomup model that emerged from practical experience in the field of alcohol treatment. The widelydisseminated clinical method of motivational interviewing mi arose through a. Ten things that motivational interviewing is not 1 interviewing, we intentionally removed all reference to ttm in the front authored half of the book, precisely because of the extent to which the two were being confused miller and rollnick, 2002. Moyers 2017 motivational interviewing and the clinical science of carl rogers. A conversation style that facilitates behavior change if you treat an individual as he is, he will remain how he is. To customize the suggestions given to different individuals, the occupational therapists often used motivational interviewing techniques with three core skills, namely, asking, listening, and. Motivational interviewing core skills enhancing intrinsic motivation to change by exploring and resolving ambivalence. Behavioural and cognitive psychotherapy, 23, 325334.
Motivational interviewing mi for brief encounters making an. Helping people change, 3rd edition applications of motivational interviewing by william r. Millers approach to motivational interviewing motivational interviewing mi refers to a counseling approach developed by clinical psychologists william r miller, phd, and stephen rollnick, phd. Preparing people to change addictive behavior miller, william r. Toward a theory of motivational interviewing ncbi nih. Motivational interviewing and the stages of change theory.
A variation on this exercise is to combine it with round robin. Motivational interviewing differs, however, from the traditional rogerian approach in that it is also intentionally directive miller and rollnick, 1991, 2002. Journal of consulting and clinical psychology, 858, 757766. This highly practical series includes general mi resources as well as books on specific clinical contexts, problems, and populations. Miller and rollnick 20, motivational interviewing third edition, guilford press. Empathy genuineness egalitarianism acceptance unconditional positive regard warmth mi spirit collaboration evocation autonomy its your choice. May 23, 2002 motivational interviewing has come of age. Sometimes we feel responsible for our clients and the outcome and react by trying to ix the problem. The belief that one can perform a behavior or accomplish a particular task belief in the possibility of change is an important motivator. Welcome to this training manual from the motivational interviewing.
Miller and rollnick, 1991 motivational interviewing is a technique in which you become a helper in the change process and express acceptance of your client. Motivational interviewing motivational interviewing and selfdetermination theory david markland university of wales, bangor richard m. Motivational interviewing arizona state university. Motivational interviewing mi is a counseling approach developed in part by clinical psychologists william r. Miller, stephen rollnick, guilford press, 2012, 1609182278, 9781609182274, 482 pages. Learning motivational interviewing or the core text by miller and rollnick 20. It is a directive, clientcentered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. These fundamental concepts and approaches were later elaborated by miller and rollnick 1991 in a more detailed description of clinical procedures. Motivational interviewing is a collaborative conversation style for strengthening a persons own motivation and commitment to change. A definition of motivational interviewing the definition of. Miller and rollnick, 1991 motivational interviewing is a technique in which you become a helper in the change process and express acceptance of.
Training, supervision and quality monitoring of the combine. Motivational interviewing the tasks of mi are to engage, through having sensitive conversations with patients. Instead, diclemente and velasquez 2002 contributed a. Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. The original description of mi suggested some links to social psychological theories, but focused on an intuitive approach in treating alcohol problems for which there was at the time no empirical support. Ryan university of rochester, ny vannessa jayne tobin university of wales, bangor stephen rollnick university of wales college of medicine.
Continuum of styles directing guiding following miller and rollnick. If the inline pdf is not rendering correctly, you can download the pdf. Since the publication of miller and rollnicks classic motivational interviewing, mi has been widely used as a tool for facilitating change. Examining miller and rollnicks motivational interviewing. Each volume presents powerful mi strategies that are grounded in research and illustrated with concrete, howtodoit. Motivational interviewing mi is a therapeutic strategy for.
March 6, 2009 fourth annual health disparities conference teachers college, columbia university. Benefits of motivational interviewing application for patients and. Motivational interviewing mi a collaborative, personcentered form of guiding to elicit and strengthen motivation for change. This is the authoritative, bestselling guide that professionals and students turn to for a complete introduction to motivational interviewing mi, the powerful approach to facilitating change. It is based on the idea that people are not always in a state of readiness to change their. Jun 16, 2016 the clinical method of motivational interviewing grew directly from the work of carl rogers. Miller, stephen rollnick and a great selection of related books, art and collectibles available now at. Helping people change, 3rd edition applications of motivational interviewing 9781609182274 by william r. Focus on whats important to the patient regarding behavior, health, and welfare. Chapter 3motivational interviewing as a counseling style. Will this workshop qualify me for membership in the. Miller is available at in several formats for your ereader. The concept of motivational interviewing evolved from experience in the treatment of problem drinkers.
Interest in learning mi is probably borne of frustration in conversations about change that do not always go. Motivational interviewing mi for brief encounters making an impact in 15 min. Since the initial publication of this classic text, motivational interviewing mi has been used by countless clinicians in diverse settings. In 1989 miller, on sabbatical in australia, met stephen rollnick, who. But if you treat him as if he were what he ought to be and could be, he will become what he ought to be and could be. Since the initial publication of this breakthrough work, motivational interviewing mi has been used by countless clinicians.