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Motivational Interviewing, Second Edition: Preparing People for Change ReviewWhen do you use a Motivational Interviewing approach? Whenever there is ambivalence for change. How often does ambivalence for change occur? At almost any time people are considering some kind of change. In this 2nd edition of Motivational Interviewing, the authors are very clear that MI is not an approach that obviates the use of other therapy approaches, such as CBT, but is an approach that prepares people for change.
I have been a trainer in Motivational Interviewing since 1995 (see http://www.cathycoletraining.com) and am privileged to have received my training from the authors, Drs. Miller and Rollnick. The first edition, Motivational Interviewing, Preparing People to Change Addictive Behavior, provided information that has helped many professionals working in addictions a way to more effectively engage clients in the process of change. The 2nd edition is written so that professionals working with clients around any issues...mental health, health behavior, addictions, health promotion, life coaching...are able to apply the methods for exploring and resolving ambivalence for change.
The first three chapters of the book set the stage for understanding the nature of change and ambivalence for change so that the reader is more fully prepared to understand the value of fully understanding the client situation and eliciting desire, ability, reasons, need and committment for change from the client. This approach differs from the often tendency to understand the client's situation and then in a well meaning way, prescribe the needed steps for change. The strategies for interacting with clients via the use of open ended questions and the use of reflective responses is clearly discussed. Methods for eliciting change talk and responding to the concept of resistance are easily understood and examples are provided that will assist readers in considering how this approach will fit into their unique situations.
Of great value to me has been the expanded view of the concept of client resistance. From the MI approach, resistance is seen as occuring in context and is conceived of as dissonance...just a lack of harmony, or being on the same page together. When viewed in this way, it just signals the professional that another approach is needed. How to 'roll with resistance' is then illustrated very clearly.
This edition of Motivational Interviewing has expanded my ability to provide training. Even more importantly, the emphasis of this edition has underscored even more for me,that in my provision of psychotherapy, MI is not an approach to be pulled out for special occasions but is the treatment philosophy from which I approach all clients, despite the particular therapy modality utilized in the specific work.
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