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Working the Difference: Science, Spirit, and the Spread of Motivational Interviewing

by E. Summerson Carr

How a counseling method became a widely shared form of expertise

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Paperback New English

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AlbakiReads Editorial

How a counseling method became a widely shared form of expertise

E. Summerson Carr traces motivational interviewing from its origins in alcohol treatment into fields including corrections, medicine, and sanitation. The book treats MI not only as a behavioral therapy but also as a professional practice and conversational approach centered on eliciting a person’s own reasons for change. By following its training and dissemination, Carr examines the broader processes through which techniques, professional knowledge, and cultural forms circulate. The discussion connects MI’s expansion to American ideas about individual autonomy, free speech, Protestant ethics, and pragmatism, placing a familiar counseling method within a wider social and intellectual history.

Good fit for readers who enjoy

  • Readers interested in psychotherapy and counseling methods
  • Students of medical anthropology, sociology, or professional expertise
  • Those curious about how therapeutic practices spread across institutions

Themes

Motivational interviewingBehavior changeProfessional training and expertiseAmerican cultural valuesTherapy across institutions

Based on publisher information and book metadata.

Book overview

A history of motivational interviewing and what its rise reveals about how cultural forms emerge and spread.

Motivational interviewing (MI) is a professional practice, a behavioral therapy, and a self-professed conversation style that encourages clients to talk themselves into change. Originally developed to treat alcoholics, MI quickly spread into a variety of professional fields including corrections, medicine, and sanitation. In Working the Difference, E. Summerson Carr focuses on the training and dissemination of MI to explore how cultural forms--and particularly forms of expertise--emerge and spread. The result is a compelling analysis of the American preoccupations at MI's core, from democratic autonomy and freedom of speech to Protestant ethics and American pragmatism.
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