April 15th, 2010 
Guru Jim 
- ISBN13: 9781593856120
- Condition: NEW
- Notes: Brand New from Publisher. No Remainder Mark.
Product Description
Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking cessation, to medication adherence and safer sex practices. Engaging dialogues and vignettes br… More >>
Motivational Interviewing in Health Care: Helping Patients Change Behavior
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Most patients feel rushed and not heard in their encounters with health care providers. This clearly written “how to” book provides principles and examples of conversation that can improve the quality of communication around life style change between provider and patient. Listening rather than telling, and guiding rather than directing or preaching are difficult skills for health providers. Giving the patient “a voice and a choice” in making changes in their unhealthy behaviors is essential to successful outcomes. This practical guide to health behavior change has made a difference in my practice when patients give me permimssion to discuss their drinking, smoking, drug use, over eating, fitness and seat belt use with them.
Edward Bernstein, MD
Board Certified in Emergency Medicine and Family Medicine
Professor and Vice Chair for Academic Affairs
Department of Emergency Medicine
Boston University School of Medicine Rating: 5 / 5
Motivational Interviewing in Health Care By Rollnick, Miller and Butler
As an experienced neurologist (read ‘old’)I have spent decades and read many books about interviewing: neurological, psychiatric, difficult, challenging, etc., etc. In serial publications over 20 years or more, Dr. Miller and others have refined the process of how to converse to effectively motivate patients to do what (you think) they should do.
Doctors know that figuring out what a patient needs is only the beginning of the overall process. Selling the patient is important in medicine if optimum results are to be attained. This book is a communication guide. This book shows you how to convince the patient he needs and really wants to buy your product for his own good.
In an intelligent and logically organized fashion, this thin book (2-3 hours max to get through, but then more time later to restudy and refine technique) provides a matrix from which to work to induce your patient to internalize wanting and needing to do what he should do for optimal health. It shows physicians or counselors how to begin therapy after making a diagnosis and reinforces a teamlike approach where resistance or escapism can often show up.
If you recall the book The House of God, one of the first rules proferred was that the patient is always the one with the problem. This book guides the doctor to show the patient why he needs to take on his problem and be motivated to handle his part optimally for his own good.
As I improve my use of these straightforward techniques, I am considering jettisoning the ballpeen hammer I used to use for the same purpose. There is nothing earth shattering here. I have and likely we all have used these techniques at times, but this book puts it together as I suspect few of us have done as concisely independently.
I recommend this book strongly, and I would not buy any of the preceding ones (not that I have read them all, but it seems this book must be the denoument). This would be excellent reading in medical school and any time after. There is nothing this old dog likes better than learning and improving efficiency. Counseling is a big part of our job and one cannot help but improve technique and outcomes with these insights. My patients will fare better because I read this book and, well, what else is there?
Rating: 5 / 5
A necessary read in my opinion! There are many practitioners that use a dominant directive style in patient education whos outcomes could benefit from this newer type of interviewing. It offers an approach that is empowering to the patient and allows the patient to discover their own will to work towards change. MI offers an approach that is more productive and it does not take more of the practitioners time. It is no quick fix though. MI takes time in practice for proficiency but, it is definately worth implementing! This book is an easy read. Rating: 4 / 5
This is an excellent training manual for motivational interviewing for health behavior change. It is an improvement over the previous books. Rating: 5 / 5
This is an excellent introduction to using MI in health care. Psychologists and trained therapists may find this a bit basic, but it is a useful tool for anyone wanting to work in behavioral health. Rating: 4 / 5