Fundamentals of Motivational Interviewing: Tips and Strategies for Addressing Common Clinical Challenges

233 Pages·2014·1.42 MB·English

by  Julie A. Schumacher

Fundamentals of Motivational Interviewing

Fundamentals of Motivational
Interviewing
Tips and Strategies for Addressing Common
Clinical Challenges
JULIE A. SCHUMACHER
MICHAEL B. MADSON
1
1
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Library of Congress Cataloging-in-Publication Data
Schumacher, Julie A.
Fundamentals of motivational interviewing : tips and strategies for addressing common clinical
challenges / Julie A. Schumacher, Michael B. Madson.
pages cm
ISBN 978-0-19-935463-4 (paperback)
1. Interviewing—Psychological aspects. 2. Motivation (Psychology) 3. Interviewing in
psychiatry. I. Madson, Michael B. II. Title.
BF637.I5S38 2015
158.3′9—dc23
2014022206
9 8 7 6 5 4 3 2 1
Printed in the United States of America
on acid-free paper
With gratitude to Scott, Liam, and Levi who support and inspire me every day.
—JAS
To Carol and Dave Madson, my colleagues, collaborators, and students.
—MBM

CONTENTS
Acknowledgments ix
PART I. Motivational Interviewing Overview
1. Introduction 3
2. Foundational Concepts and Skills 11
3. The Four Processes of MI 42
PART II. Motivational Interviewing for Clinical Challenges
4. Less Ready to Change 71
Clinical Challenge 1: No-Shows 72
Clinical Challenge 2: Non-adherence 80
Clinical Challenge 3: Client Involved in the Legal System 89
5. Loss of Momentum 99
Clinical Challenge 1: Slow Progress 100
Clinical Challenge 2: Lapses and Relapses 107
Clinical Challenge 3: Overly Ambitious Expectations 116
6. Psychiatric Symptoms and Disorders 124
Clinical Challenge 1: Depression 125
Clinical Challenge 2: Anxiety, Trauma-Related, and Obsessive
Compulsive Disorders 140
Clinical Challenge 3: Psychotic Symptoms 153
7. Working with Multiple Individuals 166
Clinical Challenge 1: Parents 166
Clinical Challenge 2: Groups 173
8. Challenges in Learning to Use and Implement MI 188
Training Challenge 1: Clients who Frustrate You 191
Training Challenge 2: Clients Like You 195
Conclusions 200
References 203
About the Authors 214
Index 215

ACKNOWLEDGMENTS
We are forever grateful to Drs. Bill Miller and Steve Rollnick for their commit-
ment to the ongoing evolution of MI and their altruistic generosity for shar-
ing their knowledge with others. Their dedication to MI guides us all! We are
thankful to be a part of the Motivational Interviewing Network of Trainers—
MINT—and value the energy and discussions about MI among its members. As
researchers, we are honored to have colleagues in the international MI research
community who advance our knowledge of the application of MI through
their critical evaluations. It is through the work of these researchers that the
understanding of MI and evidence of its effectiveness have been generated. We
are grateful to these individuals. In particular, we are thankful to have great
research collaborators—Drs. Scott Coffey and Claire Lane as well as numerous
students and fellows we have had the privilege of mentoring over the years. Our
appreciation of MI has developed through the various trainings we have pro-
vided, clients we have treated, and cases we have supervised. We are thankful
to the students, community providers, and clients who helped us deepen our
knowledge of how to practice and teach MI! It is through our experiences with
each of these individuals and groups that our ability and inspiration to write
this book developed. Finally, we want to acknowledge Margo Villarosa for her
careful review of this book.