Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation ›...
-
Upload
edwina-mosley -
Category
Documents
-
view
212 -
download
0
Transcript of Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation ›...
![Page 1: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/1.jpg)
Motivational Interviewing in Psychology
Ursula Bowling, PsyD
![Page 2: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/2.jpg)
The Spirit of Motivational Interviewing
Collaboration› A non-hierarchical partnership› Focus on mutual understanding
Evocation› Supporting client in discovering own
motivation for change Autonomy
› Clients capable of and responsible for making change
› There’s lots of ways to make change
![Page 3: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/3.jpg)
4 Key Principles of MI Express Empathy
› Working to see world as the client sees it Support Self-Efficacy
› A basic belief that people can change. Focus on skills and strengths
› Instilling hope that people can reach goals Roll with Resistance
› Resistance emerges when clients worldview not seen or autonomy threatened
› Avoid the “righting reflex” Develop Discrepancy
› People change when they see the gap between where they are and where they want to be
![Page 4: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/4.jpg)
OARS Skills Open-Ended Questions
› Invite elaboration and thinking Affirmations
› Recognize client strengths Reflections
› Focus on negatives of status quo and positives of change
Summaries› A special, extended reflection
![Page 5: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/5.jpg)
Listening for Change Talk
Preparatory Change Talk (DARN)› Desire (want to)› Ability (can)› Reason (it’s important)› Need (I should change)
Implementing Change Talk (CAN)› Commitment (I will)› Activation (I am ready & prepared)› Taking Steps (I am taking specific steps)
![Page 6: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/6.jpg)
Vignettes
For each vignette, lets consider: › Potential barriers to the spirit and
principles of motivational interviewing› Ideas for overcoming these barriers› Signs of change talk› How you might implement the MI skills
![Page 7: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/7.jpg)
Vignette #1 Susie is a 23 year old single mother
who is referred to you for court ordered therapy by DHS. Her 4 year old daughter is currently in foster care and Susie has just completed one month of inpatient drug and alcohol treatment. In order to regain custody of her daughter, she must complete counseling, submit to random UAs, enroll her daughter in child care and pass regular home visits.
![Page 8: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/8.jpg)
Vignette #2
Fred is a 22 year old student athlete on the honor roll who comes to see you at the counseling center reporting vague complaints of being “out of control” and having panic attacks. After a few sessions, he discloses that he has been using Ritalin he buys from a friend to help with his concentration and maintaining weight for wrestling. He has not told anyone about his substance use.
![Page 9: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/9.jpg)
Vignette #3
Susan is a 69 year old woman who comes to see you in a primary care mental health clinic. Her A1C levels are significantly elevated and medical records indicate she is not refilling her medications on a consistent basis. She reports that she is feeling fatigued and tearful and that the only thing which brings her joy is time with her grandchildren.
![Page 10: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/10.jpg)
Vignette #4
Jason comes to see you regarding his alcohol use. He states that he does not see his drinking as a problem, but that his wife “made him come.” He reports currently drinking 2-3 drinks/night and “partying” more on weekends.
![Page 11: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/11.jpg)
Vignette #5
Richard and Marlene come to see you for family counseling. They report that they need help “fixing” their son Jacob. Jacob is 15 and is frequently breaking curfew and speaking rudely to his parents. They report that they are currently managing this behavior by “giving him the what for.”
![Page 12: Collaboration › A non-hierarchical partnership › Focus on mutual understanding Evocation › Supporting client in discovering own motivation for change.](https://reader035.fdocuments.us/reader035/viewer/2022072014/56649e7e5503460f94b815b9/html5/thumbnails/12.jpg)
Vignette #6
Someone you’d love to change! How could you apply the principles of
motivational interviewing – both in technique and in spirit?