Motivational Interviewing across Cultures

Christina Lee, PhD, is Associate Professor in the Clinical Practice Department at Boston University School of Social Work. A licensed psychologist, she conducts research on health inequities and disparities, clinical intervention, and cultural adaptation of treatments, addressing structural determinants and sociocultural stressors to improve outcomes in substance use treatment. Dr. Lee is a member of the Motivational Interviewing Network of Trainers (MINT). She is Senior Editor of the Journal of Studies on Alcohol and Drugs and serves on the editorial boards of Alcohol Research: Current Reviews and the Journal of Consulting and Clinical Psychology. Her Boston University-based course on Substance Use and Treatment frames substance use treatment as a social justice issue.

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

"Lee brings her considerable clinical and research experiences to life in this book, providing communication tools and case examples from counseling and medical settings. Practitioners and graduate students will find this book useful as a companion to other MI resources or as a stand-alone guide. It could be used as a text in counseling, multicultural practice, health communication, and substance use treatment courses. Lee addresses and gives examples of anti-racist practice, practitioner self-reflection, client experiences of stigma and discrimination, and how to optimize the use of MI skills, such as affirmations. Her focus is seeing the client as a whole person in their cultural context--not just their presenting concerns."--Melinda Hohman, PhD, MSW, School of Social Work (Emeritus), San Diego State University "I have been waiting for a book like this! For too long, researchers and clinicians have been left to make cultural adaptations on their own. This book guides cultural adaptation with specific examples and theoretical guidance, while avoiding stereotypes. Lee writes in a pragmatic, conversational tone, tying together foundational humanistic writings and recent research to optimize MI for use with diverse and marginalized people. She shares ways to deeply affirm people's identities to empower them to contemplate their unhealthy behaviors, which facilitates hope and positive change. This book should be required reading in health care and counseling."--Kamilla L. Venner, PhD, Ahtna Athbascan Tribal member; Department of Psychology and Center on Alcohol, Substance use, and Addiction, University of New Mexico "An amazing resource for clinicians, supervisors, students, and others working to address the needs of diverse clients, couples, and families. Culturally adapted MI prioritizes what matters to clients, taking into consideration the whole person. Lee's expertise is present in every chapter as she draws from cutting-edge cultural theories and models and provides case examples that illustrate the power of her approach. This groundbreaking work will doubtless be invaluable for both graduate students and experienced clinicians."--Lisa A. Suzuki, PhD, Department of Applied Psychology, Steinhardt School of Culture, Education, and Human Development, New York University-