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Overall, motivational interviewing has a statistically and clinically meaningful effect on behavior change in roughly three out of four studies, and psychologists and physicians using it have a success rate of four in five. There aren’t many practical theories in the behavioral sciences with a body of evidence this robust. Motivational interviewing isn’t limited to professional settings— it’s relevant to everyday decisions and interactions. One day a friend called me for advice on whether she should get back together with her ex. I was a fan of the idea, but I didn’t think it was my place to tell her what to do. Instead of offering my opinion, I asked her to walk through the pros and cons and tell me how they stacked up against what she wanted in a partner. She ended up talking herself into rekindling the relationship. The conversation felt like magic, because I hadn’t tried to persuade her or even given any advice.* When people ignore advice, it isn’t always because they disagree with it. Sometimes they’re resisting the sense of pressure and the feeling that someone else is controlling their decision. To protect their freedom, instead of giving commands or offering recommendations, a motivational interviewer might say something along the lines of “Here are a few things that have helped me—do you think any of them might work for you?” You’ve seen how asking questions can help with self-persuasion. Motivational interviewing goes a step further, guiding others to self-discovery. You got a glimpse of it in action when Daryl Davis asked KKK members how they could hate him when they didn’t even know him, and now I want to unpack the relevant techniques in depth. When we try to convince people to think again, our first instinct is usually to start talking. Yet the most effective way to help others open their minds is often to listen. BEYOND THE CLINIC Years ago I got a call asking for help from a biotechnology startup. The CEO, Jeff, was a scientist by training; he liked to have all the necessary data before making a decision. After more than a year and a half at the helm, he still hadn’t rolled out a vision for the company, and it was in danger of failing. A trio of consultants tried to convince him to offer some direction, and he fired them all. Before the head of HR threw in the towel, she threw a Hail Mary pass and contacted an academic. It was the perfect time for a motivational interview: Jeff seemed reluctant to change, and I had no idea why. When we met, I decided to see if I could help him find his motivation to change. Here are the pivotal moments from our conversation: Me: I really enjoy being the guy who gets hired after three consultants get fired. I’d love to hear how they screwed up. Jeff: The first consultant gave me answers instead of asking questions. That was arrogant: how could he solve a problem before he’d even taken the time to understand it? The next two did a better job learning from me, but they still ended up trying to tell me how to do my job. Me: So why did you bother to bring in another outsider? Jeff: I’m looking for some fresh ideas on leadership. Me: It’s not my place to tell you how to lead. What does leadership mean to you? Jeff: Making systemic decisions, having a well-thought-out strategy. Me: Are there any leaders you admire for those qualities? Jeff: Abraham Lincoln, Martin Luther King Jr., Steve Jobs
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