Motivational Cognitive Behavioural Therapy: Distinctive Features, 1st Edition (Paperback) book cover

Motivational Cognitive Behavioural Therapy

Distinctive Features, 1st Edition

By Cathy Atkinson, Paul Earnshaw


172 pages

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This informative and straightforward book explores the emergence of motivational interviewing (MI) and cognitive behavioural therapy (CBT), with specific attention given to the increasing focus on the central importance of the therapeutic alliance in improving client outcomes.

Comprising 30 short chapters divided into two parts – theory and practice – this entry in the popular "CBT Distinctive Features Series" covers the key features of MI-informed CBT, offering essential guidance for students and practitioners experienced in both MI and CBT, as well as practitioners from other theoretical orientations who require an accessible guide to this developing approach.


"Are there ways of improving engagement with psychological treatment like CBT? Any counsellor, therapist, manager or policy-maker interested in this question will find this book a breath of fresh air. It breaks down the barriers between treatment approaches to consider how motivational interviewing might be integrated with CBT. The useful practical details are here, along with an openness to innovation that will serve our clients well. As such, this book is ground-breaking."

- Stephen Rollnick, Professor of Clinical Psychology at Cardiff University and co-founder of Motivational Interviewing

Table of Contents

Introduction Part 1: The Distinctive Theoretical Features of MICBT 01. The history of motivational interviewing 02. Defining MICBT 03. MI theory 04. The implications of theory for MICBT practice 05. MICBT and Rogerian counselling 06. Self-determination theory and MICBT practice 07. MICBT and the transtheoretical model 08. The Spirit of MI 09. The Principles of MI 10. Evidence for the effectiveness of MICBT 11. Mechanisms for change 12. Relational and technical components of MICBT 13. Client perspectives 14. Differences and similarities between MI and CBT 15. MI, CBT and other approaches Part 2: The Distinctive Practical Features of MICBT 16. Avoiding the righting reflex 17. MI Processes – 1. Engaging 18. MI Processes – 2. Focusing 19. MI Processes – 3. Evoking 20. MI Processes – 4. Planning 21. MI Skills – 1. Open questions 22. MI Skills – 2. Affirmations 23. MI Skills – 3. Reflections 24. MI Skills – 4. Summaries 25. Exploring values, goals and aspirations 26. Providing information 27. Practice frameworks and the Menu of Strategies 28. Training and fidelity in MICBT 29. Systemic factors in MICBT 30. Ethical practice in MICBT

About the Authors

Cathy Atkinson is Curriculum Director of the Doctorate in Educational and Child Psychology programme, and a Senior Lecturer at the University of Manchester, UK. She is also a registered practitioner educational psychologist, specialising in therapeutic approaches for students accessing alternative provision for social, emotional and mental health difficulties, and co-founder of the Manchester Motivational Interviewing Network, which seeks to promote and support multiagency MI practice across the north-west of England.

Paul Earnshaw is a Senior Psychological Therapist working for Greater Manchester Mental Health NHS Foundation Trust. He is an active member of the Motivational Interviewing Network of Trainers (MINT) and has developed and contributed to workshops and symposiums in that forum. His long-standing interest and practice has been on the integration of CBT and MI. He is also a co-founder of the Manchester Motivational Interviewing Network.

About the Series

CBT Distinctive Features

This exciting new series asks leading practitioners and theorists of the main CBT therapies to write simply and briefly on what constitutes the main features of their particular approach.

Each Distinctive Features book will highlight the thirty main features – practical and theoretical – of its respective approach. The series as a whole will be essential reading for psychotherapists, counsellors, clinical and counselling psychologists of all orientations who wish to learn more about the range of new and developing cognitive-behavioural approaches.

Learn more…

Subject Categories

BISAC Subject Codes/Headings:
PSYCHOLOGY / Mental Health
PSYCHOLOGY / Movements / Cognitive Behavioral Therapy (CBT)