Description
Motivational Interviewing: Helping People Change and Grow, 4th edition
William R. Miller and Stephen Rollnick, who developed Motivational Interviewing, wrote this guide to the method: a person-centered, evidence-based clinical approach for helping clients resolve ambivalence and reach their own goals. The 4th edition is written for clinicians, educators, and coaches who use the method in practice.
This edition broadens the book’s scope beyond addiction treatment to healthcare, social work, education, dentistry, and coaching, and uses simplified terminology throughout.
The spirit of MI and the four processes
The book sets out the “Spirit of MI”: partnership, acceptance, compassion, and evocation. It then works through the four foundational processes: engaging, focusing, evoking, and planning.
Change talk and OARS skills
Readers get expanded discussion on recognizing and eliciting change talk, along with guidance on the core OARS skills: open questions, affirming, reflecting, and summarizing. Clinical transcripts and conversational examples illustrate each skill.
What is new in this edition
- Step by step guidance on the four processes: engaging, focusing, evoking, and planning.
- Broader coverage of personal growth, health behaviors, and lifestyle change beyond addiction treatment.
- Real world clinical transcripts and guidance on building OARS skills.
- Updated research on the efficacy, mechanisms, and teaching of Motivational Interviewing.
Book details
- Title: Motivational Interviewing: Helping People Change and Grow
- Authors: William R. Miller, Stephen Rollnick
- Edition: 4th
- ISBN-13: 9781462552795
- Genre: Counseling & Clinical Psychology
Questions buyers ask
Who is this book for?
Clinicians, social workers, educators, dentists, and coaches who want to use Motivational Interviewing in their own practice.
What is the Spirit of MI?
Partnership, acceptance, compassion, and evocation: the stance the authors say underlies every MI conversation.
Does the book cover more than addiction treatment?
Yes. The 4th edition broadens its scope to general personal growth, health behaviors, and lifestyle change alongside its original focus.
What are the four processes of MI?
Engaging, focusing, evoking, and planning, covered in that order with step by step guidance.
Does it include real examples, or just theory?
Both. It includes clinical transcripts and conversational examples alongside guidance on building OARS skills.







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