Providing tools to enhance treatment of any clinical problem, this book shows how integrating motivational interviewing (MI) and cognitive-behavioral therapy (CBT) can lead to better client outcomes than using either approach on its own. The authors demonstrate that MI strategies are ideally suited to boost client motivation and strengthen the therapeutic relationship, whether used as a pretreatment intervention or throughout the course of CBT. User-friendly features include extensive sample dialogues, learning exercises for practitioners, and 35 reproducible client handouts. Purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8½" x 11" size.
This title is part of the Applications of Motivational Interviewing Series , edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.
“Integrating MI into CBT is one of the most exciting and promising areas for improving the treatment of psychological disorders, but answers to questions of 'How?', 'When?', and 'How much?' were difficult to find until now. Naar and Safren present know-how and guidance to help the clinician conceptualize and effectively work with real-world clients who are struggling with competing motivations and fluctuating ambivalence and commitment. Packed with essential learning activities and reproducible tools, this book is an essential contribution to any mental health practitioner’s library. I will be recommending it as a text for our introductory doctoral-level 'how to do psychotherapy' unit or one of our more specialized advanced CBT units.”
—Peter J. Norton, PhD, School of Psychological Sciences, Monash University, Australia
“An excellent resource. Rightly noting that CBT is hard work, the authors provide concrete strategies to capitalize on clients' own reasons for changing, while also avoiding the power struggles that can arise. As a clinical supervisor, I will recommend this book to my trainees as essential reading.”
—Shannon Sauer-Zavala, PhD, Center for Anxiety and Related Disorders and Department of Psychological and Brain Sciences, Boston University
“This book's in-depth description of the integration of MI and CBT represents a significant advance in the field of behavior change. Numerous clinical examples and forms help facilitate appropriate therapist behaviors and clients’ use of treatment. Psychotherapists, graduate students, and health professionals will find this book extremely helpful, as will researchers seeking a manual for studies of treatment outcome.”
—Hal Arkowitz, PhD, Department of Psychology (Emeritus), University of Arizona, Tucson
“With this book, the integration of MI and CBT takes a leap forward. Behavior therapists have, I believe, paid far too little attention to the substantial impact of interpersonal skills and the therapeutic relationship in shaping treatment engagement, retention, adherence, and outcome….Person-centered advocates could, in turn, be faulted for paying too little attention to empirical science in recent decades….Perhaps MI and CBT are like oil and water. My junior chemistry project in high school was a study of emulsifying agents that make it possible to blend oil and water. It was a portent of things to come. This book is an emulsifier.”
—from the Foreword by William R. Miller, PhD, Emeritus Distinguished Professor of Psychology and Psychiatry, The University of New Mexico; codeveloper of MI
Foreword, William R. Miller
1. Integrating Motivational Interviewing and Cognitive-Behavioral Therapy: Rationale, Approach, and Evidence
2. Building Alliance and Motivation at the Onset of Treatment
3. Evaluation and Treatment Planning
5. Cognitive Skills
6. Behavioral and Emotion Regulation Skills
7. Promoting Between-Session Practice and Consistent Session Attendance
9. Using This Book as an Integrated Treatment Manual
About the Authors:
Sylvie Naar, PhD, is Professor and Director of the Division of Behavioral Sciences in the Department of Family Medicine and Public Health Sciences at Wayne State University. She conducts research on the use of MI and MI integrated with CBT to improve health behaviors for many populations. She also studies how best to teach MI and how to implement the approach within organizations. With over 100 publications, Dr. Naar is coauthor of Motivational Interviewing with Adolescents and Young Adults. She is a member of the Motivational Interviewing Network of Trainers (MINT) and has provided training locally, nationally, and internationally.
Steven A. Safren, PhD, ABPP, is Professor of Psychology at the University of Miami. Previously, he was Professor of Psychology in Psychiatry at Harvard Medical School and Director of Behavioral Medicine at Massachusetts General Hospital (MGH). He is a past editor of Cognitive and Behavioral Practice and an Associate Editor of the Journal of Consulting and Clinical Psychology. Dr. Safren is a recipient of the Pioneer Award for Outstanding Contributions to HIV Adherence Science/Practice from the International Association of Providers in AIDS Care, as well as mentoring/training awards from Division 44 (Society for the Psychological Study of Lesbian, Gay, Bisexual, and Transgender Issues) of the American Psychological Association, Harvard Medical School, and the Division of Psychology Training at MGH. His research and more than 260 publications focus on health-related behavioral interventions and adult ADHD.