Motivational Interviewing Helping People Change and Grow

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Edition: 4th
Format: Hardcover
Pub. Date: 2023-08-21
Publisher(s): The Guilford Press
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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.
*Extended bibliography and quick-reference glossary.
*New self-assessment tool that targets the component skills of MI.
This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Author Biography

William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. He introduced motivational interviewing in a 1983 article and in the first edition of Motivational Interviewing (1991), coauthored with Stephen Rollnick. Dr. Miller’s research has focused particularly on the treatment and prevention of addictions and more broadly on the psychology of change. He is a recipient of two career achievement awards from the American Psychological Association, the international Jellinek Memorial Award, and an Innovators Award from the Robert Wood Johnson Foundation, among many other honors. Having published over 60 books and 400 articles and chapters, Dr. Miller has been listed by The Institute for Scientific Information as one of the world’s most highly cited researchers. His website is
Stephen Rollnick, PhD, is Honorary Distinguished Professor in the School of Medicine at Cardiff University, Wales, United Kingdom. He is a cofounder of motivational interviewing, with a career in clinical psychology and academia that focused on how to improve conversations about change, and helped to create the Motivational Interviewing Network of Trainers ( He has worked in diverse fields, with special interests in mental health and long-term health conditions like diabetes, heart disease, and HIV/AIDS. Dr. Rollnick has published widely in scientific journals and has written many books on helping people to change behavior. He is coauthor (with William R. Miller) of four editions of the classic work Motivational Interviewing. Dr. Rollnick has traveled worldwide to train practitioners in many settings and cultures, and now works as a trainer and consultant in health care and sports. His website is

Table of Contents

Preface to the Fourth Edition
I. Helping People Change and Grow
1. The Mind and Heart When Helping
2. What Is Motivational Interviewing?
3. A Flowing Conversation
II. Practicing Motivational Interviewing
4. Engaging: “Can We Walk Together?”
5. Focusing: “Where Are We Going?”
6. Evoking: “Why Would You Go There?”
7. Planning: “How Will You Get There?”
III. A Deeper Dive into Motivational Interviewing
8. Deeper Listening
9. Focusing: A Deeper Dive
10. Evoking: Cultivating Change Talk 
11. Offering Information and Advice 
12. Supporting Persistence
13. Planting Seeds
14. Responding to Sustain Talk and Discord
15. Practicing Well
IV. Learning and Studying Motivational Interviewing
16. Learning Motivational Interviewing
17. Learning from Conversations about Change
18. Studying Motivational Interviewing
Glossary of Motivational Interviewing Concepts

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