Evolving Thoughts on MI: Drs. Miller and Rollnick
Motivation News
Published by Cathy Cole, MSSW, LCSW Motivational Interviewing Network of Trainers, Inc.
July 2010
http://www.cathycoletraining.com (MI training since 1995)
We sit together~
My thoughts you reflect
And hope springs forth Cole, 2007
Newsletter Feature Article
Evolving Thoughts on MI: Drs. Miller and Rollnick
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Newsletter
This letter may be forwarded to anyone you feel could benefit as long as it is forwarded in its entirety. Past newsletters available via web site http://www.cathycoletraining.com
Welcome to Motivation News, a newsletter devoted to clinical information on the use of a Motivational Interviewing (MI) approach to change. The authors of this approach, William Miller, PhD and Stephen Rollnick, PhD define MI as a 'client centered, directive method for enhancing an intrinsic motivation for change by exploring and resolving ambivalence". This collaborative approach to working with clients has wide application in mental health, the justice system, addictions, health care and health education. Information in this newsletter is taken from various source material from the Motivational Interviewing Network of Trainers and specifically from the book Motivational Interviewing, Preparing People for Change; Miller and Rollnick, 2nd edition, 2002, Guilford Press. Additional source material: Motivational Interviewing in the Treatment of Psychological Problems, ed. Arkowitz, Westra, Miller, and Rollnick, Guilford 2007; Motivational Interviewing In Health Care, Rollnick, Miller, and Butler, Guilford, 2007.
Evolving Thoughts on MI: a Presentation by William Miller and Stephen Rollnick
In June of this year, I was privileged to attend the International Conference on Motivational Interviewing http://www.fhi.se/icmi2010. Drs. Miller and Rollnick discussed their evolving thoughts in preparation for the 3rd edition on MI. You can hear the presentation and see the slides at the link above. Here are some highlights:
New definitions: MI is a person centered method for address the common problem of ambivalence about behavior change.
MI is a collaborative, goal-oriented method of communication with particular attention to the language of change. It is intended to strengthen a person's motivation for and commitment to a target behavior change by eliciting and exploring a person's own motivation for change.
The second definition certainly spells out the process and very nicely highlights what sets MI apart, the attention to the language of change.
Four processes are outlined: engagement, guiding, evoking and planning. Engagement: relationship, understanding the client Guiding: agenda setting, creating ambivalence, and finding a common focus Evoking: selective eliciting and responding to change talk Planning: moving to a change plan and obtaining commitment
As always, these are not steps as MI remains a flow of conversation directed by attention to client speech.
I have now incorporated these processes into my training.
If this has peaked your interest, listen to the full talk.
As always, keep practicing!
© 2009 Cathy Cole Training, Inc.
