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Analysis of motivational interviewing
Analysis of motivational interviewing
Analysis of motivational interviewing
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Introduction Individuals are always searching for treatment that will be beneficial to them. Clients want counseling to focus on them instead of focusing on their addictions. Motivational interviewing is not a theory but a method of counseling that focus on the individual while incorporated four principles to help individuals who are ready for change. These four principles are: express empathy, develop discrepancy, navigate resistance and encourage self-efficacy (Lundahl & Burke, 2009). According to Lundahl & Burke (2009), this approach to counseling is to help clients who are suffering from addictions; however, this approach is used today to help an individual with a variety of problems. Motivational interviewing works with clients who
Smyth, N. (1994). Addictions counseling: a practical guide to counseling people with chemical and other addictions/The addiction process: effective social work approaches/Clinical work with substance-abusing clients (book). Social Work, 39(5), 616.
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
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
...ives from the implementation of an empathic, hopeful continuous treatment relationship, which provides integrated treatment and coordination of care through the course of multiple treatment episodes” (Watkins, 2015). Whether, confronted with a substance use disorder, gambling or sex addiction the way in which a counselor work with the client in an open helpful manner is the key to motivating the client to change their behaviors. “A man convinced against his will, Is of the same opinion still” (Carnegie, 1981). The most piece of the helping relationship is that the client is the lead in their care, as they are the ones that will be making the decisions for their care. A counselor is essentially a trained skillful teacher that guides an individual toward their best recovery options and it is up to the individual to make the needed changes in their life and behaviors.
In the book, Addiction & Grace: Love and Spirituality in the Healing of Addictions, May explores how addiction develops and can be treated from a psychological, physiological, and spiritual standpoint. This theme is clearly shown throughout the text as it shows addiction from a whole person's perspective. The book covers the development of addiction from desire through the experience of addiction. The key focus is on looking at the matter of addiction from multiple stand points then broken down by explaining how addiction is an issue psychologically, physiologically, and spiritually. By focusing on these three areas, the author is able to present the reader with a clear understanding of addiction from all sides of the problem.
Therefore, when I work with substance abusers I will show empathy, encourage and validate their successes and their feelings about any failures. In addiction, I will help the person learn from their failures and normalize the situation. Furthermore, I would attempt to ensure that the person had several coping strategies in place, to help when he or she finds themselves in a difficult situation. Moreover, I intend to ensure the client has all the tools he or she needs to succeed while getting to the root of their problem through counseling.
Motivational interviewing is a counseling method that helps people decide ambivalent feelings and insecurities to find the internal motivation they need to change their behavior. It is a practical, empathetic, and short-term process that takes into consideration how difficult it is to make life changes in a person’s life. Motivational Interviewing is a collaborative, goal oriented method of communication with particular attention to the language of change. The examples of the lower risk and higher risk from the videos showcased the difference in working with different types of clients. This technique can be active in any conversation, the videos that were watched for motivational interviewing showed the casual conversation being between the therapist and the client, it was in a not judgmental way which assisted the client in the opening about their life and struggles they are currently facing. In a therapy session, the client often appears “caught” and unable to
“Motivational interviewing was introduced by Dr. William R. Miller in 1983, to help problem drinkers prepare for treatment and has been developed in collaboration with Dr. Stephen Rollnick. Motivational interviewing is a client centered directive method of communication for enhancing intrinsic motivation to change by helping people to explore and work through ambivalence. (Miller &Rollnick,2002).” This definition simply means that motivational interviewing is a method that uses the techniques taught by Carl Rodgers, such as empathy, positive regard, and congruence all of which lead to a collaborative relationship between the counselor and the client. This supportive and collaborative relationship will enable the client to open up and have honest discussions with the counselor. Therefore, the counselor will be able to help the client recognize:
Within this paper there will be an examination of core Biblical principles through exploring Motivational Interviewing (MI) and Alcoholics Anonymous (AA) 12 STEPS for treating individuals battling addictive behaviors and dependence. Also discussed in great detail and scriptural support is the importance of fostering healthy relationships, maintaining a strong sense of self-awareness, developing the ability to know one’s existing problems, and the value of having a dependency on God. The author will integrate a Biblical Worldview and examine the implications of incorporating a 12 STEP program and MI into counseling and the best avenue to utilize them with Non- and Christians alike. This paper closes with the writer’s personal reflections, considerations and revelations from the research done for this paper.
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...
Richard A. Brown, David R. Strong, Ana M. Abrantes, Mark G. Myers, Susan E. Ramsey, Christopher W. Kahler, Effects on substance use outcomes in adolescents receiving motivational interviewing for smoking cessation during psychiatric hospitalization, Addictive Behaviors, Volume 34, Issue 10, Research Advances in Comorbidity of Substance Misuse and Mental Disorders, October 2009, Pages 887-891, ISSN 0306-4603, DOI: 10.1016/j.addbeh.2009.03.003.
The chapter that I chose for this blog post was chapter nine about mental health. The article I read was "motivational interviewing and social work practice". The article is about a different technique of changing one's behavior. It takes a focus on clients and their goals. The main principles of this idea are expressing empathy, a focus on a client being self-supportive and development of discrepancy. This has been used to help people with a drinking problem and have even been tried on cases of domestic violence victims. Rather than focusing on making a client make a choice this style of interviewing allows for them to go deeper into topics and explore more options. This style overlapped with 7 different theories. These theories include the
Motivational interviewing “recognizes that human behaviour, however irrational it might sometimes seem, has a function and recognizes that change is a difficult process
Mental status is defined as, a person’s emotional (feeling) and cognitive (knowing) function. Optimal functioning aims towards simultaneous life satisfaction in work, in relationships, and within self. Mental health is defined as, a state of well-being in which every individual realizes his/her own potential, can cope with stress of life, can work productively and fruitfully and is able to make contributions to his/her community (Jarvis C., 2016, pp. 67). Within the adolescent community assessing mental health can be quite a difficult task if the approach of the assessor is ineffective. Proper motivational interviewing techniques should be carried out to obtain the information needed to help the adolescent. Negative techniques within an interview will only allow the adolescent to shut down and keep their feelings to themselves which can lead to self-harm or destruction.
One key aspect that I learned from my patient interview relative to chronic care management is, the value in utilizing the 4 components of motivational interviewing. When I began my interview, my patient by sharing a list of diagnosis and dates. He also read a list of his medications. Rather than merely reading a problem list on his medical record, I wanted to capture the emotional essence of living with chronic heart disease and heart failure on my patient’s life. It can be challenging to get a patient to open up to a health care provider and share deeper emotions. I utilized the 4 components of motivational interviewing which included, open ended questions, reflection, affirmation and summarizing. Using these interview skills helped my patient