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Basic principles of motivational interviewing
Client-centered therapy versus traditional therapy
Basic principles of motivational interviewing
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p.1). In return, MI, a strongly evidence-based approach, could provide firsthand basis and support of effectiveness for Rogers’ client-centered therapy. Between the approach of client-centered therapy and the approach of motivational interviewing, there’s a connection shown by the literature on Rogers’ therapy and MI. MI applies most of Rogers’ therapy attitudes and techniques such as empathy, acceptance, autonomy support, collaborative style, and confidence in the client’s ability to change (Csillik, 2013, p. 1). The process and outcome research in motivational interviewing could show evidence of Rogers therapy effectiveness. Rogers’ work provides testable theoretical basis for the mechanisms of motivational interviewing effectiveness. Further
While CBT has many advantages, it alone does not encompass all of the concepts I believe are necessary to tackle a client’s needs. Therefore, I draw upon concepts from various theories to assist clients in achieving their goals. Pulling from Reality therapy, a key concept I utilize is focusing on what the client is doing and how to get them to evaluate whether they’re present actions are working for them. CBT does use some form of this in the sense that one must examine and establish their cognitive misconceptions; however, I prefer to extract this concept from Reality therapy because CBT tends to do so by focusing on the past. I am a firm believer that while the past can shape who you are, it does little good to remain focused on it. Focusing on overt behavior, precision in specifying the goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes all come from Behavior therapy (Corey, 2013, p. 474). Behavior therapy is highly structured much like that of CBT. By utilizing this aspect of Behavior therapy, I am better able to closely observe where a client is currently and where they are headed. Lastly, I pull from Person-Centered therapy as the final key concept of my counseling approach. PCT focuses on the fact that client’s have the potential to become aware of their problems and resolve them (Corey, 2013). This Person-Centered therapy concept has overlap with CBT as
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
Learning about Client Centered Therapy has opened my eyes to counseling. Roger’s theory of actualizing tendency and theory of self expanded my knowledge of my own self-concept as well as counseling. Rogers explained that every person has an innate drive to self-actualize. In many instances, loved ones put conditions for worth on him/her, which causes incongruence for the person. He/she begins to loose trust in his/her organismic valuing process. By understanding this concept, I am more inclined to stay true to my organismic valuing process. I have trust in my innate ability to lead myself in direction to self-actualizing. It may be challenging when others put conditions of worth on me, but understanding the concept may help me stay true to
As this book points out, and what I found interesting, the therapeutic relationship between therapist and client, can be even more important than how the therapy sessions are conducted. A therapists needs to be congruent. This is important because a client needs a sense of stability. To know what is expected from him or her while being in this transitional period of change. In some cases this congruency may be the only stability in his life, and without it, there is no way of him trusting in his t...
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
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
Menu: Provide a choice or menu of options related to the goals and means the patient wishes to implement to reduce alcohol consumption.
I really like that this form of therapy does not focus on problem talk, but instead focuses on solution talk. However, the true focus is all about change and the resources needed to make that change. The emphasis is on the client’s, “unique, subjective perspective or self-constructed narrative, as contrasted with an objective or consensual reality” (Norcross, p. 406). Thi...
Motivational interviewing is a more direct, client-centered approach, and is best used for clients who are showing a great deal of uncertainty about change. The goal of motivational interviewing in human service work is to help resolve the client’s uncertainty about change, encourage change in the client’s life, and motivate the client into change. This is a short term interviewing skill used to gauge where the client is at in the counseling process and where to go forward from there.
Motivational interviewing (MI) is a psychotherapeutic client-centered intervention which helps clients build intrinsic motivation to change. Micro skills (e.g., open ended questions, reflective listening, using affirmations, summarizing the client’s comments) and strategies (e.g., increasing client awareness of the problem, creating discrepancies from client’s current behavior to stated goals or values), are utilized by the clinician to understand the client’s perception of their problem, help the client explore ambivalence to changing the problem behavior, and to indicate discrepancies in the client’s behaviors and stated goals. MI approaches have been adapted for people with serious mental illness and substance use disorders. The rationale for utilizing MI approaches with integrated treatment of mental illness and substance abuse is supported by studies that demonstrate: improved retention in treatment and substance abuse outcomes, positive change in client self-efficacy, and enhanced relationships. MI has also been shown to improve engagement in treatment via increasing client attendance at initial sessions and examining the client's desire for continued treatment. These studies are encouraging but there is a need for further research. This paper concludes by considering future research opportunities on specific interventions for co-occurring disorders.
As the field of counseling continues to progress numerous theoretical orientations have been developed. One theoretical approach to counseling has been coined as person centered counseling or client centered therapy. This type of approach is commonly referred to as Rogerian psychotherapy. Rogerian therapy focuses on the empowerment of individuals with the inner self. These constructs are vital to ensuring and promoting a transparent and honest atmosphere which subsequently results in effective counseling. The behaviors that are found in client centered counseling are valuable as they motivate the client to explore their "hidden feelings" and become aware of where their feelings derive from. Being afforded the rare opportunity to see Rogers
Motivational interviewing is a guiding system that aide’s individuals to resolve conflicted affections and insecurities with finding interior inspiration to change their conduct. It is empathetic, practical, furthermore short-term procedure that takes under thought how troublesome it is to make lifestyle changes. Motivational interviewing was invented by clinical psychologist William Miller and Stephen Rollnick. This method was created to help people escape addiction (Miller and Rollnick, 1991).
t's problems. Instead, it should permit the client to feel that she has support to dive into emotions she might have been afraid to do so before entering client centered therapy. It is interesting to note according to Raskin et al. ( 2011), “Our basic practice [client centered therapy] remains true to the core conditions no matter who our client may be. We also assert that our ability to form an initial therapeutic relationship depends on our own openness to and appreciation of respect for all kinds of difference” (p. 183).
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.