Recent Commentary on Motivational Interviewing

Motivational Interviewing Article Published in the British Medical Journal

Tuesday, 27 April 2010 23:05 Stephen Rollnick

The British Medical Journal has today (27.4.10) published a new article entitled 'Motivational Interviewing' by Stephen Rollnick, Chris Butler, Paul Kinnersley, John Gregory and Bob Mash.

The full text is available for free, below.

Key Points from 'Motivational Interviewing'

Simply giving patients advice to change is often unrewarding and ineffective

Motivational interviewing usesa guiding style to engage with patients, clarify their strengthsand aspirations, evoke their own motivations for change, andpromote autonomy of decision making

You can learn motivationalinterviewing in three steps: practise a guiding rather thandirecting style; develop strategies to elicit the patient’sown motivation to change; and refine your listening skills andrespond by encouraging change talk from the patient

Motivationalinterviewing has been shown to promote behaviour change in varioushealthcare settings and can improve the doctor-patient relationshipand the efficiency of the consultation

Read more...

Creativity at the rough edge of behaviour change

Friday, 23 April 2010 07:32 Stephen Rollnick

Yesterday I drove two hours into the heart of the Welsh countryside, to a country hotel, to spend half a day on MI with a senior group of general practitioner trainers. The contrasts were sharp: sparkling green cloudless day, and inside, the challenge: how might we use MI in the rehabilitation of doctors who had entered the last procedure before being struck off for disciplinary offenses? If they don’t change their behaviour and attitudes, they are out. A rough world.

I enjoy looking at MI from the outside in, thinking backwards from everyday practice, and wondering, as those trainers must have, where on earth does this MI stuff fit in?

What is Motivational Interviewing?

Wednesday, 21 April 2010 13:18 Stephen Rollnick

Bill Miller and I wrote a paper in 1995, and the editor of the journal, Professor Paul Salkovskis has very kindly and supportively agreed to our using this paper on this website. Behavioural and Cognitive Psychcotherapy was the journal that published the very first paper on MI in 1983...

Since 1995 there has been quite a lot of refinement of principles and methods, some new conceptual developments and a lot of research. A nice way to catch up is to read the following paper, which contains a fluid account of how and why MI was developed:

Miller R, Rose G. Towards a theory of motivational interviewing. Am Psych 2009;64:527-537.

Here below, is the 1995 paper:

A quote that captures a lot

Thursday, 27 August 2009 00:26 Stephen Rollnick

Jeanie Suvan, a colleague from the dental field showed me this quote. Thank you.

"After all, when you seek advice from someone it's certainly not because you want them to give it. You just want them to be there while you talk to yourself".
- Terry Pratchett, 1948

If this were to be emitted from a patient or client, this person would be the ideal recpient of motivational interviewing.

Acts of kindness & just a little bit more

Wednesday, 26 August 2009 23:29 Stephen Rollnick

There’s a lot of talk in the UK at the moment about counselling as a first step before the prescribing of anti-depressants. And the specialist counsellors and psychologists can see lots of work coming their way.

And the general practitioner? Is counselling beyond their competence and context? I heard this story the other day, and it reminds me of the dangers of specialist counsellors plying their trade in primary care and wittingly or unwittingly, reinforcing the illusion that people are best treated by specialists like counsellors. Before people receive fancy treatments like CBT or MI, how about a few simple acts of kindness and just a little bit more, delivered by the general practitioner. What’s the little bit more? Here’s a story that might help.

stephenrollnick

Motivational Interviewing Article Published in the British Medical Journal

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Key Points from 'Motivational Interviewing'

Motivational interviewing usesa guiding style to engage with patients, clarify their strengthsand aspirations, evoke their own motivations for change, andpromote autonomy of decision making

Motivational interviewing usesa guiding style to engage with patients, clarify their strengthsand aspirations, evoke their own motivations for change, andpromote autonomy of decision making

You can learn motivationalinterviewing in three steps: practise a guiding rather thandirecting style; develop strategies to elicit the patient’sown motivation to change; and refine your listening skills andrespond by encouraging change talk from the patient

You can learn motivationalinterviewing in three steps: practise a guiding rather thandirecting style; develop strategies to elicit the patient’sown motivation to change; and refine your listening skills andrespond by encouraging change talk from the patient

Motivationalinterviewing has been shown to promote behaviour change in varioushealthcare settings and can improve the doctor-patient relationshipand the efficiency of the consultation

Motivationalinterviewing has been shown to promote behaviour change in varioushealthcare settings and can improve the doctor-patient relationshipand the efficiency of the consultation

Creativity at the rough edge of behaviour change

What is Motivational Interviewing?

A quote that captures a lot

Acts of kindness & just a little bit more

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