W ILLIAM R. M ILLER
S TEPHEN R OLLNICK
2002 The Guilford Press
A Division of Guilford Publications, Inc.
72 Spring Street, New York, NY 10012
www.guilford.com
All rights reserved
2007 Epub Edition ISBN: 9781606238233
No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher.
Last digit is print number: 9 8 7 6 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
Miller, William R.
Motivational interviewing : preparing people for change /
by William R. Miller, Stephen Rollnick.-2nd ed.
p. cm.
Includes bibliographical references and index.
ISBN 1-57230-563-0 (hardcover)
1. Compulsive behavior-Treatment. 2. Substance abuse
Treatment. 3. Substance abuse-Patients-Counseling of.
4. Compulsive behavior-Patients-Counseling of. 5. Motivation
(Psychology) 6. Interviewing in psychiatry I. Rollnick, Stephen, 1952.
RC533 .M56 2002
618.8584dc21 2001051250
To our parents,
Hazel and Ralph Miller
and
Sonia and Julian Rollnick
May we succeed in passing on
such love to the next generation
William R. Miller, PhD, is Distinguished Professor of Psychology and Psychiatry at the University of New Mexico and Codirector of UNMs Center on Alcoholism, Substance Abuse, and Addictions. Dr. Millers publications encompass more than 300 articles and chapters, as well as 27 books, including, most recently, Quantum Change: When Epiphanies and Sudden Insights Transform Ordinary Lives (with Janet Cde Baca; Guilford Press, 2001). He maintains an active interest in pastoral counseling and the integration of spirituality and psychology. Dr. Miller is supported by a 15-year senior career Research Scientist Award from the National Institute on Alcohol Abuse and Alcoholism, which allows him to focus full time on clinical research.
Stephen Rollnick, PhD, is on the faculty in the Department of General Practice at the University of Wales College of Medicine. He has also worked for many years as a clinical psychologist in the British National Health Service. With a background in the addiction field, his interest turned to consultations about behavior change in wider health care practice, where practitioners try to encourage patients to change their lifestyle and use of medication. Dr. Rollnicks research and teaching activity is now focused on the behavior of practitioners and other topics. He has trained practitioners in many countries and continents, and has published a wide range of research papers and articles. His most recent book is Health Behaviour Change: A Guide for Practitioners (with Pip Mason and Christopher C. Butler; Churchill Livingstone, 1999).
Jeff Allison, MA, CertEd, was a specialist social worker and service manager in the U.K. addictions field. He is a member of the Motivational Interviewing Network of Trainers. Mr. Allison now runs an international training consultancy providing short courses and practice supervision in motivational interviewing and health behavior change techniques for a wide range of organizations and professional groups. His special interests include applications within the criminal justice and smoking cessation fields.
Hal Arkowitz, PhD, received his doctorate from the University of Pennsylvania. After a predoctoral internship in clinical psychology at the University of California at San Francisco Medical Center, he was a postdoctoral fellow at the State University of New York at Stony Brook. Following this, Dr. Arkowitz was an Assistant Professor of Psychology at the University of Oregon, and is presently Associate Professor of Psychology at the University of Arizona.
John S. Baer, PhD, is Research Associate Professor in the Department of Psychology at the University of Washington in Seattle. He is also the Director of the Interdisciplinary Fellowship in Substance Abuse Treatment at the VA Puget Sound Health Care Center, also in Seattle. Dr. Baers research interests and activities focus on the etiology, prevention, and treatment of addictive behaviors. He has studied smoking cessation and relapse, developed and tested brief interventions for heavy drinking in both adolescents and young adults, and participated in multisite trials of pharmacotherapy and behavioral treatments of alcohol dependence.
Stephanie Ballasiotes, MC, a Health Behavior Consultant for the Fred Hutchinson Cancer Research Center in Seattle, Washington, provides training and consultation on motivational strategies for the Womens Health Initiative, a nationally funded disease prevention study with 60,000 participants in the United States. Ms. Ballasiotes previously trained health care and addictions treatment personnel in motivational and educational methods in working with HIV/AIDS/HCV issues, as well as authored numerous publications for use in the Seattle community. She also helped establish one of the first harm reduction community treatment programs for methamphetamine users in the Seattle area and provides community-based motivational interviewing training.
Tom Barth, PhD, is a clinical psychologist in Norway. Since 1980, he has worked in the Bergen Clinics Foundation in outpatient and inpatient settings with a variety of addictive behaviors. Currently, he is head of an outpatient clinic for addictions. Dr. Barths clinical work has been based on motivational interviewing since 1983, with individual patients, with groups, and as a consultant to community-based treatment and prevention projects. He is also coauthor of a textbook on the Norwegian version of motivational interviewing.
Belinda Borrelli, PhD, is an Assistant Professor of Psychiatry and Human Behavior in the Center for Behavioral and Preventive Medicine at Brown Medical School. She currently has two federally funded grants (National Cancer Institute and National Heart, Lung, and Blood Institute) involving training home health care nurses to deliver a motivational interviewing-based smoking cessation treatment versus standard care; one trial targets home-bound medically ill smokers; the other focuses on promoting smoking cessation in parents of children receiving home care for asthma. Dr. Borrelli has trained nurses, psychology students, medical students, and psychiatric residents in motivational interviewing.
Brian L. Burke, MA, is currently completing his doctoral studies in clinical psychology at the University of Arizona. His research interests include a meta-analysis of motivational interviewing studies as well as a pilot study adapting motivational interviewing for the treatment of clinical depression.
Christopher C. Butler, MD, graduated in medicine from the University of Cape Town, South Africa, and after various hospital posts in urban and rural South Africa, completed residency training in general practice in the United Kingdom. After nearly 10 years in the Department of General Practice at the University of Wales College of Medicine, he joined the faculty at McMaster University, Canada, in 2001. Dr. Butler was awarded a doctorate for work on health behavior change in 1999 and is the coauthor of a book on consulting around health behavior change (with Stephen Rollnick and Pip Mason). In 2001, he was a visiting professor in Japan to advise on research into health behavior change. He has also published 35 peer-reviewed papers, helped win 12 research grants, and is a family physician in private practice.