Drs. Bill Miller and Steve Rollnick have published a new edition of their bestselling psychotherapy book, Motivational Interviewing . Similar to past editions, this is not just a minor update. Every time that Miller and Rollnick revise their work, they seem to sit down with a blank screen and start to explain their method from scratch, resulting in a completely new book about motivational interviewing. So what's in the new version? One update in the 3rd edition was the introduction of 4 "tasks" of motivational interviewing: engaging, focusing, evoking, and planning. In the new 4th edition, these tasks have become the overarching structure of the book, with a chapter on each one. Other frameworks, like the "MI micro-skills" of OARS (open-ended questions, affirmation, reflection, summarizing) are subsumed into the four tasks (OARS is in the "evoking" chapter now). The new book flows in a way that prior editions didn't always -- they more often had co...
I wrote previously about my colleague Dr. Mustafa Ozkaynak's study of fatigue among emergency-room nurses, which showed how fatigue impairs decision-making, especially at the level of the Narrative Mind. In a new paper that we published from the same dataset, Dr. Ozkaynak's team examined psychometric properties of the Swedish Occupational Fatigue Inventory (SOFI). We found that the emergency-room nurses' experience of fatigue was a good fit with what people have reported in other occupational contexts, with 4 different aspects of fatigue: (a) lack of motivation, (b) physical discomfort, (c) sleepiness, and (d) an overall "lack of energy" scale that both encompasses the other 3 elements of fatigue and also has some unique items associated only with lack of energy. We tested whether 2 additional items from another tool, which are generally understood to measure (e) mental fatigue, would be a meaningful addition to the SOFI, but in this case they were not -- either ...