Fundamentals of Motivational Interviewing: Tips and Strategies for Addressing Common Clinical Challenges

ISBN : 9780199354634

Julie A. Schumacher; Michael B. Madson
232 ページ
159 x 234 mm

Motivational interviewing (MI) is an evidence-based communication style that has applicability to diverse professions ranging from mental and physical healthcare to criminal justice. Professionals use MI to help patients/clients harness their own internal motivations for change and become active partners in developing plans for change. Using MI, a professional can guide patients/clients to make positive changes in life areas such as substance abuse, criminal activity, anxiety and mood problems, poor cardiovascular health, and more. Fundamentals of Motivational Interviewing provides a straightforward, common-language, and user-friendly guide to key concepts in MI. The clinical challenges addressed are ubiquitous across helping professions, and this book is unique in its focus on providing practical guidance on what to do when confronted with each challenge. Based on the authors' years of experience providing training and supervision in MI, this book answers one of the questions most frequently asked by those they have trained: "How can I use MI to address [insert clinical challenge]?" Fundamentals of Motivational Interviewing is an accessible and easy-to-use resource organized and written with the busy provider in mind. It is appropriate for all skill levels ranging from the MI novice with no prior training, to the experienced MI provider seeking to gain new knowledge and skills. Throughout the book the authors use boxes and case examples to clearly illustrate and emphasize key points. The authors also provide clear examples of the sometimes subtle distinction between MI-consistent and MI-inconsistent use of the communication skills and strategies. Professionals from diverse disciplines including medicine, allied health, criminal justice, psychology, counseling, social work, marriage and family therapy, as well as MI trainers working with all of these disciplines will find this book a useful resource, and it would be an appropriate text for any class that seeks to build MI and other psychotherapeutic skills.


Part I. Motivational Interviewing Overview
Chapter 1: Introduction
Chapter 2: Foundational Concepts and Skills
Chapter 3: The Four Processes of MI
Part II. Motivational Interviewing for Clinical Challenges
Chapter 4: Less Ready to Change
Clinical Challenge: No Shows
Clinical Challenge: Non-adherence
Clinical Challenge: Client Involved in the Legal System
Chapter 5: Loss of Momentum
Clinical Challenge: Slow Progress
Clinical Challenge: Lapse and Relapse
Clinical Challenge: Overly Ambitious Expectations
Chapter 6: Psychiatric Symptoms and Disorders
Clinical Challenge: Depression
Clinical Challenge: Anxiety
Clinical Challenge: Psychotic Symptoms
Chapter 7: Working with Multiple Individuals
Clinical Challenge: Parents
Clinical Challenge: Groups
Chapter 8: Learning to Use and Implement MI
Training Challenge: Clients who Frustrate You
Training Challenge: Clients Like You
About the Authors


Julie A. Schumacher, PhD, is an Associate Professor and Vice Chair for Professional Education and Faculty Development in the Department of Psychiatry at the University of Mississippi Medical Center and Director of the Mississippi Psychology Training Consortium. She is actively involved in Motivational Interviewing practice, training, supervision, dissemination, and research and has received multiple NIH grants for her work in this area.; Michael B. Madson, PhD, is an Associate Professor in Psychology at the University of Southern Mississippi. He is actively involved in training, supervising and researching Motivational Interviewing as part of health and harm reduction interventions. His work has been funded by multiple agencies including NIH and the American Psychological Foundation.