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Handbook of Motivation and Change

Handbook of Motivation and Change
A Practical Guide for Clinicians

Edited by Petros Levounis, M.D., M.A., and Bachaar Arnaout, M.D.
2010
316 pages
ISBN 978-1-58562-370-9
Paperback Also Available In: eBook
Item #62370



Handbook of Motivation and Change: A Practical Guide for Clinicians is a busy clinician’s guide to Motivational Interviewing. With a special focus on substance use disorders and addiction, this unique handbook equips readers with a full understanding of the Motivational Interviewing approach—an understanding that readers can flexibly apply to address patients’ issues of motivation and change even beyond substance use.

A multidisciplinary book, written by more than 20 practitioners of different psychotherapies who employ motivational work, this volume features a collection of case studies punctuated by movie references that illustrate discussed concepts, practical suggestions for treatment and trainee supervision, and summary key points and multiple-choice questions for readers. Authors focus on interventions ranging from psychopharmacology to support groups like Alcoholics Anonymous, zero in on the unique challenges of treating patients at various stages of their lives, examine how motivational work can change a culture, and discuss the evidence base of this effective and compelling therapy. The practical reach of this handbook will appeal not only to the general psychiatrist but to family practitioners, internists, pediatricians, medical students, and allied professionals. More than a how-to manual, this book provides clinicians with expert insight and information that will help them meet their patients in the midst of the very real challenges of motivation and lasting change.

This handbook:


  • Provides actual case studies written by psychiatrists working directly with patients with substance use disorders.
  • Is built on the main theoretical platforms of two ground-breaking innovations in addiction treatment: 1) Prochaska and DiClemente’s transtheoretical or stages of change model and 2) Miller and Rollnick’s Motivational Interviewing.
  • Explores the fundamentals of motivation and change, the stages of those changes, and how to treat patients at various stages of change.
  • Reviews the intersection of motivational work with other interventions from psychopharmacology to Alcoholics Anonymous.
  • Details the unique challenges of treating patients throughout the life cycle, including adolescents and older adults.

Handbook of Motivation and Change: A Practical Guide for Clinicians is accessible to both clinicians with an interest in substance use disorders and to clinicians who do not have specialized knowledge or expertise in addiction treatment. Its 16 chapters are augmented by two appendixes featuring Internet resources and movie listings that demonstrate a wide range of addiction- and change-related topics.

This handbook will be a well-used diagnostic reference in the library of any professional seeking a better understanding of motivational work and the treatment of substance use disorders.

Contributors. Preface. Addiction treatment in context. Fundamentals of motivation and change. Precontemplation. Contemplation. Preparation. Action. Maintenance. Relapse. Working with dually diagnosed patients. Integrating addiction pharmacotherapy and motivational work. Integrating screening, brief intervention and referral to treatment with motivational work. Engaging in self-help groups. Adolescents. Older adults. Changing the culture. The science of motivational interviewing. Appendix 1: movie library. Appendix 2: helpful internet sites. Answer Guide. Index.
"Alcohol and substance abuse disorders change the brain's motivational system but motivation is crucial to the care of these common and devastating conditions. And how does the busy clinician learn to instill and support that crucial motivation? By reading this clear, comprehensive, concise, and thoroughly enjoyable book."—Nada Stotland, M.D., M.P.H., Professor of Psychiatry, Rush Medical College, Chicago

"Motivational Interviewing is increasingly recognized as a critical skill in the fields of substance abuse, mental health, and beyond. For every clinician who’s ever wondered why your best advice was not always followed, this book is for you! How do we engage our patients, recognizing the extent of their willingness to change? What are the unique challenges of the life cycle and the integration of motivational interviewing with other interventions? The mix of insightful case vignettes, complemented by a sampling of popular movies and television series, is both thought-provoking and entertaining. Practitioners, teachers, and trainees alike will appreciate the engaging format."—Nady el-Guebaly M.D., Professor and Head, Addiction Division, Department of Psychiatry, University of Calgary, Canada, Executive Medical Director, International Society of Addiction Medicine

"What a fun book! Levounis and Arnaout have assembled a wonderful collection of authors who present tons of evidence-based clinical science—and even more clinical wisdom—in an entertaining and engaging way. Reading the introduction and the first chapter makes you want to read more. Most physicians are contemplative or precontemplative about how they can motivate their patients to change unhealthy behaviors—this Handbook of Motivation and Change will prepare clinicians to ‘get into action’ applying these approaches to the benefit of people under their care."—Mike Miller, M.D., F.A.S.A.M., F.A.P.A., Director, American Board of Addiction Med & Immediate Past President, American Society of Addiction Med; Assoc Clinical Prof, Univ of Wisconsin School of Med

Michelle Acosta, Ph.D.
Bachaar Arnaout, M.D.
Ileana Benga, M.D.
Benjamin Cheney, M.D.
Christopher Cutter, Ph.D.
David A. Fiellin, M.D.
Georgia Gaveras, D.O.
Marianne T. Guschwan, M.D.
Deborah L. Haller, Ph.D., A.B.P.P.
Jennifer Hanner, M.D., M.P.H.
Karen Ingersoll, Ph.D.
Gary P. Katzman, M.D.
Petros Levounis, M.D., M.A.
Steve Martino, Ph.D.
Daniel McMenamin, M.D.
Edward V. Nunes, M.D.
Paul J. Rinaldi, Ph.D.
Stephen Ross, M.D.
Daryl I. Shorter, M.D.
Ramon Solhkhah, M.D.
Jose P. Vito, M.D.
Christopher Welsh, M.D.
Susan D. Whitley, M.D.
Petros Levounis, M.D., M.A., is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons, Director of the Addiction Institute of New York, and Chief of the Division of Addiction Psychiatry at The St. Luke’s and Roosevelt Hospitals in New York, New York.

Bachaar Arnaout, M.D., is Assistant Clinical Professor of Psychiatry at Yale University School of Medicine, VA Connecticut Healthcare System in West Haven, Connecticut.