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. Manuels 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 cofounder and director of training of the Sentio Counseling Center. He provides deliberate practice workshops and clinical training and supervision around the world. Dr. Vaz is the author/coeditor of many books on deliberate practice and psychotherapy training and two book series: The Essentials of Deliberate Practice (APA Books) and Advanced Therapeutics, Clinical and Interpersonal Skills (Elsevier). He has held multiple committee roles for the Society for the Exploration of Psychotherapy Integration (SEPI) and the Society for Psychotherapy Research (SPR). Dr. Vaz is founder and host of Psychotherapy Expert Talks, an acclaimed interview series with distinguished psychotherapists and researchers. Tony Rousmaniere, PsyD, is cofounder and executive director of the Sentio Counseling Center. He is the author/coeditor of many books on deliberate practice and psychotherapy training and two book series: The Essentials of Deliberate Practice (APA Books) and Advanced Therapeutics, Clinical and Interpersonal Skills (Elsevier). Dr. Rousmaniere is incoming president of Division 29 of the American Psychological Association. In 2017, he published the widely cited article in The Atlantic Monthly, What Your Therapist Doesnt Know. Dr. Rousmaniere supports the open-data movement and publishes clinical outcome data on his website drtonyr.com.

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: ElicitProvideElicit 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