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Doing without Concepts Drunk Tank Pink Educating People to Be Emotionally Intelligent Effective Intentions Effective Writing in Psychology Effortless Attention Embodied Minds in Action Embracing Mind Embracing Uncertainty Emotion and Consciousness Emotion Experience Emotion Regulation Emotion, Evolution, And Rationality Emotional Intelligence Emotionally Involved Emotions Emotions Emotions and Life Emotions in Humans and Artifacts Emotions Revealed Emotions, Aggression, and Morality in Children Emotions, Stress, and Health Empathy Enjoyment Erotic Morality Escape Your Own Prison Essays in Social Neuroscience Essential Sources in the Scientific Study of Consciousness Ethical Issues in Forensic Mental Health Research Ethically Challenged Professions Everyday Mind Reading Evidence for Psi Evidence-Based Mental Health Practice Evil Men Evolution and Human Behavior Evolution and Learning Evolution, Games, and God Evolution, Gender, and Rape Evolutionary Psychology and Violence Evolutionary Psychology as Maladapted Psychology Exacting Beauty Experiences of Depression Experimenter Explaining the Brain Explaining the Brain Explorations in Neuroscience, Psychology and Religion Exploring Transsexualism Expression and the Inner Extending Self-Esteem Research Extraordinary Beliefs Fact and Value in Emotion Faking It Fatigue as a Window to the Brain Favorite Activities for the Teaching of Psychology Feeling Good Feeling Pain and Being in Pain Feelings and Emotions Finding Meaning, Facing Fears Fitting In Is Overrated Flourishing Flow: The Psychology of Optimal Experience Folk Psychological Narratives Fooling Houdini Forever Young Formulation in Psychology and Psychotherapy Foucault, Psychology and the Analytics of Power Foundational Issues in Human Brain Mapping Foundations of Psychological Thought Free Will as an Open Scientific Problem Freedom And Neurobiology Freedom Evolves From Axons to Identity From Madness to Mental Health From Neurons to Self-Consciousness From Passions to Emotions From Philosophy to Psychotherapy From Symptom to Synapse Frontiers of Consciousness Gay, Straight, and the Reason Why Generosity Genes, Environment, and Psychopathology Genetic Nature/Culture Genius Getting Under the Skin Glued to Games Going Sane Got Parts? Group Genius Growing Up Girl Guilt, Shame, and Anxiety Gut Reactions Hallucination Handbook New Sexuality Studies Handbook of Closeness and Intimacy Handbook of Critical Psychology Handbook of Emotion Regulation Handbook of Emotions Handbook of Personality Disorders Handbook of Psychopathy Handbook of Self and Identity Handbook of Self and Identity Handbook of Spatial Cognition Happiness Happiness Happiness Happiness Happiness at Work Happiness Is. Happy at Last Hard to Get Hardwired Behavior Hatred Healing the Split Hidden Resources Hope and Despair Hot Thought Hot Thought House and Psychology How Animals Affect Us How Animals Grieve How Can the Human Mind Occur in the Physical Universe? How Doctors Think How Enlightenment Changes Your Brain How Families Still Matter How History Made the Mind How Infants Know Minds How Many Friends Does One Person Need? How People Change How Professors Think How The Body Shapes The Mind How the Body Shapes the Way We Think How the Mind Explains Behavior How the Mind Uses the Brain How to Change Someone You Love How We Reason How We Remember Hughes' Outline of Modern Psychiatry Human Human Bonding Human Reasoning and Cognitive Science Hypnotism Hysteria iBrain Identifying Hyperactive Children Identifying the Mind iDisorder Imagination and the Meaningful Brain Imitation and the Social Mind Impulse Control Disorders Impulsivity In an Unspoken Voice In Defense of Sentimentality In Doubt In Search of Happiness In the Wake of 9/11 Individual and Collective Memory Consolidation Inner Experience and Neuroscience Inner Presence Inside the American Couple Integrated Behavioral Health Care Integrating Evolution and Development Integrating Psychotherapy and Pharmacotherapy Integrity and the Fragile Self Intellectual Disability Intelligence Intelligence, Destiny, and Education Intentions and Intentionality Interdependent Minds Interpreting Minds Into the Minds of Madmen Intoxicating Minds Introspection Vindicated Intuition Inventing Personality Investigating the Psychological World Irrationality Is There Anything Good About Men? 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Religious Attitude Panpsychism in the West Parenting and the Child's World Passionate Engines Pathologies of the West Patient-Based Approaches to Cognitive Neuroscience Pediatric Psychopharmacology People Types and Tiger Stripes Perception & Cognition Perception beyond Inference Perception, Hallucination, and Illusion Personal Development and Clinical Psychology Perspectives on Imitation Phantoms in the Brain Phenomenal Concepts and Phenomenal Knowledge Phenomenology and Philosophy of Mind Philosophical Foundations of Neuroscience Philosophical Midwifery Philosophy and Happiness Philosophy of Psychology Philosophy, Neuroscience and Consciousness Phrenology Physical Realization Physics in Mind Pieces of Light Playing with Fire Positive Psychology Positive Psychology Postcards from the Brain Museum Postpsychiatry Posttraumatic Stress Disorder Poverty and Brain Development During Childhood Practical Ethics for Psychologists Practical Management of Personality Disorder Practical Management of Personality Disorder Predicative Minds Predictably Irrational Preference, Belief, and Similarity Prenatal Testosterone in Mind Privileged Access Procrastination Proust Was a Neuroscientist Psychiatric Slavery Psychiatry as Cognitive Neuroscience Psychiatry, Psychoanalysis, And The New Biology Of Mind Psychological Agency Psychological Concepts and Biological Psychiatry Psychological Dimensions of the Self Psychologists Defying the Crowd Psychology Psychology Psychology and Consumer Culture Psychology and Law Psychology and the Question of Agency Psychology for Screenwriters Psychology of Women: A Handbook of Issues and Theories Psychology's Ghosts Psychology's Interpretive Turn Psychology's Territories Psychopathology Psychopathy Psychosis and Emotion Psychotherapy, American Culture, and Social Policy Putnam Camp Putting a Name to It Quantum Memory Power Quiet Radical Distortion Radical Embodied Cognitive Science Radical Externalism Radical Grace Rape Re-Visioning Psychiatry Real Materialism Reality Check Reconstructing Reason and Representation Reconstructing the Cognitive World Recovery in Mental Illness Recreative Minds Redirect Reducing Adolescent Risk Regulating Emotions Relational Being Relational Mental Health Relational Suicide Assessment Reliability in Cognitive Neuroscience Remembering Home Remembering Our Childhood Research Advances in Genetics and Genomics Researching Children's Experience Resilience in Children Restoring Resilience Rethinking ADHD Rethinking Learning Disabilities Rethinking Middle Years Rethinking the Western Understanding of the Self Revolution in Psychology Roadmap to Resilience Romance and Sex in Adolescence and Emerging Adulthood Schizophrenia Revealed Schizophrenia, Culture, and Subjectivity Science and Pseudoscience in Clinical Psychology Science and Pseudoscience in Clinical Psychology Second Nature Second Nature Second That Emotion Second-order Change in Psychotherapy Secrets of the Mind See What I'm Saying See What I'm Saying Seeing and Visualizing Seeing Red Self and Society Self Comes to Mind Self Control in Society, Mind, and Brain Self-Awareness Deficits in Psychiatric Patients Self-Compassion Self-Regulation Self-Representational Approaches to Consciousness Selfless Insight Selves Serial Killers Sex at Dawn Sex on the Brain Sex, Time and Power Sexual Coercion in Primates and Humans Sexual Disorders Sexual Fluidity Sexual Reckonings Sexualized Brains Shame and Guilt Shattered Simulating Minds Sisyphus's Boulder SNAP Social Neuroscience Social Neuroscience Social Neuroscience Social Psychology and Discourse Some We Love, Some We Hate, Some We Eat Soul Dust Spark Spiral of Entrapment Splendors and Miseries of the Brain Sports Hypnosis in Practice Standing at Water's Edge Stich and His Critics Stillpower Stop Overreacting Structure and Agency in Everyday Life Structures of Agency Stuff Stumbling on Happiness Subjectivity and Selfhood Substance Abuse and Emotion Supersizing the Mind Sweet Dreams 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Immeasurable Mind The Imprinted Brain The Incredible Shrinking Mind The Innate Mind The Innate Mind The Integrated Self The Intentional Brain The Language of Thought The Languages of the Brain The Lexicon of Adlerian Psychology The Lie Detectors The Lives of the Brain The Lonely American The Lust for Blood The Madness of Women The Male Brain The Man Who Lost His Language The Man Who Shocked the World The Man Who Tasted Shapes The Man Who Wasn't There The Matter of the Mind The Mature Mind The Mean Girl Motive The Meaning of Evil The Meaning of Others The Meaning of the Body The Measure of Madness The Measure of Mind The Medicalization of Everyday Life The Mind and the Brain The Mind in Context The Mind of the Child The Mind of the Horse The Mind's Eye The Mind, the Body and the World The Mind-Gut Connection The Mindful Brain The Misleading Mind The Moral Mind The Most Dangerous Animal The Most Human Human The Mother Factor The Myth of Choice The Myth of Depression as Disease The Myth 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Theoretical Issues in Psychology: An Introduction Theory of Addiction Theory of Mind Things and Places Think Cat Think Confident, Be Confident Thinking about Addiction Thinking and Seeing This Emotional Life: In Search of Ourselves...and Happiness Thought and Language Thought in a Hostile World To Have and To Hurt: Toward an Evolutionary Biology of Language Toward Replacement Parts for the Brain Trauma and Human Existence Trauma, Tragedy, Therapy Treating Attachment Disorders Treating Self-Injury Treating Self-Injury: A Practical Guide True to Our Feelings Trusting the Subject? Understanding and Treating Borderline Personality Disorder Understanding Consciousness Understanding Paranoia Understanding People Understanding Terrorism Undoing Perpetual Stress Unlock the Genius Within Unsettled Minds Unstrange Minds Unthinking Unthought Us and Them Violent Partners Virtue, Vice, and Personality Vision and Mind Visual Agnosia Warrior's Dishonour We Who Are Dark Wednesday Is Indigo Blue Welcome to Your Brain What Do Women Want? What Dying People Want What Have We Done What Intelligence Tests Miss What Is an Emotion: Classic and Contemporary Readings What Is Emotion? What is Intelligence? What Is Mental Illness? What Is Thought? What Makes Your Brain Happy and Why You Should Do the Opposite What the Best College Students Do What the Dog Saw What We Know about Emotional Intelligence What We Say Matters What's Wrong With Morality? When Boys Become Boys When Perfect Isn't Good Enough When the Impossible Happens When Walls Become Doorways Who's Been Sleeping in Your Head Who's in Charge? Why Humans Like to Cry Why Love Matters Why Lyrics Last Why People Cooperate Why People Die by Suicide Why Sex Matters: A Darwinian Look at Human Behavior Why Smart People Can Be So Stupid Why the Mind is Not a Computer Why Us? Why We Lie Why We Love Wider than the Sky William James at the Boundaries Willing, Wanting, Waiting Wittgenstein And Psychology Women and Child Sexual Abuse Working Minds Yoga and Psychology You Are What You Remember Young Minds in Social Worlds Your Brain on Cubs Your Brain on Food Your Brain on Food: How Chemicals Control Your Thoughts and Feelings, Your Brain on Yoga Your Child in the Balance Zombies and Consciousness
More than ten years have passed since Miller and Rollnick introduced the
concept of Motivational Interviewing (MI) as an effective counselling style for
addicts. Since then, MI has steadily gained support among counsellors, has
spread to new patient groups and new treatment settings, and its effectiveness
has been tested empirically. The new edition of Motivational Interviewing contains
all you need to know about these new developments while still giving an
accessible, easily readable introduction to the theory and practice of MI.
To understand what the introduction
of MI meant, it helps to remember what traditional addiction treatment was
like. Many people -- both laypeople and professionals -- held the view that as
long as an addict hadnt hit the gutter, he/she would never change. Many
professionals saw their main task as trying to break their patients
resistance. Only when the patient stopped resisting and accepted the diagnosis
could therapy even begin. Some counsellors would altogether refuse to work with
addicts because they were seen as difficult and unthankful patients or as
unwilling to change.
In their original work, Miller and Rollnick suggested that it was
probably not the patients who were to blame for such difficult processes but
more likely the unsuitable therapeutic style. As an alternative, they
introduced Motivational Interviewing, a non-confrontational but still directive
style of interaction on the basis of Prochaska & DiClementes
trans-theoretical model and Banduras self-efficacy concept, among others.
While the first edition had largely defined MI by contrasting it with
other therapeutic styles, the second edition takes a slightly different
approach by trying to define MI without resorting to what it is not. There is
now more conceptual clarity than in the first book. But the general principles
of MI practice remain the same: 1) express empathy, 2) develop discrepancy, 3)
roll with resistance and 4) support self-efficacy.
The book doesnt only elaborate on what these principles mean, it also
gives numerous illustrations of how they can be applied in the form of
client-interviewer dialogue. In addition, the authors point out what traps to
avoid (e.g. righting reflex, expert trap). For most clinicians, parts II
(Practice) and III (Learning Motivational Interviewing) will probably be the
most valuable parts of the book.
The remainder of the book deals with conceptual issues and empirical
evidence. These chapters, making up almost half of the books volume, were
written by different contributing authors. As in the first edition, Carlo Di
Clementes chapter on how to use MI in different stages of change is probably
the most readable. However, some of the other chapters are less convincing, and
sometimes the collection of issues they deal with seem a bit fragmented.
Occasionally the reader cant help wondering if different authors mean the same
thing when they talk about MI in its various applications or adaptations. It
seems that MI has branched out so much that one can lose sight of the genuine
article. This possible conceptual confusion is dealt with in a separate chapter
by Rollnick and coworkers.
There are two chapters that deal with the empirical support for MI and
its adaptions in which contributing authors, rather than Miller and Rollnick,
review the studies. This works well. After all, sometimes others are better
suited than parents to describe a childs strengths and weaknesses. The current
status of empirical research on MI, gleaned from the chapters by Burke,
Arkowitz & Dunn and by Zweben & Zuckoff, is that MI works well but no
one knows exactly how it works. While its plausible to assume that MI is
better suited than other approaches to ensure treatment adherence, this has not
really been convincingly demonstrated.
The chapters dealing with MI with couples (Burke et al.) and especially
the closing chapter about MI in group settings, show the limitations of MI.
These chapters should be a consolation for those who, after practising MI with
individual patients, found themselves wondering why the therapy group doesnt
In sum, the second edition of Miller & Rollnicks Motivational
Interviewing should be valuable for everyone who works with sceptical,
ambivalent clients. It should be especially valuable for those working in the
addiction field. Readers who already own the first edition might still want to
get the new book because, though the chapters about practicing MI are rather
similar to those in the old edition, the conceptual issues and possible
adaptations of MI are now dealt with in more depth.
Finally, some of the chapters might even be of interest to general
readers who wonder why people sometimes change -- and why they more often
© 2003 Jürgen Klecker
Jürgen Klecker, Dipl.-Psych., is a
clinical psychologist trained at the University of Würzburg, Germany and at
Trinity College Dublin, Ireland. Hes worked as a teaching assistant in
clinical psychology and held several seminars on applied cognitive behavior
therapy. He now works as a drug therapist in a privately owned clinic.
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