Motivational interviewing is a collaborative conversation style for strengthening a persons own motivation and commitment to change. Motivational interviewing is a personcentered counseling style for addressing the common problem of ambivalence about change. The definition of motivational interviewing mi has evolved and been refined since the original. 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. Motivational interviewing arizona state university. Focus on whats important to the patient regarding behavior, health, and welfare. Mo tivational interviewing and adaptations of motivational interviewing. There are two critical elements that make up the mi approach. Miller and rollnick 2002 note that once initial motivation for change has been established, it may be time to move to more actionoriented treatments such as cbt. As miller and rollnick 2009 have written, we have sought to define clearly what mi is, and our descriptions have evolved over time p. Miller is the founder of motivational interviewing, an approach originally developed for use in the addictions field, but now widely used in counseling, healthcare, criminal justice, education, and other settings. Moyers 2017 motivational interviewing and the clinical science of carl rogers. Nov 19, 2012 in this compelling interview, bill miller discusses the evolution of motivational interviewing, the spirit of mi, and specific techniques that clinicians can begin applying immediately. Mi is a directive, clientcentered counseling style.
Motivational interviewing is a collaborative, goaloriented style of communication with particular attention to the language of change. It is a personcentred approach for evoking a clients own motivation for and commitment to change. Use the transcripts make notes in the video transcript for future reference. Motivational interviewing and the stages of change theory. The behaviour change counselling index becci manual for. Helping people change, 3rd edition applications of motivational interviewing by william r. Empathy genuineness egalitarianism acceptance unconditional positive regard warmth mi spirit collaboration evocation autonomy its your choice. Motivational interviewing mi for brief encounters making. Instead, diclemente and velasquez 2002 contributed a chapter to the edited. Moyers university of new mexico the therapeutic relationship in motivational interviewing is hypothesized to have both a direct impact on. Miller, stephen rollnick, guilford press, 2012, 1609182278, 9781609182274, 482 pages. When steve rollnick and i began training mi trainers in 1993, our approach was. Miller, phd tips for making the best use of the dvd 1. Behavioural and cognitive psychotherapy, 23, 325334.
According to founders william miller and stephen rollnick, motivational. Whenever i feel depressed about the effectiveness of the addiction treatment field and its wandering moral compass, i pull out my dogeared copy of the first edition of miller and rollnicks motivational interviewing and read the initial chapter this chapter only appears in. William richard miller born june 27, 1947 is an american clinical psychologist, an emeritus distinguished professor of psychology and psychiatry at the university of new mexico in albuquerque. Helping people change, 3rd edition applications of motivational interviewing 9781609182274 by william r.
The spirit of motivational interviewing miller, william r. Apr 12, 2002 since the initial publication of this breakthrough work, motivational interviewing mi has been used by countless clinicians. Motivational interviewing is a process that helps people resolve their ambivalence and move toward healthy change. Motivational interviewing core skills enhancing intrinsic motivation to change by exploring and resolving ambivalence. Motivational interviewing differs, however, from the traditional rogerian approach in that it is also intentionally directive miller and rollnick, 1991, 2002. Motivational interviewing podcast resource guide resources for. The clinical method of motivational interviewing grew directly from the work of carl rogers. In the 26 years since it was first introduced in this journal, motivational interviewing mi has become confused with various other ideas and approaches, owing in part to its rapid international diffusion. The therapist creates an atmosphere that is conducive to change by following five. Jun 16, 2016 the clinical method of motivational interviewing grew directly from the work of carl rogers. Rollnick s, mason p, and butler c 1999 health behaviour change. Learning motivational interviewing or the core text by miller and rollnick 20. As well, mi is often frontloaded onto other treat ments intended to build skills or improve social relationships.
This bestselling work has introduced hundreds of thousands of professionals and students to motivational interviewing mi, a proven approach to helping people. Miller and stephen rollnick developed motivational interviewing mi in the early 1980s first as part of their treatment of alcoholics. Motivational interviewing mi for brief encounters making an. Motivational interviewing in health care settings university of. Introduction the concept of motivational interviewing evolved from experience in the. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. There is hope in the range of alternative approaches available. Stephen rollnick is a cofounder of motivational interviewing mi, first introduced 1983 by william r. Motivational interviewing resources for trainers from the motivational interviewing network of trainers updated. Motivational interviewing is a directive, clientcentered counseling style for eliciting behaviour change by helping clients to explore and resolve ambivalence. The belief that one can perform a behavior or accomplish a particular task belief in the possibility of change is an important motivator. In this compelling interview, bill miller discusses the evolution of motivational interviewing, the spirit of mi, and specific techniques that clinicians can begin applying immediately.
Since 2011, motivational interviewing mi has been a key focus within ccnc engaging, educating, and empowering. Miller and rollnick 2012 since 2011, motivational interviewing mi has been a key focus within ccnc engaging, educating, and empowering the patients we serve is a core value. Motivational interviewing with adolescents and young adults, baer and peterson 22. Interviewing mi is a personcentered counseling method for addressing the common. Supplementary materials for motivational interviewing. 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. Met is grounded in the clinical approach known as motivational interviewing miller, 1983. In this video youll have the opportunity to witness miller apply the principles of mi in an actual client session. Toward a theory of motivational interviewing william r. Rollnicks seminal book, motivational interviewing, introduced practitioners to an alternative. The 1991 publication of william miller and stephen. The 180page book is easy to read and composed of 3 parts. Miller and stephen rollnick are the cofounders of motivational interviewing.
Motivational interviewing mi for brief encounters making an impact in 15 min. Ccnc motivational interviewing mi resource guide community. Miller and rollnick 20, motivational interviewing third edition, guilford press. 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. Journal of consulting and clinical psychology, 858, 757766.
Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. Miller, stephen rollnick and a great selection of related books, art and collectibles available now at. Miller and rollnick, 2002 demonstrating mi spirit encourages ownership, enhances selfefficacy, assumes competency respect autonomy vs. Based on confusions that have arisen in publications and presentations regarding mi, the authors compiled a list of 10 concepts and procedures with which mi should not. The relationship in motivational interviewing theresa b. Helping people change, written with stephen rollnick, in 1991. Part 1 describes the principles and evidence of motivational interviewing and how it appropriately fits in the health professionals approach to patient care. Motivational interviewing mi a collaborative, personcentered form of guiding to elicit and strengthen motivation for change. Whenever i feel depressed about the effectiveness of the addiction treatment field and its wandering moral compass, i pull out my dogeared copy of the first edition of miller and rollnick s motivational interviewing and read the initial chapter this chapter only appears in its original form in the first edition, though. Motivational interviewing with criminal justice populations, ginsburg, mann, rotgers, and weekes 23. Rollnick s, allison j, ballasiotes s, barth t, butler c, rose g and rosengren d 2002 variations on a theme.
Its use has spread into health care, criminal justice, education and most recently into sport. Rose massachusetts school of professional psychology the widely disseminated clinical method of motivational interviewing mi arose through a convergence of science and practice. Motivational enhancement therapy with drug abusers william. The motivational interviewing network of trainers mint, a professional. Examining miller and rollnicks motivational interviewing. This article seeks to define motivational interviewing and to. Motivational interviewing with couples, burke, vassilev, kantchelov, and zweben 24. Motivational interviewing and its adaptations in miller w and rollnick s. Mi has been shown to be effective in helping people change addictions, smoking, drinking, study habits, dental health practices, exercise, etc. Sometimes we feel responsible for our clients and the outcome and react by trying to ix the problem. Motivational interviewing mi is a level a evidence based practice primarily used on the micro level.
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. Thus, incorporating more actionoriented treatments may strengthen the behavior changes that mi has helped to initiate. Welcome to this training manual from the motivational interviewing. Have trainees form two single file lines of equal length, facing each other. Each network has mi champions who are focused on supporting the continuing rollout of mi into the networks. It is based on the idea that people are not always in a state of readiness to change their. Instead, diclemente and velasquez 2002 contributed a.
An early definition of motivational interviewing was as follows. Motivational interviewing training new trainers manual. Mar 02, 2012 motivational interviewing mi is indeed a bottomup model that emerged from practical experience in the field of alcohol treatment. Motivational interviewing preparing people for change second edition, new york, ny. Motivational interviewing is a directive, clientcentred counselling style for eliciting behaviour change by helping clients to explore and resolve ambivalence. Helping patients change behavior focuses on health care professionals who work with populations faced with behavioral changes. Motivational interviewing canadian centre on substance use and. When this happens, it is easy for any of us to try to persuade or even argue with clients. Since the initial publication of this breakthrough work, motivational interviewing mi has been used by countless clinicians. It is most centrally defined not by technique but by its spirit as a facilitative style for interpersonal relationship. Motivational interviewing in the treatment of dual disorders, handmaker. The book elucidates the four processes of miengaging, focusing, evoking, and planningand vividly demonstrates what they look like in action. A wealth of vignettes and interview examples illustrate.
The first edition became a modern classic in the field. 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. The client is responsible for choosing and carrying out personal change. Interest in learning mi is probably borne of frustration in conversations about change that do not always go. Motivational interviewing mi is indeed a bottomup model that emerged from practical experience in the field of alcohol treatment.