Now in a fully rewritten fourth edition, this is the authoritative presentation of motivational interviewing (MI), the powerful approach to facilitating change. It has been updated and streamlined to be even more user-friendly as a practitioner guide and course text. MI originators William R. Miller and Stephen Rollnick elucidate the four tasks of MI--engaging, focusing, evoking, and planning--and vividly demonstrate what they look like in action. A wealth of vignettes and interview examples illustrate the dos and don'ts of successful implementation in diverse contexts. The book reviews the evidence base for the approach and covers ways to assess the quality of MI. The companion website provides reflection questions, annotated case material, and additional helpful resources.

New to This Edition
*Most of the book is entirely new.
*Addresses the breadth of MI applications not only in counseling and psychotherapy, but also in health care, education, coaching, management, and other contexts.
*Discusses delivering MI remotely, simple versus complex affirmations, strategic use of directional questions, ethical considerations, and other new or expanded topics.
*Increased emphasis on using MI throughout a client's process of change and growth, not just in the preparatory stage.

Pedagogical Features
*New or updated online materials, including reflection questions and annotated cases.
*Key points at the end of each chapter.
*Personal Perspective and For Therapists boxes in every chapter.
*Extensive glossary.
*New self-assessment tool that targets the component skills of MI.

See also Building Motivational Interviewing Skills, Second Edition: A Practitioner Workbook, by David B. Rosengren, and Motivational Interviewing and CBT: Combining Strategies for Maximum Effectiveness, by Sylvie Naar and Steven A. Safren.

This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Are you a good listener? How well do you really know the people around you? A capacity for empathic understanding is hard-wired in our brains, but its full expression involves particular listening skills that are seldom learned through ordinary experience. Through clear explanation, specific examples, and practical exercises, Dr. Miller offers a step-by-step process for developing your skillfulness in empathic listening. With a solid basis in sixty years of scientific research, these communication skills are not limited to professionals, and can be learned and applied in your everyday life. Instead of assuming that you know the meaning of what you think you heard, empathic listening lets you develop a more accurate understanding and prevent miscommunication. Empathic understanding can help to deepen personal relationships, alleviate conflict, communicate across differences, and promote positive change. The author also discusses skills for expressing yourself clearly, and for strengthening close relationships and friendships. Through empathic understanding you have access to life experience far beyond your own, and over time, listening well and deeply becomes a way of being, fostering a compassionate and patient acceptance of human frailties--those of others as well as your own.

You can't take a leap of faith without it. It lets you dream of a brighter future. And in a world worn down by political conflict, climate change, war, and other perils, many worry about losing it. Pioneering psychologist William R. Miller takes a fresh look at hope and its transformative potential in this concise, compassionate book. Explore eight different facets of hope that enable people to clarify their goals, envision new possibilities, find purpose, enhance motivation, and persevere against tough odds. Dr. Miller guides you to reflect on your own relationship to hope and how you can cultivate it. Vivid personal stories, historical examples, and cutting-edge scientific findings reveal how choosing hope over fear can be a powerful force for change.

What is it that makes some therapists so much more effective than others, even when they are delivering the same evidence-based treatment? This instructive book identifies specific interpersonal skills and attitudes--often overlooked in clinical training--that facilitate better client outcomes across a broad range of treatment methods and contexts. Reviewing 70 years of psychotherapy research, the preeminent authors show that empathy, acceptance, warmth, focus, and other characteristics of effective therapists are both measurable and teachable. Richly illustrated with annotated sample dialogues, the book gives practitioners and students a blueprint for learning, practicing, and self-monitoring these crucial clinical skills.

This widely respected text and practitioner guide, now revised and expanded, provides a roadmap for effective clinical practice with clients with substance use disorders. Specialists and nonspecialists alike benefit from the authors' expert guidance for planning treatment and selecting from a menu of evidence-based treatment methods. Assessment and intervention strategies are described in detail, and the importance of the therapeutic relationship is emphasized throughout. Lauded for its clarity and accessibility, the text includes engaging case examples, up-to-date knowledge about specific substances, personal reflections from the authors, application exercises, reflection questions, and end-of-chapter bulleted key points.

New to This Edition
*Chapters on additional treatment approaches: mindfulness, contingency management, and ways to work with concerned significant others.
*Chapters on overcoming treatment roadblocks and implementing evidence-based treatments with integrity.
*Covers the new four-process framework for motivational interviewing, diagnostic changes in DSM-5, and advances in pharmacotherapy.
*Updated throughout with current research and clinical recommendations.

The success of Motivational Enhancement Therapy (MET) as an effective out-patient treatment plan for addiction has brought this valuable manual back in print. MET is an adaptation of the counseling approach known as Motivational Interviewing (MI) that was developed by clinical psychologists Professor William R. Miller, PhD and Professor Stephen Rollnick, PhD. Known for its unique method of facilitating and engaging intrinsic motivation within the client to change behavior, MI was pursued by Project MATCH in 1989 to compare its efficacy for treating patients of alcohol and substance abuse.

Behavioral therapists and social workers who care for clients with addiction problems will find the MET techniques extremely helpful, particularly if step-programs have proven unsuccessful. The Motivational Enhancement Therapy Manual guides therapists in developing the five components of MET that make it ideal for personalized treatment:

1. Empathy
2. Goal Making
3. Avoidance of Arguments
4. Rolling with Resistance
5. Supporting Self-Efficacy

In this four-session, 90-day recovery plan, the success lies in the cultivation of a client's inner willingness to overcome previous ambivalence toward treatment.

Are you a good listener? How well do you really know the people around you? A capacity for empathic understanding is hard-wired in our brains, but its full expression involves particular listening skills that are seldom learned through ordinary experience. Through clear explanation, specific examples, and practical exercises, Dr. Miller offers a step-by-step process for developing your skillfulness in empathic listening. With a solid basis in sixty years of scientific research, these communication skills are not limited to professionals, and can be learned and applied in your everyday life. Instead of assuming that you know the meaning of what you think you heard, empathic listening lets you develop a more accurate understanding and prevent miscommunication. Empathic understanding can help to deepen personal relationships, alleviate conflict, communicate across differences, and promote positive change. The author also discusses skills for expressing yourself clearly, and for strengthening close relationships and friendships. Through empathic understanding you have access to life experience far beyond your own, and over time, listening well and deeply becomes a way of being, fostering a compassionate and patient acceptance of human frailties--those of others as well as your own.

The rich inner world of a human being is far more complex than either/or. You can love and hate, want to go and want to stay, feel both joy and sadness. Psychologist William Miller--one of the world's leading experts on the science of change--offers a fresh perspective on ambivalence and its transformative potential in this revealing book. Rather than trying to overcome indecision by force of will, Dr. Miller explores what happens when people allow opposing arguments from their inner committee members to converse freely with each other. Learning to tolerate and even welcome feelings of ambivalence can help you get unstuck from unwanted habits, clarify your desires and values, explore the pros and cons of tough decisions, and open doorways to change. Vivid examples from everyday life, literature, and history illustrate why we are so often of two minds, and how to work through it.

You can't take a leap of faith without it. It lets you dream of a brighter future. And in a world worn down by political conflict, climate change, war, and other perils, many worry about losing it. Pioneering psychologist William R. Miller takes a fresh look at hope and its transformative potential in this concise, compassionate book. Explore eight different facets of hope that enable people to clarify their goals, envision new possibilities, find purpose, enhance motivation, and persevere against tough odds. Dr. Miller guides you to reflect on your own relationship to hope and how you can cultivate it. Vivid personal stories, historical examples, and cutting-edge scientific findings reveal how choosing hope over fear can be a powerful force for change.

Lovingkindness--acting with selfless compassion toward others--is a widely recognized virtue that is honored across world religions. But what does it look like in practice? How can we more fully and consistently live this calling, to be a loving presence in the world? This book explores the promise and challenge of living with lovingkindness, a concept with deep ancient roots. It offers a framework of twelve dimensions along which people make choices in daily life. Short chapters explore each of these dimensions of lovingkindness, including opportunities for practice. The structure is suitable for self-study or for use in discussion groups. In truth, lovingkindness is not something that you can achieve or perfect. It is more like a star by which to guide your life journey, a distant goal toward or away from which you move through countless choices that you make each day. This book is about that journey.

Lovingkindness--acting with selfless compassion toward others--is a widely recognized virtue that is honored across world religions. But what does it look like in practice? How can we more fully and consistently live this calling, to be a loving presence in the world? This book explores the promise and challenge of living with lovingkindness, a concept with deep ancient roots. It offers a framework of twelve dimensions along which people make choices in daily life. Short chapters explore each of these dimensions of lovingkindness, including opportunities for practice. The structure is suitable for self-study or for use in discussion groups. In truth, lovingkindness is not something that you can achieve or perfect. It is more like a star by which to guide your life journey, a distant goal toward or away from which you move through countless choices that you make each day. This book is about that journey.

This practical handbook takes a totally fresh approach to the work of pastoral counselors by drawing on recent research and developments in the health and behavioral sciences. Thoroughly revised and updated, this edition incorporates new or expanded coverage of topics such as: - a new chapter on Pastoral Self-Care which offers advice on maintaining psychological health, avoiding crisis, and preventing personal and occupational burnout - the integration of counseling with other pastoral roles and functions - pastoral counseling ethics - how to help people build personal motivation for change -grief counseling and crisis intervention - post-traumatic stress, physical and sexual abuse, and personality disorders William R. Miller is Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. Kathleen A. Jackson is an experienced counselor, mediator, and trainer. Both are ordained Presbyterian elders, and have been married since 1972.

The success of Motivational Enhancement Therapy (MET) as an effective out-patient treatment plan for addiction has brought this valuable manual back in print. MET is an adaptation of the counseling approach known as Motivational Interviewing (MI) that was developed by clinical psychologists Professor William R. Miller, PhD and Professor Stephen Rollnick, PhD. Known for its unique method of facilitating and engaging intrinsic motivation within the client to change behavior, MI was pursued by Project MATCH in 1989 to compare its efficacy for treating patients of alcohol and substance abuse.

Behavioral therapists and social workers who care for clients with addiction problems will find the MET techniques extremely helpful, particularly if step-programs have proven unsuccessful. The Motivational Enhancement Therapy Manual guides therapists in developing the five components of MET that make it ideal for personalized treatment:

1. Empathy
2. Goal Making
3. Avoidance of Arguments
4. Rolling with Resistance
5. Supporting Self-Efficacy

In this four-session, 90-day recovery plan, the success lies in the cultivation of a client's inner willingness to overcome previous ambivalence toward treatment.

Background WWI to 1938Like many books about WWII, the story really begins with the Treaty of Versailles that ended WWI. President Wilson's isolationist Congress refused to ratify the Treaty version he had brought back and also refused to have the United States join the newly formed League of Nations. Without the moderating influence of Wilson, Lloyd George of England and Clemenceau of France redrew the maps of Europe and the Middle East (the former Ottoman Empire) to suit the strategic interests of England and France. The Allies also imposed such crushing reparations on Germany and Austria that the subsequent runaway inflation and depression destroyed the their muddle class.When the 1930's rolled around, it turned out to be the beginning of a remarkable period for Germany to get away with reversing many of the provisions and limitations of the Treaty of Versailles; This was, to a great degree, because the world in general and the League of Nations in particular were distracted by a whole series of major invasions and civil wars all over the world.The decade kicked off with Japan invading Manchuria. The League objected but took no substantive action. The United States, who perceived that Japan with its major army and navy (and associated air corps) represented a threat to America's position in the Pacific, began to impose increasing sanctions and embargos to try to force the Japanese to back off. The Japanese kept rolling south through China through the 30's, ignoring the League and resenting American interference. Next, in 1935, Mussolini invaded Ethiopia to expand Italy's colonies in western Africa. The League of Nations protested, with Britain taking the lead backed up by sanctions and diplomacy. France however, under Laval, seemed to provide only lukewarm support to the effort to restrain Mussolini. The other League member nations and the US did not strongly support the Ethiopian cause with money or armaments. In one of those world turned upside down moments, it was the Germans who ultimately supplied the modern arms the Ethiopians needed. While the war in Ethiopia dragged on, civil war broke out in Spain in 1936. The attention of the world and the League of Nations now shifted to that conflict with Germany and Italy supporting the Fascist/Royalist rebels and the Soviet Union supporting the Loyalists.Under cover of all these distractions, Germany was able to get away with rearming and also with a series of land grabs without provoking any reaction by the League or the US.1938 onThis book picks up the narrative in 1938. It postulates an entirely different historical scenario from 1942 onward, triggered initially by the consequences of a chance encounter at a glider meet in Germany in 1938. The Labor Day Raid four years later, which is the subject of this book, was the final outcome of that meeting. That raid (had it actually occurred) could have become the centerpiece of a series of other events that did occur in 1942 that together would have tended to increase the (already strong) isolationist sentiment in the United States at the time. This could in turn have affected the results of the 1942 election in the US sufficiently so that WWII and its aftermath were radically altered.In order to preserve the flow of the story as it unravels, I have placed background information in Appendices, which the reader can refer to if seeking further detail. The material in the Appendices is all factual to the best of my knowledge. The fictional body of the book is woven around these and other factual information and events.

What is it that makes some therapists so much more effective than others, even when they are delivering the same evidence-based treatment? This instructive book identifies specific interpersonal skills and attitudes--often overlooked in clinical training--that facilitate better client outcomes across a broad range of treatment methods and contexts. Reviewing 70 years of psychotherapy research, the preeminent authors show that empathy, acceptance, warmth, focus, and other characteristics of effective therapists are both measurable and teachable. Richly illustrated with annotated sample dialogues, the book gives practitioners and students a blueprint for learning, practicing, and self-monitoring these crucial clinical skills.

In the early 1980s the transtheoretical model of change was still in its infancy. Seminal publications were just appearing, but the model already seemed to hold such promise that we made it the organizing theme for the Third International Conference on Treatment of Addictive Behaviors (ICTAB-3), which convened in Scotland in 1984. That meeting gave rise to the first edition of this volume (Miller & Heather, 1986), which focused on processes involved in moving people from one stage to the next. With the volume still in print more than a decade later, we were approached by Plenum Press with the idea of preparing this second edition. We were, obvi- ously, persuaded that there was merit to the idea. Since 1986 the work of Pro- chaska and DiClemente has grown exponentially in popularity and influence. In Britain and the Americas, it is now unusual to find an addiction professional who has not at least heard about the stages of change, and more sophisticated applica- tions of the transtheoretical model are spreading through health care systems and well beyond. The model has influenced professional training, health care delivery, and the design of many studies including a number of large clinical trials.

In the early 1980s the transtheoretical model of change was still in its infancy. Seminal publications were just appearing, but the model already seemed to hold such promise that we made it the organizing theme for the Third International Conference on Treatment of Addictive Behaviors (ICTAB-3), which convened in Scotland in 1984. That meeting gave rise to the first edition of this volume (Miller & Heather, 1986), which focused on processes involved in moving people from one stage to the next. With the volume still in print more than a decade later, we were approached by Plenum Press with the idea of preparing this second edition. We were, obvi- ously, persuaded that there was merit to the idea. Since 1986 the work of Pro- chaska and DiClemente has grown exponentially in popularity and influence. In Britain and the Americas, it is now unusual to find an addiction professional who has not at least heard about the stages of change, and more sophisticated applica- tions of the transtheoretical model are spreading through health care systems and well beyond. The model has influenced professional training, health care delivery, and the design of many studies including a number of large clinical trials.

While knowledge on substance abuse and addictions is expanding rapidly, clinical practice still lags behind. This state-of-the-art book brings together leading experts to describe what treatment and prevention would look like if it were based on the best science available. The volume incorporates developmental, neurobiological, genetic, behavioral, and social-environmental perspectives. Tightly edited chapters summarize current thinking on the nature and causes of alcohol and other drug problems; discuss what works at the individual, family, and societal levels; and offer robust principles for developing more effective treatments and services.

Most of us walk through each day expecting few surprises. If we want to better ourselves or our lives, we map out a path of gradual change, perhaps in counseling or psychotherapy. Psychologists William Miller and Janet C'de Baca were longtime scholars and teachers of traditional approaches to self-improvement when they became intrigued by a different sort of change that was sometimes experienced by people they encountered--something often described as a bolt from the blue or seeing the light. And when they placed a request in a local newspaper for people's stories of unexpected personal transformation, the deluge of responses was astounding. These compelling stories of epiphanies and sudden insights inspired Miller and C'de Baca to examine the experience of quantum change through the lens of scientific psychology. Where does quantum change come from? Why do some of us experience it, and what kind of people do we become as a result? The answers that this book arrives at yield remarkable insights into how human beings achieve lasting change--sometimes even in spite of ourselves.

BOOK DESCRIPTIONChange Creators and Momentum MaximizersBy William R. MillerThis is a book about the most critical balancing task that members of management face.The basic premise of this book is that the organizations that will succeed are those in which there are:1) Teams of strong, multi-discipline protagonists, with clearly defined roles, intent on creating change;2) Teams of strong, multi-discipline protagonists, with clearly defined roles, intent on maximizing results under the existing conditions and situation;3) Senior management that understands this necessity, provides the support and measurements both sets of protagonists require, and is then able to achieve just the right balance in their activities to obtain the best possible over all results.In order to provide an illustration of the concept in action, the reader is led through the component organizations of a typical manufacturing company. However, it is important to recognize that the concept developed is equally applicable to many other types of organizations such as governments, religious organizations, educational institutions, etc. Throughout the book, the pervasiveness of core competence as an important management tool is also emphasized.In a postscript, an analogy is drawn to the observation in Chaos Theory that the organism that survives, as the environment is modified, is one that has, contained within it, the proper balance between the chaotic state and frozen state.