Editor's recommendation
Doctor-patient relationship is a best seller. Since its publication, this book has been widely praised by the medical community. Not only has it been highly praised by experts from Johns Hopkins University, Massachusetts University and other well-known universities, but it has also been strongly recommended by many medical journals. It has been translated into French, German, Japanese, Korean and Dutch 12 languages.
This book introduces a practical, efficient and easy-to-master doctor-patient communication method to doctors, nurses, psychological counselors, dentists, social workers, physiotherapists and other medical practitioners, which can comprehensively improve patients' treatment and change their motivation, and make the consultation process full of humanistic care, smooth and efficient, and get twice the result with half the effort!
Xia Hong and Professor Wei Jing from the Department of Psychological Medicine of Peking Union Medical College Hospital translated their feelings. Professor Yu Xin, Dean of Peking University Sixth Hospital, sincerely recommends it!
Content recommendation
Motivational interview is a kind of communication method between doctors and patients, which can effectively improve patients' physical condition by stimulating their own motivation to change their behavior and compliance with treatment. In the medical field, it is especially suitable for strengthening patients' self-management of chronic diseases and making decisions that are beneficial to their health (such as losing weight, exercising, quitting smoking, taking medicine according to doctor's advice, etc.). ). This breaks the invalid cycle of doctors trying to persuade patients to stop without taking action, thus really improving the treatment efficiency and promoting the establishment of a harmonious doctor-patient relationship. This method has been widely used in many fields, such as heart disease, hypertension, diabetes, chronic obstructive pulmonary disease, obesity, dental disease, substance addiction and public health education.
This book is specially written for doctors, nurses, nutritionists and other medical workers. Starting from the typical puzzles and problems encountered in clinic, combined with rich clinical dialogues and treatment cases, this paper introduces in detail the application of the core technology of motivational interview in clinic step by step.
Brief introduction of the author
Dr Stephen Rollnick is a clinical psychologist and professor of medical communication in the Department of Primary Care and Public Health, Cardiff University, Wales, UK. He worked in a grass-roots clinic for 16 years, and then became a teacher and researcher of communication courses. Dr. Rollnick has published many books on motivational interviews and health behavior changes, and has a special interest in difficult counseling in health and social care. His papers have been published in a large number of scientific journals and have guided medical personnel and trainers in many countries around the world.
Dr William r miller, emeritus professor of psychology and psychiatry, university of new Mexico, USA. He joined the faculty of the University of New Mexico on 1976. Head of clinical training of doctoral program in clinical psychology certified by American Psychological Association, University of New Mexico, and deputy director of Research Center on Alcohol, Substance Abuse and Addiction, University of New Mexico. Dr. Miller's publications include 35 books and more than 400 articles and chapters. He introduced the concept of incentive interview in an article published in 1983. Institute for scientific information confirmed that he is one of the most cited scientists in the world.
Christopher C. Butler, MD, head of the Department of Primary Health Care and Public Health, Cardiff University, UK, and professor of primary health care. He received medical training at the University of Cape Town and clinical epidemiology training at the University of Toronto. Under the guidance of Stephen Rollnick, he developed and evaluated behavior change counseling during his Ph.D., and made a qualitative study on patients' views on clinicians' advice to quit smoking. Dr. Bultler has published more than 70 articles, mainly about health behavior changes and common infections. He practiced general practice in a former coal mining town in South Wales.
Brief introduction of translator
Xia Hong, Deputy Chief Physician and Associate Professor, Department of Psychological Medicine, Peking Union Medical College Hospital. He is currently a member of the Psychosomatic Medicine Branch of the Chinese Medical Association, a member of the Geriatric Psychiatry Branch of the Chinese Medical Association, and a standing member of the Psychosomatic Medicine Branch of the Beijing Medical Association.
Wei Jing, chief physician, professor of clinical psychiatry and neurology. Director, Department of Psychological Medicine, Peking Union Medical College Hospital. Head of Department of Mental Health, Peking Union Medical College. He is currently a member of Psychiatry Branch of Chinese Medical Association, chairman of Psychiatry Branch of Chinese Medical Association, chairman-designate of Psychosomatic Branch of Beijing Medical Association, vice-chairman of Psychosomatic Committee of China Mental Health Association, the fifth editorial board of China Psychiatry Journal, the fourth editorial board of China Mental Health Journal and the first editorial board of China Medical Humanities Journal.
catalogue
The first part is behavior change and motivation interview.
Chapter 65438 +0 Motivational Interview: Principles and Evidence
The second chapter is how to integrate motivational interviews into the practice of medical and health institutions.
The second part is the core technology of motivational interview.
Chapter 3 Interview with Practical Motivation
Chapter 4 Asking
Chapter V Listening
Chapter VI Notice
The third part brings together all the contents.
Chapter VII Technology Integration
The eighth chapter is about the case of guiding mode.
Chapter IX Do a good job in guiding the work
Chapter 10 outside consultations
Postscript guides your map.
Appendix A Interview on Further Learning Motivation
Appendix b motivation interview research references
order
This book is written for medical staff who take the time to encourage patients to think about behavior changes. The list of these people is long: nurses, doctors, nutritionists, psychologists, consultants, health educators, dentists, oral hygienists, social workers, physical and occupational therapists, podiatrists and sometimes even office operators. The list of behaviors that need to be changed is also long: smoking, dieting, exercising, changing drugs, drinking alcohol, drinking liquid, learning new facilities, using new assistive devices, using service facilities and so on.
It is the medical staff who make us pay attention to the potential of motivational interviews in health institutions. The patients they see every day can greatly improve their health through behavior changes. But usually, their patients don't ask for help. Medical staff should try their best to encourage, persuade, persuade or advise patients to make changes. However, they rarely receive training and preparation to promote healthy behavior changes, and often only have a few minutes to do these tasks for patients when they have to deal with many other clinically necessary tasks at the same time. We have heard many difficulties, setbacks and practical limitations from front-line medical staff:
? I told them what to do again and again, but they didn't do it at all. ?
? My job is to tell them the truth, which is all I can do. ?
? These people lead a very hard life, and I understand why they smoke. ?
? I am not a psychotherapist; I must diagnose and treat internal diseases. ?
? Some of my patients completely deny their problems. ?
We found that everyone has high enthusiasm (sympathy) to understand the plight of patients and how to best deal with them.
When we first described motivational interviews, our target was psychotherapists, focusing on patients with alcohol or other drug problems. These patients have stubborn behavior change problems, and their lives are often on the verge of collapse. Although alcoholism and drug abuse can lead to disastrous consequences, their ambivalence about change is still very obvious. We soon found that it was not effective to give a speech to these contradictory people, argue with them and issue warnings. With the passage of time, we have developed a gentler way, that is, motivational interview, which focuses on helping these people talk about and solve their ambivalence about behavior change through their own motivation, energy and commitment.
In the publication of Motivational Interview? Interview, Miller & Shortly after the first edition of Rollnick (199 1) was published, we and others found that this method can obviously be used in other fields besides addiction. In fact, the ambivalence of behavior change not only exists in addictive behavior, but also is a characteristic of human beings. At present, most medical and health services include helping patients cope with their chronic diseases, and lifestyle changes can greatly affect the results. Nevertheless, patients often refuse well-meaning persuasion to change them. This is of course a limit to what medical staff can do, but it also means that there is still potential for change. Of course, the motivation for change is best to guide, not to impose. A well-intentioned, respectful and effective dialogue about behavior change obviously has room for survival in many medical and health institutions.
Within a few years, publications have used motivational interviews to deal with hypertension, diabetes, obesity, heart disease, drug compliance and a series of mental and psychological problems. There are now more than 160 randomized clinical trials on motivational interviews, and the publications on this method are doubled every three years (see www.motivationalinterview.org).
Now, we will teach medical staff in different fields to learn motivation interview. Family doctors and medical staff in cardiology, cognitive rehabilitation, nephrology, diabetes care, physical therapy, fitness coaching, dental care, mental health counseling, speech or speech therapy and public health education all use motivational interviews. For us, the challenge is to find a way for medical staff to apply motivational interviews in noisy daily clinical practice.
To this end, we first wrote a book called "Healthy Behavior Change" (Rollnick, Mason,&; Butler, 1999). In order to avoid simplifying the motivational interview beyond recognition, we avoid mentioning the word motivational interview in this book. This book only describes some effective and practical strategies, most of which are formulated in medical and health institutions and follow the basic essence of motivational interviews? Establish a harmonious relationship and help patients explore and solve their ambivalence about change.
Along the same path, the team of researchers developed and tested a large number of variants of motivational interviews scattered in many institutions and problem areas. At this point, "Motivation Interview" (Miller &; Rollnick, 2002) was published in the second edition, with some adaptations and some terms, such as short negotiation, behavior change consultation and behavior? Check? And a short motivational interview. Behind this is the same view about activating the patient's own motivation for behavior change.
This book comprehensively expounds how to bring the core of motivational interview into daily clinical medical and health practice. Few medical staff have the time, need or enthusiasm to become psychotherapists. Our goal is to provide sufficient and basic methods for motivational interviews, making them accessible, learnable, useful and effective in medical and health practice.
We try our best to grasp the essence of this method and avoid resorting to unfamiliar technical terms. In this book, we use the metaphor of the guide. The guidance we suggest is something that people will naturally use when helping others in their daily lives, especially when people need to change their behavior or learn new skills. Have we compared this way with the other two ways of daily communication? Guide and follow? A comparison was made. Indications occupy a favorable position in medical and health practice, but just as in addiction treatment in 1970s and 1980s, it also has the same predictable problems and limitations. The art of skilled instruction is often lost in the busy rhythm of modern medical care. Some people think that there is no time to do this in health care. However, we believe that the guidance mode is most likely to bring better results to patients and medical staff when the time is very short and the behavior change is very important.
This simple starting point includes a lot of training and practice. Incentive interview is a concise and technical guidance process. Skilled medical staff can flexibly change between instruction, guidance and follow-up according to the needs of patients. In other words, motivational interviews are not a substitute for the communication skills you have developed, but a supplement to them.
You can keep learning and improving this method throughout your career. It is so accurate because you can learn from your patients. Once you know what you want to hear, consulting each patient becomes an opportunity to learn and give feedback on how you are doing. After reading this book, you won't be proficient in the guiding method of motivational interview. On the contrary, if we write well, you will know how to learn through your own patients.
In the first part, we first provide an overview of motivational interview, its evidence base, and how to integrate it into broader medical care. So, we are interested in three ways of communication? Instruct, follow and guide? Describe and put forward three special core technologies? Ask, inform and listen. In the second part, we show how to improve and use these skills under the guidance of motivational interviews. In the third part, we provide some practical examples and guidelines to improve your adaptability and skills in using incentive interviews in practice. The last chapter explains how the environment of service institutions can promote the change of health behavior besides individual counseling.
Dr. Stephen Ronicke
Dr william miller.
Christopher Butler, M.D.
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