Motivational Interviewing in Clinical Mental Health Counseling PDF
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Motivational Interviewing in Clinical Mental Health Counseling Motivational Interviewing in Clinical Mental Health Counseling is a cutting-edge guide to empowering counselors with the philosophical and actionable elements of motivational interviewing. This textbook, appropriate for primary or supplementary use in counseling coursework, is a practitioner and student-friendly text appropriate for readers across all levels of familiarity with motivational interviewing. Chapters integrate and present the newest conceptual and empirical literature, and the relevant, up-to-date content in each chapter is accompanied by a detailed case study and specific training exercises that will enhance counselors’ proficiency in core skills. Motivational Interviewing in Clinical Mental Health Counseling introduces new learners to the skills and philosophy of motivational interviewing, enhances the skills of veterans familiar to the framework, and is the perfect companion for students of motivational interviewing across a variety of mental health counseling courses. Todd F. Lewis, PhD, is a professor of counseling and counselor education at North Dakota State University. He is a member of the Motivational Interviewing Network of Trainers (MINT). Edward Wahesh, PhD, is an associate professor in the Department of Education and Counseling at Villanova University. He is a member of the Motivational Interviewing Network of Trainers (MINT). Motivational Interviewing in Clinical Mental Health Counseling Todd F. Lewis and Edward Wahesh C over image: From Getty F irst published 2022 b y Routledge 6 05 Third Avenue, New York, NY 10158 a nd by Routledge 4 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN R outledge is an imprint of the Taylor & Francis Group, an informa business © 2023 Todd F. Lewis and Edward Wahesh T he right of Todd F. Lewis and Edward Wahesh to be identified as authors of this work has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. A ll rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. T rademark notice: Product or corporate names may be trademarks or registered trademarks and are used only for identification and explanation without intent to infringe. L ibrary of Congress Cataloging-in-Publication Data Names: Lewis, Todd F., author. | Wahesh, Edward, author. Title: Motivational interviewing in clinical mental health counseling / Todd F. Lewis, Edward Wahesh. Description: New York, NY : Routledge, 2022. | Includes bibliographical references and index. Identifiers: LCCN 2022015438 (print) | LCCN 2022015439 (ebook) | ISBN 9781138568266 (hardback) | ISBN 9781138568273 (paperback) | ISBN 9781351244596 (ebook) Subjects: LCSH: Motivational interviewing. | Interviewing in mental health. | Mental health counseling. Classification: LCC BF637.I5 L45 2022 (print) | LCC BF637.I5 (ebook) | DDC 158.3/9—dc23/eng/20220524 LC record available at https://lccn.loc.gov/2022015438 LC ebook record available at https://lccn.loc.gov/2022015439 ISBN: 978-1-138-56826-6 (hbk) ISBN: 978-1-138-56827-3 (pbk) ISBN: 978-1-351-24459-6 (ebk) DOI: 10.4324/9781351244596 Typeset in Sabon by Apex CoVantage, LLC Contents List of Abbreviations viii List of Figures and Tables ix Preface x Acknowledgments xiii PART I Foundations of Motivational Interviewing 1 1 Introduction to Motivational Interviewing: Philosophy and Spirit 3 Introduction 3 What Is Motivational Interviewing? 3 The Spirit of Motivational Interviewing: The Recipe of Good Practice 6 Philosophy, Principles, and Clinical Stance 10 Clinical Mental Health Counseling and Motivational Interviewing 13 Summary 15 References 16 2 Skills and Technical Aspects of Motivational Interviewing 18 Introduction 18 Summary 34 References 35 3 Motivational Interviewing, Ambivalence, and Change Talk 36 Introduction 36 Case Study 49 Summary 52 References 52 vi Contents 4 Motivational Interviewing in Action: The Four Processes 56 Introduction 56 What Motivational Interviewing Looks Like in Practice 56 Case Study 66 Summary 72 References 72 PART II Applications of Motivational Interviewing in Clinical Mental Health Settings 75 5 Common Presenting Problems in Clinical Mental Health Settings and Motivational Interviewing 77 Introduction 77 Using Motivational Interviewing in Inpatient Mental Health Care Settings 78 U sing Motivational Interviewing in Outpatient Mental Health Care Settings 80 Using Motivational Interviewing with Common Mental Health Problems 80 Case Study 89 Summary 91 References 92 6 Motivational Interviewing and Group Counseling 95 Introduction 95 Overview of Group Counseling Process 96 Incorporating Motivational Interviewing into Group Counseling Practice 102 Empirical Support 107 Contraindications 109 Case Study 110 Summary 112 References 112 7 Client Conceptualization: Using Motivational Interviewing Within the Clinical Evaluation Process 115 Introduction 115 Clinical Evaluation 115 Contents vii M otivational Interviewing and the Evaluation Process 120 A ssessment Feedback and Motivational Interviewing 120 A ssessing Stages of Change and Motivation 124 S ummary 128 R eferences 130 8 Clinical Supervision from a Motivational Interviewing Perspective 132 I ntroduction 132 C ase Study 148 S ummary 151 References 152 9 Multicultural Counseling and Motivational Interviewing in the Clinical Mental Health Setting 154 I ntroduction 154 T he Diversity of Counseling Clientele 154 M ulticultural Counseling: The Fourth Force in Professional Counseling 155 M otivational Interviewing as a Culturally Sensitive Approach 157 S ummary 162 R eferences 164 PART III Training and Professional Development in Motivational Interviewing 167 10 Training and Professional Development in Motivational Interviewing 169 Introduction 169 Summary 179 References 180 Index 183 Abbreviations ASA Ask share ask CATs Commitment, activation, taking steps CMH Clinical mental health CMHC Clinical mental health counseling DARN Desire, ability, reasons, need DSM Diagnostic and statistical manual EARS Elaborate, affirm, reflect, summarize EPE Elicit provide elicit FRAMES Feedback, responsibility, advice, menu, empathy, self-efficacy MI Motivational interviewing OARS Open questions, affirmations, reflections, summary PACE Partnership, acceptance, compassion, evocation Figures and Tables Figures 7.1 The Clinical Evaluation and Its Components 116 Tables 2.1 Examples of Affirmations Contrasted with Praise 21 3.1 Examples of Change Talk from Evoking a Client’s Motivation to Engage in Treatment 42 4.1 Questions to Guide the Planning Process 66 7.1 Assessing Importance and Confidence to Understand Motivation 126 9 .1 Multicultural Considerations Throughout the Counseling Process 156
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