Motivational Interviewing in the Treatment of Psychological Problems

Third Edition

Edited by Brian L. Burke, Brad Lundahl, and Hal Arkowitz

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With 75% new material, the fully revised third edition of this clinical reference and text describes ways to integrate motivational interviewing (MI) into evidence-based psychotherapy and counseling. Readers learn how MI concepts and tools can enhance their foundational skills as helpers—and can be tailored for clients with depression, anxiety disorders, addictions, posttraumatic stress disorder, and other frequently encountered problems. Chapters are grounded in research on what works for particular disorders. Vivid case examples illustrate the role that MI can play in helping clients at any stage of treatment to resolve ambivalence and mobilize their energy, commitment, and personal resources for change.

New to This Edition

This title is part of the Applications of Motivational Interviewing Series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.


“Not only is MI here to stay, but, in fact, the application of MI has great potential as a treatment modality for helping with many diverse issues....Has something for everyone interested in psychological problems. It is appropriate for new clinicians, seasoned clinicians not familiar with MI, and even—or maybe especially—for those of us who are experienced motivational interviewers and MI trainers.”

PsycCRITIQUES (on the first edition)


“The editors and authors have offered a volume that is likely to do what they do best: motivate the field to examine important questions in the service of helping clients for change.”

American Journal of Psychiatry (on the first edition)


“An excellent step-by-step guide to motivational interviewing rich in clinical vignettes and therapist–patient dialogues illustrating how to manage various clinical scenarios with skill and sensitivity...Therapists and researchers who are seeking a positive, respectful, and collaborative approach for helping diverse patients make positive change and for improving psychological interventions—this book is for you.”

Psychiatric Services (on the first edition)


“Addresses important clinical conditions and problems. The clinical vignettes are extremely helpful in demonstrating how the method is applied.”

Doody's Review Service (on the second edition)


“MI is useful for any psychotherapist treating any problem. MI strategies are deceptively simple, hugely powerful, and help clinicians provide effective treatment to some of the most challenging clients we encounter. This volume presents a straightforward, 'how-to-do-it' account of the basics of MI and describes its application to a wide variety of symptoms and disorders.”

—Jacqueline B. Persons, PhD, Director, Oakland Cognitive Behavior Therapy Center


“Bravo! This devoted group of expert MI authors shows us exactly how they use MI to help clients with high-stakes mental health problems. The third edition has chapters on crucial new areas, including culturally responsive MI, trauma-informed care, child welfare, schizophrenia, and pain management. Each author plainly describes research-proven methods for using MI with their unique clients. This book is a treasure chest of how-to nuggets for MI providers of all skill levels and within all clinical settings. Vivid case vignettes in every chapter show how MI is used as a prelude to other treatments or as a way of simply being with clients while using other treatments. MI-consistent and inconsistent elements are labeled in the transcripts, allowing us to see how MI becomes a platform for respectful, productive conversations about exceptionally difficult issues.”

—Chris Dunn, PhD, Department of Psychiatry and Behavioral Sciences, University of Washington (retired)


“This book is a wonderful addition for the library of any therapist. It will be invaluable to teachers and supervisors as they seek to provide trainees with better tools to employ evidence-supported treatments. Chapters describe key MI principles and review research supporting the use of MI in treatment of specific disorders and problematic behaviors. The clinical examples are annotated so that the elements of MI are highlighted, further enhancing their usefulness. The book is written with humor and humanity, making it a pleasure to read.”

—Donna M. Sudak, MD, Department of Psychiatry, Drexel University


“This text will be an invaluable daily resource for psychiatric mental health nurse practitioner graduate students, whose scope of practice includes biopsychosocial assessment and diagnosis, psychotherapy, medication management, and interprofessional collaboration, which are all considered in these chapters. Expanded case studies in the third edition helpfully illustrate applications of MI skills with diverse patients, providers, and problems. The inclusion of cultural implications, trauma-informed approaches, child welfare rights-focused practice, and pain management is especially timely and salient for health professionals serving the most vulnerable. The editors promise a journey and deliver—along with a craving for chocolate chip cookies. Clearly, a win!”

—Susan W. Blaakman, PhD, RN, PMHNP-BC, University of Rochester School of Nursing; member, Motivational Interviewing Network of Trainers

Table of Contents

Preface

1. Understanding and Applying Motivational Interviewing for Psychological Problems, Brad Lundahl & Brian L. Burke sample

2. Incorporating Culture into the Delivery of Motivational Interviewing, Kamilla L. Venner

3. A Role for Motivational Interviewing in the Treatment of Obsessive–Compulsive Disorder, Arij Alarachi, Sydney A. Parkinson, Karen Rowa, & Randi E. McCabe

4. Integrating Motivational Interviewing into the Treatment of Anxiety, Henny A. Westra & Adi Aviram

5. Enhancing Motivation in Individuals with Posttraumatic Stress Disorder and Comorbid Substance Use Disorders, Rebecca Yeh, Michelle L. Drapkin, & David Yusko

6. Motivational Interviewing in the Treatment of Depression, Heather Flynn & Sylvie Naar

7. Motivational Interviewing to Address Suicidal Ideation, Peter C. Britton

8. Motivational Interviewing in Treating Addictions, William R. Miller

9. Motivational Interviewing for Gambling Problems, Brad W. Brazeau & David C. Hodgins

10. Motivational Interviewing for Smoking Cessation, Jordan Braciszewski & Suzanne M. Colby

11. Motivational Interviewing Spirit and Skills in the Trauma-Informed Movement, Brad Lundahl, Kara Patin, Myra Garcia, & Whitney Howey

12. Motivational Interviewing and Child Welfare: Rights-Focused Practice, Donald Forrester

13. Integrating Motivational Interviewing into Pain Management Interventions, Megan R. Schaefer, Amy L. Hahn, Jacqueline N. Warner, Jessica L. Hoehn, Lindsey Vater, & Chloeʹ N. Freeman

14. Motivational Interviewing in the Treatment of Schizophrenia, Jos Dobber, Lieuwe de Haan, & Emile Barkhof

15. Motivational Interviewing in the Treatment of Psychological Problems: What We Know Now, Brian L. Burke & Brad Lundahl

Index


About the Editors

Brian L. Burke, PhD, is Professor of Psychology at Fort Lewis College (FLC) in Durango, Colorado, and Assistant Training Director for the FLC Counseling Center. His publications include meta-analyses evaluating motivational interviewing, with coauthor Brad Lundahl, as well as two psychology textbooks. Dr. Burke served as president of the Rocky Mountain Psychological Association and received the Association's Mentor Award. He is also a recipient of multiple teaching and scholarship awards from FLC and of the Robert S. Daniel Teaching Excellence Award from the Society for the Teaching of Psychology. Dr. Burke is a member of the Motivational Interviewing Network of Trainers.

Brad Lundahl, PhD, MSW, is Associate Professor in the College of Social Work at the University of Utah. Dr. Lundahl is most interested in researching factors that motivate people to change individual behaviors. He enjoys teaching about counseling approaches, including motivational interviewing (MI), and is a member of the Motivational Interviewing Network of Trainers. Dr. Lundahl's publications include over 40 journal articles. He is the owner of Compass Counseling in Salt Lake City and cofounder of eSYM, an online MI training organization.

Hal Arkowitz, PhD, until his death in 2019, was Emeritus Associate Professor of Psychology at the University of Arizona. His life's work was dedicated to understanding how people change and why they don’t. Dr. Arkowitz published widely in the areas of psychotherapy and motivational interviewing and was the recipient of the Distinguished Contributions to the Science of Psychology Award and the Distinguished Mentor Award from the Arizona Psychological Association. A scientist-practitioner for his entire career, he was deeply interested in how science can inform practice and how practice can inform science.

Contributors

Arij Alarachi, BSc, Department of Psychology, Neuroscience, and Behavior, McMaster University Anxiety Treatment and Research Clinic, St. Joseph’s Healthcare, Hamilton, ON, Canada

Adi Aviram, PhD, CPsych, Laksman Doell Psychology, Toronto, ON, Canada

Emile Barkhof, MD, PhD, Department of Psychiatry, Arkin Institute for Mental Health, Amsterdam, The Netherlands

Jordan M. Braciszewski, PhD, Henry Ford Health, Center for Health Policy and Health Services Research, Detroit, MI

Brad W. Brazeau, MSc, Department of Psychology, University of Calgary, Calgary, AL, Canada

Peter C. Britton, PhD, Department of Psychiatry, University of Rochester Medical Center, Rochester, NY

Brian L. Burke, PhD, Department of Psychology, Fort Lewis College, Durango, CO

Suzanne M. Colby, PhD, Center for Alcohol and Addiction Studies, Brown University, Providence, RI

Lieuwe de Haan, MD, PhD, Amsterdam UMC, Locatie Tafelbergweg, Amsterdam, The Netherlands

Jos Dobber, PhD, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands

Michelle L. Drapkin, PhD, ABPP, Cognitive Behavior Therapy (CBT) Center, Highland Park, NJ

Heather Flynn, PhD, Department of Medical Humanities and Social Sciences, Florida State University College of Medicine, Tallahassee, FL

Donald Forrester, DPhil, MA, MSc, CASCADE Centre for Children’s Social Care, School for Social Sciences, Cardiff University, Wales, United Kingdom

Chloe’ N. Freeman, PsyD, Department of Pediatric Psychology, Nationwide Children’s Hospital, Columbus, OH

Myra Garcia, MSW, ABD, College of Social Work, University of Utah, Salt Lake City, UT

Amy L. Hahn, PhD, Department of Pediatric Psychology, Nationwide Children’s Hospital, Columbus, OH

David C. Hodgins, PhD, Department of Psychology, University of Calgary, Calgary, AL, Canada

Jessica L. Hoehn, PhD, Department of Pediatric Psychology, Nationwide Children’s Hospital, Columbus, OH

Whitney Howey, MSW, ABD, College of Social Work, University of Utah, Salt Lake City, UT

Brad Lundahl, PhD, MSW, College of Social Work, University of Utah, Salt Lake City, UT

Randi E. McCabe, PhD, CPsych, Department of Psychiatry and Behavioral Neurosciences, McMaster University, and St. Joseph’s Healthcare, Hamilton, ON, Canada

William R. Miller, PhD, Departments of Psychology and Psychiatry, University of New Mexico, Albuquerque, NM

Sylvie Naar, PhD, Department of Behavioral Sciences and Social Medicine, and Center for Translational Behavioral Science, College of Medicine, Florida State University, Tallahassee, FL

Sydney A. Parkinson, BA, Department of Psychology, Neuroscience, and Behavior, McMaster University Anxiety Treatment and Research Clinic, St. Joseph’s Healthcare, Hamilton, ON, Canada

Kara Patin, MSW, ABD, College of Social Work, University of Utah, Salt Lake City, UT

Karen Rowa, PhD, Anxiety Treatment and Research Clinic, St. Joseph’s Healthcare, Hamilton, ON, Canada

Megan R. Schaefer, PhD, Department of Pediatric Psychology, Nationwide Children’s Hospital, Columbus, OH

Lindsey Vater, PsyD, Department of Pediatric Psychology, Nationwide Children’s Hospital, Columbus, OH

Kamilla L. Venner, PhD, Department of Psychology, Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, NM

Jacqueline N. Warner, PhD, Department of Pediatric Psychology, Nationwide Children’s Hospital, Columbus, OH

Henny A. Westra, PhD, Department of Psychology, York University, Toronto, ON, Canada

Rebecca Yeh, PsyD, Coatesville VA Medical Center, Coatesville, PA

David Yusko, PsyD, Center for Anxiety & Behavior Therapy, Bryn Mawr, PA

Audience

Practitioners, trainees, and graduate students in clinical psychology; clinical social work; psychiatric nursing; mental health, substance use, and pastoral counseling; psychiatry; medicine; and allied health fields.

Course Use

May serve as a text in graduate-level courses in psychotherapy, evidence-based mental health treatment, and counseling.
Previous editions published by Guilford:

Second Edition, © 2015
ISBN: 9781462530120

First Edition, © 2008
ISBN: 9781593855857
New to this edition: