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Handbook of Motivation and Change: A Practical Guide for Clinicians

by Petros Levounis and Bachaar Arnaout American Psychiatric Association Publishing
Pub Date:
Pbk 316 pages
AU$143.00 NZ$146.96
Product Status: Available in Approx 14 days
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Handbook of Motivation and Change: A Practical Guide for Clinicians is a busy clinician and rsquo;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 and mdash;an understanding that readers can flexibly apply to address patients and rsquo; 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 and rsquo;s transtheoretical or stages of change model and 2) Miller and Rollnick and rsquo;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.' and mdash; Nada Stotland, M.D., M.P.H., Professor of Psychiatry, Rush Medical College, Chicago 'How do you deal with patients when their very disorder undermines their motivation for treatment? This book provides both theory and case examples for the clinician confronting this problem. Because of this, it is a valuable addition to the library of anyone who faces this quandary. So do make this book part of your library. You will have use for it.' and mdash; Marc Galanter, M.D., Professor of Psychiatry, and Director, Division of Alcoholism and Drug Abuse, NYU School of Medicine 'Motivational Interviewing is increasingly recognized as a critical skill in the fields of substance abuse, mental health, and beyond. For every clinician who and rsquo;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.' and mdash; 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 'Motivational interviewing, a directive relational style grounded in Rogerian and supportive psychotherapy, is an important skill that all clinicians should learn. This engaging book makes sound arguments as to why traditional paternalistic approaches to treatment engagement and adherence tend to fall flat, and how the hard work of increasing patients and rsquo; intrinsic motivation for change using this evidence-based intervention, pays off in a variety of situations. Unlike the typical, dry expository approach of clinical texts, Levounis and Arnaout have succeeded in engaging the reader to experience the continuum of motivational work using clinical situations that practitioners will recognize from their own experience and mdash;situations that the chapter authors address with clear expertise and which are anchored in the easily recognizable life experience of characters from film. This is an excellent textbook, which is actually fun to read.' and mdash; Richard N. Rosenthal, M.D., Professor of Clinical Psychiatry, Columbia University College of Physicians and Surgeons, Chairman, Department of Psychiatry, St. Luke and rsquo;s Roosevelt Hospital Center, NY. 'This is a wonderful, easy to read guide that will help any busy clinician whether she or he is a general psychiatrist, family practitioner, internist, or pediatrician who is interested in how to advise, counsel, motivate, and direct a patient into making a major life change. I highly recommend this book to any clinician seeing patients with a substance abuse problem or psychiatric disorder who are in denial of their illness. The physician is presented with an easy and ldquo;how to and rdquo; method of providing proper motivation to change in a patient who is in denial of their substance abuse problem or psychiatric disorder. This excellent book is filled with many case studies and practical suggestions on how to direct troubled patients through their various stages of change as originally presented in the Prochaska and DiClemente's Stages of Change Model. As an added treat, the book is fun especially if you are a movie buff because in each chapter the authors illustrate a clinical point through the presentation of a scene from a popular movie.' and mdash; Nicholas A. Pace, M.D., Clinical Associate Professor Medicine, New York University Medical Center, Fellow American Society Addiction Medicine, Diplomate America Board 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 mdash;and even more clinical wisdom and mdash;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 and mdash;this Handbook of Motivation and Change will prepare clinicians to and lsquo;get into action and rsquo; applying these approaches to the benefit of people under their care.' and mdash; Mike Miller, M.D., F.A.S.A.M., F.A.P.A., Director, American Board of Addiction Medicine and Immediate Past President, American Society of Addiction Medicine; Associate Clinical Professor, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 'Read this book and you clinical practice is certainly going to change and mdash;whether you treat addiction, depression, or any other psychiatric illness that requires motivation to change behavior. Motivational Interviewing is a wonderful technique, and it is even more fascinating when taught the way it is in this handbook. Superb structure, organization, and creativity, seem to have magically come together in this little volume making it an essential part of a clinician's library and a sheer delight to read.' and mdash; Analice Gigliotti, M.D., President, Brazilian Association on Studies of Alcohol and Other Drugs 'Levounis and Arnaout and rsquo;s Handbook of Motivational Interviewing is destined to become an indispensable guide in the navigational toolbox of all practitioners working with substance-abusing patients. The clinical examples in each chapter are frequently engaging and central to the Handbook and rsquo;s teaching narrative. Clearly and accessibly written, clinically illuminating and useful, both seasoned and beginning therapists will find much of value in this volume.' and mdash; Jack Drescher, M.D., Clinical Associate Professor of Psychiatry, New York Medical College 'Substance abusers who are ambivalent or not ready for change can be some of the most challenging clients, leaving clinicians feeling helpless and turning away patients, saying, and lsquo;Come back when you are ready. and rsquo; However, this invaluable book offers a powerful tool for therapists to help their clients become ready. Drs. Levounis and Arnaout have written an invaluable guide to Motivational Interviewing. Modern-day theories and data-supported practices are explained in clear, approachable language, and clinical vignettes demonstrate practical solutions to clinical scenarios that therapists in the field actually see. This book should be required reading for any clinician who sees substance abuse issues in his or her practice.' and mdash; Steven J. Lee, M.D., Addiction Specialist in Private Practice; Assistant Clinical Professor of Psychiatry, Columbia University College of Physicians and Surgeons, New York
Petros Levounis, M.D., M.A., is Director of the Addiction Institute of New York; Chief of the Division of Addiction Psychiatry at The St. Luke's and Roosevelt Hospitals; and Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons in New York, New York. Bachaar Arnaout, M.D., is Assistant Clinical Professor of Psychiatry at the Veterans Administration Connecticut Healthcare System and Yale University School of Medicine in New Haven, Connecticut.