Skip to main content
×
Home

Ten Things that Motivational Interviewing Is Not

  • William R. Miller (a1) and Stephen Rollnick (a2)
Abstract

Background: In the 26 years since it was first introduced in this journal, motivational interviewing (MI) has become confused with various other ideas and approaches, owing in part to its rapid international diffusion. Methods: Based on confusions that have arisen in publications and presentations regarding MI, the authors compiled a list of 10 concepts and procedures with which MI should not be addled. Results: This article discusses 10 things that MI is not: (1) the transtheoretical model of change; (2) a way of tricking people into doing what you want them to do; (3) a technique; (4) decisional balance; (5) assessment feedback; (6) cognitive-behavior therapy; (7) client-centered therapy; (8) easy to learn; (9) practice as usual; and (10) a panacea. Conclusion: Clarity about what does (and does not) constitute MI promotes quality assurance in scientific research, clinical practice, and training.

Copyright
Corresponding author
Reprint requests to William Miller, Department of Psychology, University of New Mexico, Logan Hall, Albuquerque, New Mexico NM 87131-1161, USA. E-mail: wrmiller@unm.edu
References
Hide All
Agostinelli G., Brown J. M. and Miller W. R. (1995). Effects of normative feedback on consumption among heavy drinking college students. Journal of Drug Education, 25, 3140.
Amrhein P. C., Miller W. R., Yahne C. E., Palmer M. and Fulcher L. (2003). Client commitment language during motivational interviewing predicts drug use outcomes. Journal of Consulting and Clinical Psychology, 71, 862878.
Botelho R. (2004). Motivational Practice: promoting healthy habits and self-care of chronic diseases. Rochester, NY: MHH Publications.
DiClemente C. C. and Velasquez M. W. (2002). Motivational Interviewing and the stages of change. InMiller W. R. and Rollnick S. (Eds.), Motivational Interviewing: preparing people for change. (2nd ed., pp. 217250). New York: Guilford Press.
Frankl V. E. (1963). Man's Search for Meaning. Boston: Beacon Press.
Gaume J., Gmel G. and Daeppen J.-B. (2008). Brief alcohol interventions: do counsellors' and patients' communication characteristics predict change? Alcohol and Alcoholism, 43, 6269.
Hettema J., Steele J. and Miller W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91111.
Janis I. L. and Mann L. (1977). Decision Making: a psychological analysis of conflict, choice and commitment. New York: Free Press.
Kuchipudi V., Hobein K., Fleckinger A. and Iber F. L. (1990). Failure of a 2-hour motivational intervention to alter recurrent drinking behavior in alcoholics with gastrointestinal disease. Journal of Studies on Alcohol, 51, 356360.
Madsón M. B. and Campbell T. C. (2006). Measures of fidelity in motivational enhancement: a systematic review. Journal of Substance Abuse Treatment, 31, 6773.
Miller W. R. (1983). Motivational interviewing with problem drinkers. Behavioural Psychotherapy, 11, 147172.
Miller W. R., Benefield R. G. and Tonigan J. S. (1993). Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles. Journal of Consulting and Clinical Psychology, 61, 455461.
Miller W. R. and Heather N. (Eds.). (1986). Treating Addictive Behaviors: processes of change. New York: Plenum Press.
Miller W. R. and Kurtz E. (1994). Models of alcoholism used in treatment: contrasting A.A. and other perspectives with which it is often confused. Journal of Studies on Alcohol, 55, 159166.
Miller W. R. and Mount K. A. (2001). A small study of training in motivational interviewing: does one workshop change clinician and client behavior? Behavioural and Cognitive Psychotherapy, 29, 457471.
Miller W. R. and Rollnick S. (1991). Motivational Interviewing: preparing people to change addictive behavior. New York: Guilford Press.
Miller W. R. and Rollnick S. (2002). Motivational Interviewing: preparing people for change (2nd ed.). New York: Guilford Press.
Miller W. R. and Rollnick S. (2004). Talking oneself into change: motivational interviewing, stages of change, and the therapeutic process. Journal of Cognitive Psychotherapy, 18, 299308.
Miller W. R., Sorensen J. L., Selzer J. and Brigham G. (2006). Disseminating evidence-based practices in substance abuse treatment: a review with suggestions. Journal of Substance Abuse Treatment, 31, 2539.
Miller W. R. and Sovereign R. G. (1989). The check-up: a model for early intervention in addictive behaviors. InLøberg T., Miller W. R., Nathan P. E. and Marlatt G. A. (Eds.), Addictive Behaviors: prevention and early intervention (pp. 219231). Amsterdam: Swets and Zeitlinger.
Miller W. R., Villanueva M., Tonigan J. S. and Cuzmar I. (2007). Are special treatments needed for special populations? Alcoholism Treatment Quarterly, 25, 6378.
Miller W. R., Yahne C. E., Moyers T. B., Martinez J. and Pirritano M. (2004). A randomized trial of methods to help clinicians learn motivational interviewing. Journal of Consulting and Clinical Psychology, 72, 10501062.
Miller W. R., Yahne C. E. and Tonigan J. S. (2003). Motivational interviewing in drug abuse services: a randomized trial. Journal of Consulting and Clinical Psychology, 71, 754763.
Miller W. R., Zweben A., DiClemente C. C. and Rychtarik R. C. (1992). Motivational Enhancement Therapy Manual: a clinical research guide for therapists treating individuals with alcohol abuse and dependence (Vol. Project MATCH Monograph Series, Vol. 2). Rockville, Maryland: National Institute on Alcohol Abuse and Alcoholism.
Moyers T. B. (2004). History and happenstance: how motivational interviewing got its start. Behavioural and Cognitive Psychotherapy, 19, 291298.
Moyers T. B., Martin T., Catley D., Harris K. J. and Ahluwalia J. S. (2003). Assessing the integrity of motivational interventions: reliability of the Motivational Interviewing Skills Code. Behavioural and Cognitive Psychotherapy, 31, 177184.
Moyers T. B., Martin T., Houck J. M., Christopher P. J. and Tonigan J. S. (in press). From in-session behaviors to drinking outcomes: a causal chain for motivational interviewing. Journal of Consulting and Clinical Psychology.
Moyers T. B., Miller W. R. and Hendrickson S. M. L. (2005). How does motivational interviewing work? Therapist interpersonal skill predicts client involvement within motivational interviewing sessions. Journal of Consulting and Clinical Psychology, 73, 590598.
Prochaska J. O. and DiClemente C. C. (1984). The Transtheoretical Approach: crossing traditional boundaries of therapy. Homewood, Illinois: Dow/Jones Irwin.
Project MATCH Research Group (1993). Project MATCH: rationale and methods for a multisite clinical trial matching patients to alcoholism treatment. Alcoholism: Clinical and Experimental Research, 17, 11301145.
Project MATCH Research Group (1997). Project MATCH secondary a priori hypotheses. Addiction, 92, 16711698.
Rogers C. R. (1959). A theory of therapy, personality, and interpersonal relationships as developed in the client-centered framework. InKoch S. (Ed.), Psychology: the study of a science. Vol. 3. Formulations of the Person and the Social Contexts (pp. 184256). New York: McGraw-Hill.
Rogers E. M. (2003). Diffusion of Innovations (5th ed.). New York: Free Press.
Rohsenow D. J., Monti P. M., Martin R. A., Colby S. M., Myers M. G., Gulliver S. B., Brown R. A., Mueller T. I., Gordon A. and Abrams D. B. (2004). Motivational enhancement and coping skills training for cocaine abusers: effects on substance use outcomes. Addiction, 99, 862874.
Rollnick S., Miller W. R. and Butler C. C. (2008). Motivational Interviewing in Health Care. New York: Guilford Press.
Rollnick S., Mason P. and Butler C. (1999). Health Behavior Change: a guide for practitioners. Oxford: Churchill Livingstone.
Rollnick S. and Miller W. R. (1995). What is motivational interviewing? Behavioural and Cognitive Psychotherapy, 23, 325334.
Stotts A. L., Schmitz J. M., Rhoades H. M. and Grabowski J. (2001). Motivational interviewing with cocaine-dependent patients: a pilot study. Journal of Consulting and Clinical Psychology, 69, 858862.
Tober G. and Raistrick D. (Eds.) (2007). Motivational Dialogue: preparing addiction professionals for motivational interviewing practice. London: Routledge.
Truax C. B. (1966). Reinforcement and non-reinforcement in Rogerian psychotherapy. Journal of Abnormal Psychology, 71, 19.
Wagner C. C. and Ingersoll K. S. (2008). Beyond cognition: broadening the emotional base of motivational interviewing. Journal of Psychotherapy Integration, 18, 191206.
White W. L. and Miller W. R. (2007). The use of confrontation in addiction treatment: history, science, and time for a change. The Counselor, 8, 1230.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
  • URL: /core/journals/behavioural-and-cognitive-psychotherapy
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 414
Total number of PDF views: 2257 *
Loading metrics...

Abstract views

Total abstract views: 8014 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 12th December 2017. This data will be updated every 24 hours.