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how people change: Applications to the addictive behaviors. American
Psychologist, 47(9), 1102–1114.
Rollnick, S., Miller, W. R., in Butler, Ch. C. (2008). Motivational interviewing
in health care: Helping people change behavior. The Guildford Press.
Rosengren, D. B. (2009). Building motivational interviewing skills: Practitioner
workbook. The Guilford Press.
Basics of Motivational Interviewing
When counselor and client realize that something very important in client’s
life has gone wrong and became dangerous, they start to think and talk
about the need for change. If the clients don’t follow counselor’s advices
there is a tendency to see them as unmotivated and a counselor might feel
unable to help. The authors of the method of Motivational Interviewing
(William Miller and Stephen Rollnick) are convinced that everybody is moti-
vated for something and the role of the counselor is to make such a relation-
ship where the patient won’t need to be defensive. Motivation for changes
is something that can be influenced by the therapist and is the matter of
how we communicate with clients about their health. Some approaches in-
crease motivation and are thus more appropriate and others increase de-
fense mechanisms. Motivational interviewing is not a technique for manip-
ulating people into doing what they do not want to do. It’s a skillful clinical
style for eliciting from clients their own motivations for making behavioral
changes. In the chapter we describe the core elements of the motivational
interviewing, such as its philosophy, principles, strategies and change talk.
Motivational interviewing is collaborative and evocative in spirit and is hon-
oring of clients’ autonomy. Key principles used are empathy, dealing with
the ambivalence and reflective listening.
100
how people change: Applications to the addictive behaviors. American
Psychologist, 47(9), 1102–1114.
Rollnick, S., Miller, W. R., in Butler, Ch. C. (2008). Motivational interviewing
in health care: Helping people change behavior. The Guildford Press.
Rosengren, D. B. (2009). Building motivational interviewing skills: Practitioner
workbook. The Guilford Press.
Basics of Motivational Interviewing
When counselor and client realize that something very important in client’s
life has gone wrong and became dangerous, they start to think and talk
about the need for change. If the clients don’t follow counselor’s advices
there is a tendency to see them as unmotivated and a counselor might feel
unable to help. The authors of the method of Motivational Interviewing
(William Miller and Stephen Rollnick) are convinced that everybody is moti-
vated for something and the role of the counselor is to make such a relation-
ship where the patient won’t need to be defensive. Motivation for changes
is something that can be influenced by the therapist and is the matter of
how we communicate with clients about their health. Some approaches in-
crease motivation and are thus more appropriate and others increase de-
fense mechanisms. Motivational interviewing is not a technique for manip-
ulating people into doing what they do not want to do. It’s a skillful clinical
style for eliciting from clients their own motivations for making behavioral
changes. In the chapter we describe the core elements of the motivational
interviewing, such as its philosophy, principles, strategies and change talk.
Motivational interviewing is collaborative and evocative in spirit and is hon-
oring of clients’ autonomy. Key principles used are empathy, dealing with
the ambivalence and reflective listening.
100
