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1. Three key things that the authors of the readings came that social workers need to know to be able to be facilitators of change. Kennedy and Gregoire brought three key points to light. • Transtheoretical model (TTM), which “emphasizes the importance of attempting and then maintaining new behaviour in understanding motivation for change” (p.165). • self-determination theory (SDT) “addresses the source of motivation specifically by outlining a framework for understanding internal and external sources of motivation and the impact of each on treatment outcomes.” (p.166) • Motivational interviewing “recognizes that human behaviour, however irrational it might sometimes seem, has a function and recognizes that change is a difficult process …show more content…
Honestly, as an xsmoker, from an alcoholic family, I support this approach in treatment. Being on the receiveing end of a motivational program, I found it empowered me as an individual. Now on the opposing side, I can see only benefits from using this process. That being said, I don’t feel it should be used alone. Combinging with Cognitive Behaviour Theory (CBT), TTM and SDT will truly create an environment for change and sustainability for the client. 3. How would you take up the skills of Motivational Interviewing? Give examples. • I knew a girl who had an eating disorder who liked to walk. When she decided to talk, she asked people to walk with her. I was the only one who would I call it, “walk talk therapy” (I asked her to walk slower, on purpose – changing her pattern of behaviour. She wanted to talk, therefore she altered the behaviour – showing interest in change). • We walked and talked about silly things for the first 4 sessions. I then asked her what she really wanted to talk about. It was the food issue she had, in connection to exercise (Ok, she has opened the door to discuss the …show more content…
Her response was to break the cycle of walking, as it was driving her crazy. She was very shocked that I didn’t even attempt to talk about the eating issue, (supporting the clients choice of direction) • We discussed ways of breaking the walking cycle (CBT - every minute, stop for 5 sec, then walk again, or when you have the urge to walk, hold off for 30 second, or until it begins to feels a little unbearable, breathing techniques and trying to find the cause of the need to walk – she already had the answer, the eating disorder) • I didn’t want the not walking to create a panic attack or an anxious episode. Following this process, she began to regain power in her situation where she felt she had no power over the addiction. • As time went on, I would ask if she wanted to talk about the eating disorder. If she shunned away, I would tell her she didn’t have to talk about it, if SHE didn’t want to. I found this approach, created a bond, a safe place where she was more drawn to learning and understanding, and trying to change the thought process around the eating disorder and the addiction to
This interview should consist of open-ended questions to make Sara feel she is able to express herself in a manner she sees fit. To help a client, a clinician needs to be able to create rapport with a patient and creating an open conversation for Sara to express herself will help her let go of the refrigerator and have someone to confide in. As well this interview should include questions about how Sara feels about herself personally, how she feels about her body image, experiences or trauma she may have had pertaining to her body image and size, and her perceptions on the importance of being “skinny”. This interview will be the last factor determining whether Sara has Bulimia Nervosa. Bulimia Nervosa is linked to psychosis so more questions would need to be asked to see if Sara feels as if she is mentally flawed and she blames others for her flaws (Miotto et al., 2010). A test of Sara’s DNA would also be helpful in this case. Sara states that she was always large, in a taller sense, but given her obsession with bingeing and purging and possible weight size that has not been revealed, a simple thyroid test could determine whether issues with weight are possibly thyroidal and/or from bad lifestyle habits such as overeating. Current research has been done on the link between genetics and Bulimia Nervosa. Lewin and Carter (2014), state that neurotrophic factors are a group of proteins that supplement the growth and
Group facilitation is an art of surfacing and stimulating a constructive dialogue within a group of people and providing guidance towards the group’s purpose and goal (Fierro, 2016). My group’s facilitation process took place on Wednesday, November 2, 2016. The topic of the article we discussed was “Cognitive-behavioural and other psychological techniques in the dietetic consultation: Suggestions for practice”. This article focuses on the use of Cognitive-Behavioural Therapy (CBT) by dieticians in helping obese clients achieve their weight loss, physical activity and diet goals. There were 11 participants in attendance, seated in a circular formation.
The first part of this essay will be based on discussing the Egan Model and the Motivational Interviewing Models separately; describing what they are and how they work. Then a discussion on how they compare and how the models can be integrated into each other.
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
The first chapter outlines an approach to promoting behavioral change that will be expanded upon throughout the rest of the book. It introduces this approach by outlining three facts about change that many of us would not know or find to be surprising. The first is what looks like resistance is often a lack of clarity. The second is what looks like laziness is often exhaustion. The third is what looks like a people problem is often a situational problem. Chip Heath along with his brother Dan Heath believes in a basic three-part framework when it comes to behavioral change. Direct the rider, motivate the elephant, and shape the path. When used the right way this framework can be very important to individuals who want to make changes in their
Thompson-Brenner, Heather, Dana A. Satir, Debra L. Franko, and David B. Herzog. "Clinician Reactions to Patients With Eating Disorders: A Review of the Literature." Psychiatric Services 63.01 (2012): 73-78. Print.
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.
This is a type of intervention is where a practitioner helps their client change a behavior by encouraging self-motivation and positive change (Zastrow, 2013). Motivation interviewing (MI) involves the practitioner expressing empathy, rolling with resistance, developing discrepancy, and encouraging and supporting self-efficacy in clients (Zastrow, 2013). Practitioner use change talk to dismiss any misconception or negative belief on the target behavior as well use positive feedback to increase motivation in the client (Hardcastle, Blake, & Hagger, 2012). There are numerous studies that have shown that MI is associated with behavioral change. For example in Hardcastle, Blake, and Hagger (2012), trained lifestyle change facilitators in the UK implemented MI sessions that lasted 20 minutes each for 207 patients from low socioeconomic status that lived a lifestyle with little physical activity. On average each participant attended 2 sessions of MI over a 6 month intervention period. The study found that motivational interviewing as well as more MI sessions a patient attends can lead to an increase in physical activity, specifically in disadvantage communities with low levels of physical activity. The authors found that the best number sessions that people may need to attend to increase physical activity was around 4 to 5 MI sessions (Hardcastle, Blake, & Hagger,
Most people have an aspiration to get rid of a certain unhealthy behaviour or to employ a new health behaviour that would benefit their wellbeing. Some examples include a wish to stop smoking, eating a balanced diet or getting rid of a sedentary lifestyle. Many psychologists have been trying to find a model that would help people fight these kinds of unwanted health behaviours. One of such is the Transtheoretical model of behavioural change (TTM) which will be the main focus of this essay. Specifically, how one’s sedentary lifestyle can be changed by bringing out a systematic exercising routine using TTM.
Theories of Motivation What is the motivation for this? According to the text, motivation is defined as a set of factors that activate, direct, and maintain behavior, usually toward a certain goal. Motivation is the energy that makes us do things; this is a result of our individual needs being satisfied so that we have inspiration to complete the mission. These needs vary from person to person as everybody has their individual needs to motivate themselves.
Radovan, M. (2010). NEW PARADIGMS IN MOTIVATIONAL RESEARCH. International Journal Of Academic Manthey, G. (2012). An easy response to 'Why do I have to learn this?'. Leadership, 41(5), 15. Research, 2(2), 6-10.
The Transtheoretical Model is used to understand how individuals change health behaviors. Use of this model aids in developing interventions, appropriate for each stage of the change process. The model includes a total of six stages of change, which are: precontemplation, contemplation, preparation, action, maintenance, and termination (Glanz, Rimer, & Viswanath, 2015). During the precontemplation stage, individuals have no intentions of taking action to change their behaviors within the following six months. During the contemplation stage individuals have an intention to change their behavior within the next six months. Individuals of the preparation stage, intend to take action to change the health behavior within the next 30 days. Action
This theory was originally used to facilitated understanding process of behavioural change (Horwath & Morrison 2001). Originally used to understand the process of change for people that wanted to stop smoking, it is now applied and used with a wide range of problems. For example, treatment from a range of genetic concerns, domestic abuse and alcohol abuse which are linked to social work. For this case study It will be using the TTMC to support P develop her awareness of domestic
One theory of motivation is the self-determination theory (SDT), which highlights the significance of a person’s psychological needs in establishing self-motivation (Harakas, 2013). The idea is that if a person is motivated to accept, or even embrace change the organization will experience less resistance. Harakas (2013) reported that SDT suggests three human needs are fundamental to personal growth: relatedness, competence, and autonomy. To decrease resistance to change, an organization must find a way to relate the change to resistant employees, helping him or her recognize the benefits to the proposed change. Equally, if the plan for change is not adequately communicated to employees, this can lead to questions of competence, which is likely to increase
Motivation is taking on a whole new world then it once did, it is not only taking on people to do small personal tasks like quitting smoking, but instead people are starting to re...