The definition of motivational interviewing (MI) has evolved and been refined since the first publications on its use as a way to deal with behaviour change. The technical therapeutic definition of motivational interviewing is a collaborative, and goal oriented method of communication with giving specific observation to the language of change. It is intended to reinforce an individual’s motivation for and development towards a particular objective by evoking and investigating the individual's own arguments for change (Miller & Rollnick, 2012). Motivational interviewing was created to enable clients to prepare for changing addictive behaviours like drug and alcohol abuse (Miller & Rollnick, 1991, 2002) and has been viable to lessen other harmful behaviours including tobacco, drugs, alcohol, gambling, treatment …show more content…
Coronary heart disease is a common term for the build-up of plaque in the heart’s arteries that could lead to heart attack (Coronary Heart Disease, 2017). Furthermore, there are many known coronary heart disease factors that can be controlled. These are high blood cholesterol, high blood pressure, diabetes and pre-diabetes, obesity, smoking, lack of physical activity, unhealthy diet and stress (Coronary Heart Disease Factors, n.d). The techniques of motivational interviewing are more persuasive than coercive and more supportive than argumentative. The motivational interviewer must advance with a firm sense of purpose, clear methods and skills for seeking that purpose, and a sense of timing to mediate in specific ways at quick brief periods of time (Miller and Rollnick, 1991). The clinician uses motivational interviewing on account of four general principles in mind. The key principles are to express empathy, avoid argument, roll with resistance and support self-efficacy (Treatment, C. for S. A.,
Changing Substance Use: What We Know And What We Need To Know." Annals Of Behavioral Medicine 37.2 (2009): 117-125. Academic Search Complete. Web. 6 Nov. 2011.
Steinglass, P. (2008). Family Systems and Motivational Interviewing: A Systemic-Motivational Model for Treatment of Alcohol and Other Drug Problems. Alcoholism Treatment Quarterly, 26(1/2), 9-29. doi:10.1300/J020v26n01_02
The Motivational Interviewing film was very informative. I was able to get a clear understanding of what is to be expected by the therapist during a session. The film explained the therapist should engage in reflective listening, develop a growing discrepancy, avoid arguing with clients, roll with resistance and support self-advocacy. Miller believed that this approach was far more effective than traditional methods, where the therapist pushed for change. In contrast, Miller explained that motivational interviewing focused on empowerment and helping clients to become motivationally driven to change. Also, Miller stressed the importance of working alongside clients, a term he referred to as dancing. The process in which the client leads
The case scenario is of a homeless young guy named Jim who appears to have an intellectual disability. Jim is addicted to marijuana and abuses alcohol and has suicidal thoughts. He has anger control issues where he is known to verbally threaten others. He currently has a counsellor who he had established a therapeutic relationship. From these sessions, the counsellor has learned that Jim had been physically abused by his stepfather. From reading this case scenario about Jim, it is evident that he would benefit from several different approaches or interventions including motivational interviewing and cognitive behavioural therapy.
Rebecca Kreman, Bernice C. Yates, Sangeeta Agrawal, Kathryn Fiandt, Wayne Briner, Scott Shurmur, The effects of motivational interviewing on physiological outcomes, Applied Nursing Research, Volume 19, Issue 3, August 2006, Pages 167-170, ISSN 0897-1897, DOI: 10.1016/j.apnr.2005.10.004.
What is Motivational Interviewing? Motivational interviewing (MI) is a patient-centered method for enhancing intrinsic motivation to change health behavior by exploring and resolving ambivalence. What will be discussed is how can organizations help the patients change negative behavior to a positive behavioral change, diminishing the lack of motivational behavior. (Miller & Rollnick, 2002) states that we have to help clients overcome their ambivalence or lack of motivation toward changing their behavior in positive way. Also, figuring out a solution on how to overcome this negative behavioral challenge of lack of intrinsic motivation to change. How will we overcome it? by focusing on the MI (Motivational Interviewing) approach, and finding
This literature review considers whether the practice of harm reduction strategies is a promising alternative to traditional substance abuse interventions that employ abstinence orientated strategies by addressing the following:
People with addiction may seek counseling to help them recover from drug usage. Using motivational interviewing can help find out how motivated the client is to staying clean and what will encourage them to stay away from drugs. The clients also needs to see how the addiction is effecting their lives and the lives of their loved ones.
Katzenstein, Larry, and Ileana L. Pinã. Living with Heart Disease: Everything You Need to Know to Safeguard Your Health and Take Control of Your Life. New York: AARP/Sterling Pub. Co, 2007. Print.
The most important aspect of motivational interviewing is collaboration. The collaboration approach is when the counselor listens to the patient and determine how motivated they are to change their behavior. Most times the counselor chooses to agree with the patient’s choice because they believe that they will realize that they are making the wrong decisions eventually. There are a few ingredients that makes up the spirit of motivational interviewing and they are collaboration, evocation, and autonomy. Ambivalence is the biggest hurdle that patients must get over. This causes many problems such as being uncomfortable, and being uncomfortable causes up to stop doing the things you know you is
A big challenge that I will face is deciding which side I will take on a big debate in substance abuse counseling. Some people say that addiction is purely physical, while others disagree and believe that addiction is mostly psychological. Those who believe that it is psychological believe that it usually stems from abuse or as Jane Adams (2003) thinks an over dependence on parents. This side also says that addiction is operant conditioning and that cycle has to be broken (Silverman, Roll, & Higgins, 2008, p. 472). The other physical side of addi...
This experience helped me to recognize the internal struggle that a substance abuser faces on a continuous basis. In addition, I know that an individual can have a difficult time changing their behavior even when they have a strong desire to change; the smallest thing can cause a person to relapse.
A problem or issue from within my specialty that I feel needs to be improved on is empowering patients to participate more in exercise to lower their blood cholesterol level to treat hyperlipidemia. This issue of leading a sedentary lifestyle has a detrimental effect on one's life, and especially on one's cardiovascular health. This issues relates to the area of family nurse practitioner, because my plan after graduation is to work in the primary care setting. Working as a primary care provider, treating hyperlipidemia is a common practice that will be seen by all providers, and involves patients from all different stages in life. With the number of people being diagnosed with hyperlipidemia, and at younger ages, the effects of exercise
This paper will discuss what motivational interviewing is , who developed motivational interviewing and why it was developed. In addition, the most important aspects of motivational interviewing will be covered. Furthermore, the paper will discuss how I hope to use motivational interviewing in the future. At the conclusion of the paper the reader should have a better understanding of motivational interviewing.
Counseling Psychology is a specialty within the professional psychology that maintains a focus on facilitating personal and interpersonal function across the life span. Those who are Counseling Psychology focuses on the clients emotional, social vocational, education health-related, developmental, and organizational concerns.