1. Response to Moyers
• Dissemination of MI – reaching its peak
• Importance of the clinician in dissemination
• Having empathy is crucial
• Measuring empathy is difficult
• Very encouraging that empathy can be
improved with training
• Questions about how to screen for empathy
• Technical versus relational; still just a
theory?
• How do we know empathy is the most
important thing to screen and train?
• Maybe good clinicians are born, not made

2. The diffusion of innovations according to
Everett Rogers. With successive groups of
consumers adopting the new technology
(shown in blue), its market share (yellow)
will eventually reach the saturation level.

3. Scholarly Publications Per Year :
Motivational Interviewing
Annual
200
180
160
140
120
100
80
60
40
20
0 1
3
5
7
9
83
85
87
89
91
93
95
97
99

4. Annual
200
180
160
140
120
100
80
60
40
20
0 1
3
5
7
9
83
85
87
89
91
93
95
97
99

5. Importance of the Clinician:
Is empathy the most important thing?

6. How to measure Empathy effectively?
Global rating ICC
Acceptance .47
MI Spirit .68
Empathy .24
(Minimum acceptable cutoff is .40)
Unpublished data from recently completed coding study, Apodaca et al.