Motivational Interviewing in the Treatment of Psychological Problems, First Ed / Edition 1

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Since the publication of Miller and Rollnick's classic Motivational Interviewing, MI has become hugely popular as a tool for facilitating many different kinds of positive behavior change. MI is increasingly being used to help individuals mobilize their energy, commitment, and personal resources for addressing a wide range of mental health concerns. This cutting-edge book brings together leading experts to describe novel MI applications in the treatment of anxiety, depression, PTSD, suicidal behavior, obsessive-compulsive disorder, eating disorders, gambling addictions, schizophrenia, and dual diagnoses. Also addressed are MI approaches in the criminal justice system. Each chapter provides a concise overview of the disorder or population under discussion; describes how MI has been integrated with standard treatment approaches; illustrates the nuts and bolts of intervention, using vivid clinical examples; and reviews the empirical evidence base.

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Editorial Reviews

Doody's Review Service
Reviewer: Christopher J Graver, PhD, ABPP-CN(Madigan Healthcare System)
Description: Motivational interviewing is a revolutionary approach to treating substance use disorders, but its evolution for use in other psychological disorders has been slothful. This book introduces readers to the expanded uses of motivational interviewing.
Purpose: The main purpose is to convey the current research and future directions in the use of motivational interviewing for psychological disorders outside of substance use.
Audience: The book is intended for psychotherapists, including psychologists, psychiatrists, marriage and family counselors, and social workers. Students of these disciplines would benefit from this book during their training. The authors are well versed in this area, especially since both Miller and Rollnick (the founding clinicians of motivational interviewing) have contributed significantly.
Features: The first chapter is a brief, but appropriate introduction to the principles of motivational interviewing (MI). Those unfamiliar with MI will not find an in-depth accounting of it here. Subsequent chapters seamlessly integrate MI into the usual course of therapy for a variety of disorders. In many cases, MI is not presented as a standalone treatment, but rather an adjunct to address ambivalence and resistance to change. Each chapter addresses how the principles of MI can be applied to the treatment of a particular disorder. Sample dialogues are provided, which can be quite helpful in illustrating the concept. From medication noncompliance to resistance in exposure therapy, the topics are highly relevant to clinical practice and aim for the heart of the problem in psychological treatment. The references are current and the index is reasonable.
Assessment: This book provides a highly useful look at the expanded potential of motivational interviewing in treating a variety of difficult psychological disorders. The chapters clearly demonstrate the principles of MI and their integration into existing treatments. The sample dialogues are very helpful and the information is cutting-edge. This is a highly recommended book for all mental health providers.
From the Publisher

"This is the book I've been waiting for! It details encouraging results from the use of motivational interviewing (MI)--a brief intervention with well-documented effectiveness with substance abusers--for treating patients with a range of other conditions. Clinicians who want to enhance their therapeutic effectiveness should read this book and consider whether and how MI might enable them to better help patients achieve their therapeutic goals."--Peter E. Nathan, PhD, University of Iowa Foundation Distinguished Professor of Psychology and Public Health, University of Iowa

"This excellent book is essential reading for therapists and students interested in motivational interviewing (MI). Expert practitioners offer a step-by-step guide to MI with people who may have any of a wide range of mental health problems, and who hesitate to accept help. Valuable vignettes and therapist-patient dialogues illustrate how to manage various clinical scenarios with skill and sensitivity. The chapters also succinctly review MI research for each type of problem under consideration."--Isaac Marks, MD, FRCPsych, Professor Emeritus, King's College Institute of Psychiatry, University of London, UK

"Are any of your patients stuck? Read this book. Motivational interviewing has brought the crucial issue of motivation--particularly motivation for change--back to the center of treatment where it belongs. This wonderful book gives ways to work with ambivalence about change in treating people with many problems and disorders. It is easy to read and highly appropriate for beginners as well as experienced practitioners."--Leslie S. Greenberg, PhD, Department of Psychology, York University, Toronto, Ontario, Canada

"A terrific book for all therapists who seek a positive, respectful, and collaborative approach for helping clients move toward positive change. Motivational interviewing (MI) represents a way of being with clients, rather than another school of therapy, making it a useful alternative or adjunct to other models when the going gets difficult."--Carol M. Anderson, PhD, Western Psychiatric Institute and University of Pittsburgh School of Medicine

American Journal of Psychiatry

"An engaging book that is likely to become a valuable resource and promote future research and clinical innovation....Clinical practitioners are likely to find this book highly accessible and practical. The contributing authors succeed in writing in ways that are easy to understand and apply to clinical practice. Each chapter is its own entity, so those with an interest in a particular topic may concern themselves only with that chapter of interest. Clinical instructors and supervisors are also likely to find much of value in this text. It provides an up-to-date introduction to the wide range of problems to which motivational interviewing may be used to enhance outcomes in other clinical approaches and, as such, may provide a valuable context for teaching the 'common factors' in psychotherapy. Overall, the book guides readers on how to incorporate motivational interviewing techniques in their clinical practice, summarizes current research on the wide-ranging application of motivational interviewing, and highlights new and promising directions....The editors and authors have offered a volume that is likely to do what they do best: motivate the field to examine important questions in the service of helping clients for change."--American Journal of Psychiatry
Psychiatric Services

"A practical guide, edited by the leading experts and developers of this technique....This is one of a series of highly accessible volumes by Miller and Rollnick that review the empirical evidence base and present easy-to-implement strategies, illuminating concrete examples, and clear-cut guidance on integrating motivational interviewing with other psychological interventions....I approached the text as a researcher interested in integrating motivational interviewing in the treatment of adolescents dually diagnosed with PTSD and substance abuse, a population hard to engage and motivate. What I found was an excellent step-by-step guide to motivational interviewing rich in clinical vignettes and therapist–patient dialogues illustrating how to manage various clinical scenarios with skill and sensitivity. The chapters also succinctly review motivational interviewing research for each type of problem under consideration, and also highlight areas where more research is needed. I found the chapters thought-provoking in generating my own research questions and methods for testing the application of motivational interviewing for improving engagement and outcomes for my patients. The authors provide a clear message that there are fundamental components of motivational interviewing that make it what it is....Therapists and researchers who are seeking a positive, respectful, and collaborative approach for helping diverse patients make positive change and for improving psychological interventions—this book is for you."--Psychiatric Services

"Strong evidence is provided in Motivational Interviewing in the Treatment of Psychological Problems that not only is MI here to stay, but, in fact, the application of MI has great potential as a treatment modality for helping with many diverse issues....The editors have wisely chosen contributions from bona fide experts....On a very practical level, this volume offers something for everyone and covers the spectrum, from new clinicians just learning about the field, to experienced clinicians open to broadening their views, to researchers wanting to contribute to their own area of concentration. Additionally, the book is well worth the read for those who do not practice MI but who want to keep abreast of current trends in the treatment of psychological problems and/or the applications of motivational interviewing....For those familiar with the traditional MI use in the substance abuse treatment field, it may come as a surprise to see the different areas where the use of MI is being explored. For others familiar with the use for other behavioral changes and more recently in correctional settings, the astonishment will be in seeing MI used for so many other psychological problems....Each chapter is clear, providing background information for the specific topic and examples of the application of MI in the particular setting. My only complaint is that I wanted more! If you have to choose one book among the plethora of recent editions on MI, this would be the book to buy....Has something for everyone interested in psychological problems. It is appropriate for new clinicians, seasoned clinicians not familiar with MI, and even—or maybe especially—for those of us who are experienced motivational interviewers and MI trainers."--PsycCRITIQUES
The British Journal of Psychiatry

"This book of expert contributions co-edited by William Miller, the originator of motivational interviewing, is a very welcome text....The chapters are structured in a very readable fashion, providing a basic introduction and rationale to how and why motivational interviewing might be used in combination with existing approaches. A range of clinical examples are used to discuss and highlight specific points and these clinical cases provide a good discussion of the key messages in the chapters. The research evidence for efficacy is presented, with a clear, critical, and well-informed approach and recognition of the limits of the existing evidence....The overall tone of this book is modest, self-critical, and illuminative. It should be of major value to trainees who are looking for effective and humane interventions that fit into the mix of interventions delivered in day-to-day mental health services. I highly recommend this book to all clinicians."--The British Journal of Psychiatry
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Product Details

  • ISBN-13: 9781593855857
  • Publisher: Guilford Publications, Inc.
  • Publication date: 10/18/2007
  • Series: Applications of Motivational Interviewing Series
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 354
  • Sales rank: 981,149
  • Product dimensions: 6.30 (w) x 9.00 (h) x 1.30 (d)

Meet the Author

Hal Arkowitz, PhD, is Associate Professor of Psychology at the University of Arizona. His main interests are in understanding how people change and why they don’t. Dr. Arkowitz has published widely in the areas of anxiety, depression, psychotherapy, and psychotherapy integration. Along with Scott O. Lilienfeld, he is a co-columnist for the magazine Scientific American Mind. A past Editor of the Journal of Psychotherapy Integration, he maintains an active clinical practice.

Henny A. Westra, PhD, is Associate Professor in the Department of Psychology and the Director of the Anxiety Research Clinic at York University in Toronto. Prior to this, she was the Clinical Director of the Anxiety and Affective Disorders Service at the London Health Sciences Centre. Dr. Westra has published over 30 peer-reviewed articles and book chapters, as well as given over 100 presentations and workshops, on the treatment of anxiety. She has received funding from the National Institute of Mental Health and the Canadian Institutes of Health Research for her research on motivational interviewing, expectations for change, and engagement with treatment.

William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. With over 400 publications, including 35 books, Dr. Miller introduced the concept of motivational interviewing in a 1983 article. He was named by the Institute for Scientific Information as one of the world's most cited scientists.

Stephen Rollnick, PhD, is a clinical psychologist and Professor of Health Care Communication in the Department of Primary Care and Public Health, Cardiff University, UK. He has written books on motivational interviewing and health behavior change, has published widely in scientific journals, and has taught practitioners and trainers in many countries throughout the world.

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Table of Contents

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 in the Treatment of Problem and Pathological Gambling, David Hodgins and Katherine M. 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

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