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THE GUILFORD PRESS
Building Motivational Interviewing Skills
Applications of Motivational Interviewing
Stephen Rollnick, William R. Miller, and Theresa B. Moyers, Series Editors
www.guilford.com/AMI
Since the publication of Miller and Rollnick’s classic Motivational Interviewing, now in
its third edition, MI has been widely adopted as a tool for facilitating change. This highly
practical series includes general MI resources as well as books on specific clinical con-
texts, problems, and populations. Each volume presents powerful MI strategies that are
grounded in research and illustrated with concrete, “how-to-do-it” examples.
Motivational Interviewing in Health Care:
Helping Patients Change Behavior
Stephen Rollnick, William R. Miller, and Christopher C. Butler
Motivational Interviewing with Adolescents and Young Adults
Sylvie Naar and Mariann Suarez
Motivational Interviewing in Social Work Practice
Melinda Hohman
Motivational Interviewing in the Treatment of Anxiety
Henny A. Westra
Motivational Interviewing, Third Edition: Helping People Change
William R. Miller and Stephen Rollnick
Motivational Interviewing in Groups
Christopher C. Wagner and Karen S. Ingersoll, with Contributors
Motivational Interviewing in the Treatment
of Psychological Problems, Second Edition
Hal Arkowitz, William R. Miller, and Stephen Rollnick, Editors
Motivational Interviewing in Diabetes Care
Marc P. Steinberg and William R. Miller
Motivational Interviewing in Nutrition and Fitness
Dawn Clifford and Laura Curtis
Motivational Interviewing in Schools:
Conversations to Improve Behavior and Learning
Stephen Rollnick, Sebastian G. Kaplan, and Richard Rutschman
Motivational Interviewing with Offenders:
Engagement, Rehabilitation, and Reentry
Jill D. Stinson and Michael D. Clark
Motivational Interviewing and CBT:
Combining Strategies for Maximum Effectiveness
Sylvie Naar and Steven A. Safren
Building Motivational Interviewing Skills, Second Edition:
A Practitioner Workbook
David B. Rosengren
Building
Motivational
Interviewing Skills
A Practitioner Workbook
SECOND EDITION
David B. Rosengren
Series Editors’ Note by Stephen Rollnick,
William R. Miller, and Theresa B. Moyers
THE GUILFORD PRESS
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LIMITED DUPLICATION LICENSE
These materials are intended for use only by qualified professionals.
The publisher grants to individual purchasers of this book nonassignable permission
to reproduce all materials for which permission is specifically granted in a footnote.
This license is limited to you, the individual purchaser, for personal use or use with
clients. This license does not grant the right to reproduce these materials for resale,
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The author has checked with sources believed to be reliable in his efforts to provide
information that is complete and generally in accord with the standards of practice
that are accepted at the time of publication. However, in view of the possibility of
human error or changes in behavioral, mental health, or medical sciences, neither the
author, nor the editor and publisher, nor any other party who has been involved in the
preparation or publication of this work warrants that the information contained herein
is in every respect accurate or complete, and they are not responsible for any errors
or omissions or the results obtained from the use of such information. Readers are
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Library of Congress Cataloging- in- Publication Data is available from the publisher.
ISBN 978-1-4625-3206-3 (paperback)
For Charley Rosengren,
a giant in faith, hope, and love
About the Author
David B. Rosengren, PhD, is President and CEO of the Prevention Research Institute, a
private nonprofit organization in Lexington, Kentucky. He is a clinical psychologist with a
broad background in treatment, research, training, and administration. Previously, he was a
research scientist and consultant at the University of Washington’s Alcohol and Drug Abuse
Institute, as well as a motivational interviewing (MI) consultant and trainer. Dr. Rosengren
helped to establish the Motivational Interviewing Network of Trainers, an international
association representing more than a thousand MI trainers spread across 35 countries and
six continents. His research interests include mechanisms of change for clients and practi-
tioners, training methods, and implementation and dissemination science. He has authored
journal articles and book chapters on addictions, MI, training, and the change process.
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Series Editors’ Note
When the first edition of Building Motivational Interviewing Skills was released in 2009, it
quickly became a classic in Guilford’s Applications of Motivational Interviewing series. It
proved valuable for those who were new to MI and wanted exercises to try out on their own,
for trainers hoping for exercises to liven up their workshops, and for supervisors thinking
of ways to draw out the best in their trainees. When the third edition of Miller and Roll-
nick’s Motivational Interviewing was published in 2013, many new ideas and concepts were
crowding the training arena, and it became clear that a revision of Dr. Rosengren’s skills-
focused book was in order. Exercises designed to help learners grasp the four component
processes of MI, to sharpen their attention to client language, and to balance the tension
between empathy and direction have recently become much more important for conveying
expertise in MI.
So it is with great pleasure that we welcome this new edition of Building Motivational
Interviewing Skills: A Practitioner Workbook. In it you will find a menu of excellent exer-
cises, whether you are learning MI yourself, teaching it in groups, or supervising practitio-
ners. As Dr. Rosengren himself is careful to point out, this workbook is not a replacement
for broader reading and training in MI, but it can be a good place to begin. For those with
a “hands-on” aptitude, this workbook will be an especially welcome immersion in the MI
method and a friendly companion to the third edition of the MI text.
This workbook, and in fact the practice of MI more generally, owes a great deal to the
Motivational Interviewing Network of Trainers (MINT; www.motivationalinterviewing.
org), which has provided a professional home for those interested in excellence in the teach-
ing and quality assurance of MI, including Dr. Rosengren, who has been a member since
its founding. Dr. Rosengren’s natural talent for training, combined with his generosity in
sharing his ideas with others, has resulted in the workbook you are about to read. You are
in excellent hands!
Stephen Rollnick, William R. milleR, and theReSa B. moyeRS
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Description:Many tens of thousands of mental health and health care professionals have used this essential training resource--now significantly revised with 70% new content reflecting important advances in the field--to develop and sharpen their skills in motivational interviewing (MI). Clear explanations of co
