Motivational Interviewing: Preparing People to Change Addictive Behavior

MI has a grounding in Rogerian therapy but it is more directive rather than non-directive. Commenting on this Miller and Rollnick write " ...the motivational interviewer proceeds with a strong sense of purpose, clear strategies and skills for pursuing that purpose, and a sense of timing to intervene in particular ways at incisive moments."

The book is split into three parts: Background, Practice and Clinical Applications. Thus there is an excellent balance between theoretical considerations and practical implications.

The authors outline five principles which underlie MI, these are:

1. Express Empathy

2. Develop Discrepancy

3. Avoid Argumentation

4. Roll with Resistance

5. Support Self-Efficacy

The book is clear and detailed in how these principles are to be put into practice at differing stages of the change process. It is this clarity - which incidentally runs throughout its pages - which makes 'Motivational Interviewing' such an easy yet, I feel essential read.

I work for a counselling service for those with alcohol related problems and this text is the one, which I encourage new members of staff and students on placement to read. Similarly, if you are interested in the subject matter of the change process, whether in terms of addictive behaviour or other more non-specific areas, I do recommend that you take a look 'Motivational Interviewing'.

A couple of years ago I attended a conference that Bill Miller had been addressing. It fell to him to make the closing comments. These were pertinent and to the point, however the most notable thing about the closing notes were that Miller sang them in a Country and Western style. A book by anybody that barmy deserves a read!


Well-written. Even advanced therapists will appreciate it.   August 27, 1999
 29 out of 31 found this review helpful

Although they emphasize substance abuse, the authors' system applies to almost every problem. It can cut your stress as it helps you become more artful and effective in helping clients actualize thier motivations toward success. Very clearly written, systematic, and enjoyable to read. Special populations are covered. Research is increasingly supporting this approach.


Easy and practicle guide to changing behavior   May 25, 1999
 17 out of 20 found this review helpful

I have worked with criminal offenders for the last 10 years and have found this approach outlined in the book extremely useful. The book is easy to read and follow. I have used the information with Batterers, sex offenders and substance abusers. The only offenders I have found it not appropriate for are "diagnosed" psychopaths.