Motivational Interviewing in the Treatment of Psychological Problems (Applications of Motivational Interviewin)

Motivational Interviewing in the Treatment of Psychological Problems (Applications of Motivational Interviewin)

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Average Customer Rating: 4.5 out of 5

Publisher: The Guilford Press

Customer Review: 5 out of 5
Expanded use for MI - I am a clinical supervisor in a behavioral health unit that serves mostly general mental health and substance abuse, a lot of co-occuring disorders, a lot of personality disorders. I have attended seminars by Miller & Duncan, read several of their books, been on their web site, watched training videos from their earlier work in the 1990s, use the CDOI method for assessing progress for groups & individual treatment, and supervise associate level therapists using these methods as well. Most of our treatment is shorter term. This book makes the assumption you have some background in use of motivational interviewing and gives you more specific detail on how to use the technique for everything we do at our agency. It's giving you the 'essence of the spirit' of MI. It works. This level of detail saves you time in working it out for yourself. You still have to put in the time with clients, but you might save them some headaches & heartaches in the meantime. Worthwhile. I will be looking up how to download some of the chapters from my Kindle so I can share it with staff more effectively.

Customer Review: 3 out of 5
Not What I Was Expecting - This book provides an excellent overview of:

1) What Motivational Interviewing is
2) When its use is appropriate (always, in their opinion -- but I'm sold on that)
3) How it (favorably) compares to other methods of therapy

What is doesn't give you is a strong foundation for how to use the technique. I was hoping for this, so I was disappointed.

I guess you can sort of figure it out by reading the book -- but if using Motivational Interviewing is your goal, you're probably better off with a book that offers a more "how-to" approach.

Also, within the example chapters on different diagnoses, the authors included a few too many pages on background information, such as prevalence data. I felt the degree to which this tangential information was addressed was off-topic. I would have preferred for the focus to have stayed on Motivational Interviewing. I would have learned more that way.

Customer Review: 5 out of 5
Wonderful - This book used the wonderful motivational interviewing techniques and applied them to different psychiatric disorders. I found it extremely useful, and am so glad that I bought it.

Customer Review: 5 out of 5
Helping People Get Unstuck - Motivation is an essential component of so much what we do in life, whether we are trying to get up and go to the gym, do the laundry or deal with addiction. This seems so obvious, but the idea of using specific interventions to help people on their way is fairly new, and really fond its feet with the publication of William Miller and Stephen Rollnick's classic book Motivational Interviewing. The central idea of motivational interviewing (MI), is to help people to mobilize their energy, commitment and personal resources.
As an example, most of us are ambivalent about change and the steps that we need to take to implement change in our day-to-day lives. It can be a great deal worse in people struggling with, say, anxiety or addiction. So in MI the therapist recognizes, accepts and integrates this ambivalence - "I was to change but at the same time I am going to resist change" - as part of a normal process. Rather than attacking resistance, what is done is to give an individual the chance to hear, honor, validate, and integrate these different parts of him or herself. The whole approach is positive and collaborative, and it often works particularly well with people who are getting "stuck."

Over the last five year MI has become extremely popular as a tool for encouraging and facilitating many different kinds of positive behavior change. This excellent book is part of the Applications of Motivational Interviewing Series, edited by Stephen Rollnick and William R. Miller.

There are thirteen chapters by leading experts in the field of MI:

1. Learning, Applying, and Extending Motivational Interviewing: Hal Arkowitz and William R. Miller
2. Integrating Motivational Interviewing into the Treatment of Anxiety: Henny A. Westra and David J. A. Dozois
3. Enhancing Combat Veterans' Motivation to Change Posttraumatic Stress Disorder Symptoms and Other Problem Behaviors: Ronald T. Murphy
4. Motivating Treatment-Refusing Patients with Obsessive-Compulsive Disorder: David F. Tolin and Nicholas Maltby
5. Motivational Interviewing as a Prelude to Psychotherapy of Depression: Allan Zuckoff, Holly A. Swartz, and Nancy K. Grote
6. Motivational Interviewing as an Integrative Framework for the Treatment of Depression: Hal Arkowitz and Brian L. Burke
7. Motivational Interviewing and Suicidality: Harry Zerler
8. Motivational Interviewing in the Management of Eating Disorders: Janet Treasure and Ulrike Schmidt
9. Motivational Interviewing and the Treatment of Problem and Pathological Gambling: David Hodgins and Katherine Diskin
10. Motivational Interviewing for Medication Adherence in Individuals with Schizophrenia: Stanley G. McCracken and Patrick W. Corrigan
11. Motivational Interviewing with Dually Diagnosed Patients: Steve Martino and Theresa B. Moyers
12. Motivational Interviewing in the Correctional System: An Attempt to Implement Motivational Interviewing in Criminal Justice: Carl Åke Farbring and Wendy R. Johnson
13. Motivational Interviewing in the Treatment of Psychological Problems: Conclusions and Future Directions: Hal Arkowitz, William R. Miller, Henny A. Westra, and Stephen Rollnick

As you will see from the chapter headings, the authors try to describe novel MI applications in the treatment of an array of different psychological and psychiatric problems from to schizophrenia. There is also something unusual: an attempt to look MI approaches in the criminal justice system.

The chapters are all very well written and follow the same format: a concise but adequate overview of the disorder or the population being discussed, followed by a description of ways in which MI has been integrated with standard treatment approaches. This is a very practical book that uses a step-by-step approach to show exactly how to use MI, and the methods are illustrated with well-chosen clinical cases. Finally there is a review of the research base.

MI seems to be here to stay, and many of the methods are also being applied outside the clinic, particularly in helping people who have trouble with making appropriate lifestyle choices. There has recently been a great deal of interest in using MI to help with problems such as weight management and smoking cessation.

This book is extremely valuable not only for anybody engaged in therapy but also for anyone interested in motivation and behavior change.

Highly recommended.


Richard G. Petty, MD, author of Healing, Meaning and Purpose: The Magical Power of the Emerging Laws of Life

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