Deliberate Practice in Motivational Interviewing

Jennifer K. Manuel, PhD, is deputy director of psychology at the San Francisco Veterans Affairs Health Care System and anassociate professor in the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. She has been a member of the Motivational Interviewing Network of Trainers (MINT) since 2005. She conducts MI training and coding workshops throughout the world. She has coauthored multiple MI behavioral coding systems including the widely used Motivational Interviewing Treatment Integrity (MITI) coding manual. Dr. Manuel’s research expertise is in the implementation and evaluation of MI in front-line clinical settings.   Denise Ernst, PhD, is an adjunct professor at the School of Social Work, Portland State University. She has been a motivational interviewing (MI) consultant for over 25 years, providing training, evaluation, research and implementation support, and private coaching internationally. Dr. Ernst has helped develop and refine MI coding instruments, including the Motivational Interviewing Skill Code (MISC) and the Motivational Interviewing Treatment Integrity (MITI) coding system. She participated in research efforts to enhance training effects, providing structured feedback and coaching for many professions. Dr. Ernst has been a member of the Motivational Interviewing Network of Trainers (MINT) since 1997. Alexandre Vaz, PhD, is director of training at the Sentio Marriage and Family Therapy graduate program and Sentio Counseling Center. He has authored many books on deliberate practice and psychotherapy training and is coeditor of the book series The Essentials of Deliberate Practice (APA Books). Dr. Vaz has held multiple committee roles for the Society for the Exploration of Psychotherapy Integration (SEPI) and the Society for Psychotherapy Research (SPR). He is founder and host of “Psychotherapy Expert Talks,” an acclaimed interview series with distinguished psychotherapists and researchers. Tony Rousmaniere, PsyD, is program director of the Sentio Marriage and Family Therapy graduate program, and executive director of the Sentio Counseling Center. He has authored many books on deliberate practice and psychotherapy training and is coeditor of the book series The Essentials of Deliberate Practice(APA Books). In 2017, Dr. Rousmaniere published the widely cited article in The Atlantic Monthly, “What Your Therapist Doesn’t Know.” Dr. Rousmaniere supports the open-data movement and publishes clinical outcome data at drtonyr.com. He is president of Division 29 of APA.

Series Preface
Tony Rousmaniere and Alexandre Vaz
Acknowledgments
Part I: Overview and Instructions
Chapter 1: Introduction and Overview of Deliberate Practice and Motivational Interviewing
Chapter 2: Instructions for the Motivational Interviewing Deliberate Practice Exercises
Part II: Deliberate Practice Exercises for Motivational Interviewing Skills
Exercises for Beginner Motivational Interviewing Skills
Exercise 1: Simple Reflections
Exercise 2: Complex Reflections, Part 1: Guesses at What the Client Means
Exercise 3: Complex Reflections, Part 2: Guesses at Underlying Client Emotions or Values
Exercise 4: Reflections and Open-Ended Questions
Exercises for Intermediate Motivational Interviewing Skills
Exercise 5: Eliciting Change Talk
Exercise 6: Reflecting Change Talk
Exercise 7: Double-Sided Reflections
Exercise 8: Dancing With Discord
Exercises for Advanced Motivational Interviewing Skills
Exercise 9: Simple and Complex Affirmations
Exercise 10: Autonomy Support
Exercise 11: Agenda Mapping
Exercise 12: Elicit–Provide–Elicit
Comprehensive Exercises
Exercise 13: Annotated Motivational Interviewing Practice Session Transcript
Exercise 14: Mock Motivational Interviewing Sessions
Part III: Strategies for Enhancing the Deliberate Practice Exercises
Chapter 3: How to Get the Most Out of Deliberate Practice: Additional Guidance for Trainers and Trainees
Appendix A: Difficulty Assessments and Adjustments
Appendix B: Deliberate Practice Diary Form
Appendix C: Sample Motivational Interviewing Syllabus With Embedded Deliberate Practice Exercises
References
Index
About the Authors