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An essay on motivational interviewing
An essay on motivational interviewing
An essay on motivational interviewing
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Evoking is used by the therapist to elicit their client’s intrinsic motivation, which is defined as being motivated by internal factors. The therapist should draw out their client’s own ideas and reasons for change. Some ways to achieve this process is by the therapist guiding the client towards expressions of change talk as the pathway to change, selectively reinforcing change talk, and summarizing their change talk. The last process is called planning. Planning, formerly called Phase II, is the bridge to change. This can include making a clear plan and creating a menu of options for how to proceed. Motivational interviewing plays a central role in all forms of therapy. It is all about helping people change and overcome their natural ambivalence
In B. L. Duncan, S. D. Miller, B.E. Wampold, & M.A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 143-166). Washington, DC: American Psychological Association.
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
233). From this, clients should want to change as well as believe in their capacity for change. For Jim, he can benefit from motivational interviewing since it can be used to help him overcome ambivalence to change. A collaborative, and nonconfrontational relationship are part of motivational interviewing. This is important for the client Jim in order to respect and encourage his self-determination. Motivational interviewing gives clients like Jim the opportunity to discover their own reasons for making change. One of the principles for motivational interviewing is expressing empathy where it gives clients the chance to freely explore their values, perceptions, goals and the implications of their present situation without being judged. The counsellor who is working with Jim can use active listening skills for expressing empathy in order for Jim to feel like he is being heard. The second principle is developing
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 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
Menu: Provide a choice or menu of options related to the goals and means the patient wishes to implement to reduce alcohol consumption.
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
Motivational interviewing is an important technique and counseling style that was created by William Miller and Stephen Rollnick in the 1980’s. The brief definition of motivational interviewing (MI) that is provided by Miller and Rollnick in their influential text is “a collaborative conversation style for strengthening a person’s own motivation and commitment to change” (Miller & Rollnick, 2013). Motivational interviewing is considered to be a style that evolved from client-centered therapy. The style is considered to be empathic but requires the counselor to consciously directive so that they may help their client resolve the ambivalence they are experiencing and direct them towards change. The important thing to note is that client autonomy is key to the process (Hettema, Steele, & Miller, 2005). However, despite being able to currently give a definition of MI, one that could be considered a working definition, motivational interviewing is “a living, evolving method” (Miller & Rollnick, 2009). It will continue to evolve as times change and it is implemented in use with other maladaptive behaviors. MI is a relatively new style that it still has the ability to undergo changes to adapt to what purpose it is serving (Miller & Rollnick, 2009).
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
The Egan Model of counseling can be integrated into one of the principles of psychiatric nursing called motivational interviewing. Egan Model is used to help the counselor use structured and specific skills to assist the client to move forward. Motivational Interviewing “is a client centered, directive therapeutic style to enhance readiness by helping clients explore and resolve ambivalence” (Hettema, 2005, page 91). These models can easily be integrated into each other; there are many ideas and steps that overlap and complement each other.
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
Westra, H., & Aviram, A. (2013). Core skills in motivational interviewing. Psychotherapy, 50(3), 273-278. doi: 10.1037/a0032409
Implementation: To move into the second last step, a number of proposed plans have been interpreted systematically into actions. However, the transformation of plans is in partial operation that “a phase of the overall process that is little understood, not particularly appreciated, and not well-developed-either conceptually or operationally” (Brewer, 1974, pg. 240). This seemingly mistaken occurrence of the step of implement is actually the supporter for the successful transformation into the last step of this model.
It became clear after my first session with Kevin, he would need additional sessions with the counseling center and myself. Kevin had been on academic probation for two quarters, his girlfriend of three years had just broken up with him, and he insinuated wanting to harm himself. During our first session it was visible he was under a lot of stress and very emotional, therefore, making our environment safe and comfortable became my first priority. I immediately started working on building a strong client and counselor relationship by clearly addressing our office’s policies, rules, and what he can expect from the sessions. More importantly, explained my office was a safe place for him to talk about issues, problems, and/or concerns he had
Plan the process – This phase is the time put forth in setting a timetable with benchmarks and phases that can lead to better programs, have less strain on resources, and have timely implementation. An effective timetable utilized in variations is the Program, Evaluation and Review Techniques (PERT). 2. Plan with people - Successful campaigns are never planned by a single individual. It is the culmination of many people – health educators, administrators, and so forth – that are involved from many different aspects of the issue, whether it is indirectly or directly.