Motivational Interviewing: Helping People Change21 November, 2012
Back to Blogs


Marc Steinberg, MD, Director of MI Medical

In September Motivational Interviewing: Helping People Change by William R. Miller and Stephen Rollnick, the developers of MI, was released.[1]  It is the third edition of this tome on using MI.  

 It details interviewing skills now widely adopted in areas of healthcare – chemical dependency disorders and other mental health conditions, care for diabetes and other chronic conditions and in wellness care.  In 2007 NIH/SAMHSA listed MI on the National Recognition of Evidence-based Programs and Practices.[2]

The new edition explores MI in depth from the perspective of its four processes, Engaging, Focusing, Evoking and Planning.  The processes are built upon one another like a set of steps.  First, engaging with the patient creates a working relationship, one built upon horizontal collaboration rather than one that is vertical and expert based.  Second, focusing involves the client’s concerns and the guiding process one uses to better explore those concerns.  The third process, evoking, involves eliciting the patient’s ideas about change.  And as change talk strengthens, planning centers on eliciting the person’s thoughts about what healthier changes might look like for them.  This process also includes assessing the patient’s readiness and willingness to initiate change.

The book begins with “What is Motivational Interviewing?” and  includes sections on using MI in practice.   It also has chapters on MI research and how MI conversations can be evaluated.

In addition to a vast number of new perspectives about MI, the book is well written, concise, articulate and best of all very readable.  If you are looking for a great book that comprehensively examines MI, this is it.  It is available at:

Powered by fullEdit