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MOTIVATIONAL
INTERVIEWING
for Clinical Practice

Petros Levounis, M.D., M.A.

Bachaar Arnaout, M.D.
Carla Marienfeld, M.D.
Motivational Interviewing
for
CLINICAL PRACTICE
Motivational Interviewing
for
CLINICAL PRACTICE

Edited by

Petros Levounis, M.D., M.A.

Bachaar Arnaout, M.D.
Carla Marienfeld, M.D.
Note: The authors have worked to ensure that all information in this book is
accurate at the time of publication and consistent with general psychiatric and
medical standards, and that information concerning drug dosages, schedules, and
routes of administration is accurate at the time of publication and consistent with
standards set by the U.S. Food and Drug Administration and the general med­
ical community. As medical research and practice continue to advance, however,
therapeutic standards may change. Moreover, specific situations may require a
specific therapeutic response not included in this book. For these reasons and be­
cause human and mechanical errors sometimes occur, we recommend that read­
ers follow the advice of physicians directly involved in their care or the care of a
member of their family.
Books published by American Psychiatric Association Publishing represent the
findings, conclusions, and views of the individual authors and do not necessarily
represent the policies and opinions of American Psychiatric Association Pub­
lishing or the American Psychiatric Association.
If you wish to buy 50 or more copies of the same title, please go to www.appi.org/
specialdiscounts for more information.
Copyright © 2017 American Psychiatric Association Publishing
ALL RIGHTS RESERVED
First Edition
Manufactured in the United States of America on acid-free paper
20 21 18 17 16 5 4 3 2 1
American Psychiatric Association Publishing
1000 Wilson Boulevard
Arlington, VA 22209-3901
www.appi.org
Library of Congress Cataloging-in-Publication Data
Names: Levounis, Petros, editor. | Arnaout, Bachaar, 1974- editor. | Marienfeld, Carla,
editor.
Title: Motivational interviewing for clinical practice / edited by Petros Levounis,
Bachaar Arnaout, Carla Marienfeld.
Description: First edition. | Arlington, Virginia : American Psychiatric Association
Publishing, [2017] | Includes bibliographical references and index.
Identifiers: LCCN 2016051307 (print) | LCCN 2016052639 (ebook) |
ISBN 9781615370467 (pbk. : alk. paper) | ISBN 9781615371242 ()
Subjects: | MESH: Motivational Interviewing | Interview, Psychological
Classification: LCC RC454 (print) | LCC RC454 (ebook) | NLM WM 55 | DDC
616.89—dc23
LC record available at https://lccn.loc.gov/2016051307
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
Contents

Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii

Part 1
Getting Ready to
Use Motivational Interviewing

1 Motivational Interviewing in
Addiction Treatment . . . . . . . . . . . . . . . . . . . . . . . . 3
Edward V. Nunes, M.D.

2 Fundamentals of Motivational Interviewing . . . . 15

Caridad C. Ponce Martinez, M.D.
Bachaar Arnaout, M.D.
Steve Martino, Ph.D.

3 Engaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Teofilo E. Matos Santana, M.D.
Ayana Jordan, M.D., Ph.D.

4 Focusing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Grace Kwon, D.O.

5 Evoking. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Mandrill Taylor, M.D., M.P.H.

6 Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Noah Capurso, M.D., M.H.S.
 Part 2
Getting Good at
Motivational Interviewing

7 Integrating Motivational Interviewing

With Other Psychotherapies . . . . . . . . . . . . . . . . 107
Marie-Josée Lynch, M.D., C.M.
Bachaar Arnaout, M.D.
Richard N. Rosenthal, M.D.

8 Motivational Interviewing and

Pharmacotherapy. . . . . . . . . . . . . . . . . . . . . . . . . 131
SueAnn Kim, M.D.
Vicki Kalira, M.D.

9 Motivational Interviewing in a
Diverse Society . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Brian Hurley, M.D., M.B.A., DFASAM
Jeffrey DeVido, M.D., M.T.S.

Part 3
Getting Advanced Knowledge in
Motivational Interviewing

10 Teaching Motivational Interviewing. . . . . . . . . . 167

Carla Marienfeld, M.D.
Caridad C. Ponce Martinez, M.D.
Curtis Bone, M.D., M.H.S.

11 Motivational Interviewing in Administration,

Management, and Leadership . . . . . . . . . . . . . . 187
Petros Levounis, M.D., M.A.
Elie G. Aoun, M.D.
12 The Science of Motivational Interviewing . . . . . 205
Michelle C. Acosta, Ph.D.
Angela R. Bethea-Walsh, Ph.D.
Deborah L. Haller, Ph.D.

Appendix 1: Key Concepts in Motivation and

Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229

Appendix 2: Answer Guide to Study Questions . . 239

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261
 Contributors

Michelle C. Acosta, Ph.D.

Principal Investigator and Administrative Director, Center for Technology and
Health, National Development and Research Institutes, Inc., New York, New
York

Elie G. Aoun, M.D.

Addiction Psychiatry Fellow, Department of Psychiatry, University of Califor­
nia, San Francisco, San Francisco, California

Bachaar Arnaout, M.D.

Assistant Professor of Psychiatry, Yale School of Medicine, VA Connecticut
Healthcare System, West Haven, Connecticut

Angela R. Bethea-Walsh, Ph.D.

Licensed Psychologist, Bethea Consulting and Psychological Services, P.C.,
Atlanta, Georgia

Curtis Bone, M.D., M.H.S.

Addiction Medicine Fellow, Yale School of Medicine, New Haven, Connecticut

Noah Capurso, M.D., M.H.S.

Assistant Professor of Psychiatry, Yale School of Medicine, New Haven, Con­
necticut

Jeffrey DeVido, M.D., M.T.S.

Assistant Professor, Department of Psychiatry, University of California, San
Francisco School of Medicine, San Francisco, California

Deborah L. Haller, Ph.D.

Voluntary Associate Professor, Department of Public Health Sciences, Miller
School of Medicine, University of Miami, Miami, Florida

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