Motivating the Unmotivated: A Treatment Model for Barebackers Jeffrey T. Parsons, PhD SUMMARY. Documented increases in sexual risk practices among gay and bisexual men and subsequent increases in HIV infection rates may be attrib- utable, in part, to barebacking. Current HIV prevention efforts fail to meet the needs of diverse gay and bisexual men and do not focus on harm-reduction techniques currently used by such men. Motivational Interviewing (MI), an intervention approach with demonstrated effectiveness across a wide variety of behaviors, may be useful for working with men who bareback. The general principles and strategies of MI are presented with examples of the application of this model to barebacking. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: <docdelivery@ haworthpress.com> Website: <http://www.HaworthPress.com>  2005 by The Haworth Press, Inc. All rights reserved.] Please note that this electronic prepublication galley may contain typographical errors and may be missing artwork, such as charts, photographs, etc. Pagination in this version will differ from the published version. Jeffrey T. Parsons is affiliated with the Center for HIV/AIDS Educational Studies and Training (CHEST), the Graduate Center and Hunter College, City University of New York. Address correspondence to: Jeffrey T. Parsons, PhD, Hunter College, 695 Park Av- enue, New York, NY 10021 (E-mail: jeffrey.parsons@hunter.cuny.edu). The author would like to acknowledge the invaluable assistance of the colleagues that have been instrumental in the development and implementation of Motivational Interviewing interventions targeting gay and bisexual men: Mary Marden Velasquez, Carlo DiClemente, Joseph Carbonari, Jon Morgenstern, Milton Wainberg, Thomas Irwin, Elana Rosof, and Bradley Thomason. [Haworth co-indexing entry note]: “Motivating the Unmotivated: A Treatment Model for Barebackers.” Parsons, Jeffrey T. Co-published simultaneously in Journal of Gay & Lesbian Psychotherapy (The Haworth Medical Press, an imprint of The Haworth Press, Inc.) Vol. 9, No. 3/4, 2005, pp. 129-148; and: Barebacking: Psychosocial and Public Health Approaches (ed: Perry N. Halkitis, Leo Wilton, and Jack Drescher) The Haworth Medical Press, an imprint of The Haworth Press, Inc., 2005, pp. 129-148. Single or multiple copies of this article are available for a fee from The Haworth Document Delivery Service [1-800-HAWORTH, 9:00 a.m. - 5:00 p.m. (EST). E-mail address: docdelivery@haworthpress.com]. Available online at http://www.haworthpress.com/web/JGLP  2005 by The Haworth Press, Inc. All rights reserved. doi:10.1300/J236v09n03_08 129