Motivational Interviewing across Cultures. Optimizing Practice

This pragmatic guide describes tested ways to adapt motivational interviewing (MI) to optimize outcomes when practitioner and client come from different cultural backgrounds; in particular, when clients are members of marginalized groups. Using rich examples and sample dialogues, Christina S. Lee shows how affirming a client’s cultural identity is part and parcel of MI’s humanistic, person-centered mindset. The book provides instruction on key therapeutic tasks, such as strengthening rapport, asking about culture without stereotyping, and inquiring about experiences of stigma and discrimination in a way that increases motivation to change. Links between social and structural determinants of health, sociocultural stressors, mental health disparities, and substance use are highlighted. Special features include “Pause and Consider” sidebars and end-of-chapter key takeaway points.

This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

CONTENTS

I. What Is Culturally Adapted Motivational Interviewing?
1. What Is Cultural Adaptation?
2. The Therapeutic Stance of Culturally Adapted Motivational Interviewing
3. Why Stigma, Discrimination, and Identity?
II. Culturally Adapted Motivational Interviewing in Practice
4. Optimizing Engaging
5. Optimizing Focusing
6. Optimizing Evoking for Change
7. Optimizing Planning to Strengthen Commitment to Change
III. How to Use This Book
8. A Summary and a Note of Encouragement
9. The Scholarly Underpinnings of Culturally Adapted Motivational Interviewing and Looking Ahead
Glossary of Culturally Adapted Motivational Interviewing Terms
References
Index