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Reflection essay on motivational interviewing
Reflection essay on motivational interviewing
Reflection essay on motivational interviewing
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Menu: Provide a choice or menu of options related to the goals and means the patient wishes to implement to reduce alcohol consumption. Empathy: Use benevolence, do not judge. Self-efficacy: emphasizing that the subject is the primary determinant of the effectiveness of the treatment and valorize the efforts already accomplished. Brief interventions range from 5 to 60 minutes and continue over three to six sessions. It is a matter of informing, counseling, stimulating and encouraging the subject to change certain behaviors by giving the subject a good reason to do so and by helping to find resources to replace himself. Motivational enhancement / Motivational interviewing (MI). Motivational interviewing aims at bringing the subject to a change in behavior. It gives him the opportunity to explore and resolve his ambivalence. I chose this intervention because the doubt with the consumption of alcohol (to drink or not to drink?) Indeed, …show more content…
With the subject, the interview can take place in a warm and empathic atmosphere, without confrontation, requiring the active participation of the subject. An empathic therapeutic attitude allows the subject to express of difficulties, his feelings. I would try to perceive things through the patient's eyes, putting myself in his place to understand what he can feel. Thus, the person can feel appreciated and will be more willing to open and share their experiences, allowing the therapist to visualize his or her resources, weak points in the process of change and beliefs around Alcohol consumption. In a motivational therapeutic interview, I must not directly confront the person on his tendency to trivialize, even deny, his problems of alcohol. I must assume that the final decision of change belongs to the subject. The defensive arguments put forward by the question in the face of change are not
Our case study begins with a story of a young woman, Karen, in high school. She drinks to make herself more outgoing, performing to make more friends. She drank often during that time with friends. Later in life, adulthood revolved around drinking with her husband and friends. Alcohol continued to be a personality enhancement making it easier to party with friends and even clients or customers. It was not uncommon to drink on the job since her drinking gave her the confidence to engage with customers or clients. In her opinion, life was great. That is until her boss noticed a potential problem and confronted her about it.
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
Bandura A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84, 191-215.
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.
What I learned from the behavior change project is that it can be extremely hard to implement a behavioral change. Even if there is a real desire to make the change there are extenuating circumstances in everyone’s life that will test their resolve to change. That makes a high prioritization of the change a must. This also means that an physician must be understanding of a patient who is having a hard time changing. Being supportive instead of judgmental is paramount. The project also taught me how to develop and implement a change plan. The change plan is the ground floor to the entire change and failing to commit the time and energy to developing a realistic and goal oriented plan is a mistake. Finally having a good experience advising a peer will help future patients giving me experience and confidence to draw on.
...mbers that have experience and support others to become sober. Alcohol anonymous is a great place to start and support from family members and friends as well. Alcohol abuse can affect many aspects of a person’s lifestyle and includes many ingredients that affect the human body but there is hope for those struggling to beat their addiction.
...tient with coping techniques for managing such high-risk situations and with ways for establishing a support network to help in this process. Then, for reinforcement, the health care provider supplies the patient with informational materials on alcohol use and its associated problems as well as on behavioral modification exercises. Lastly to ensure the long-term effectiveness of the brief intervention, the health care provider establishes a system for conducting supportive telephone consultation and follow up visits with the patient.
A person that realizes his problem with alcohol has made an important step towards recovery. Next, they must choose the way in which he rehabilitates himself. One option is one-on-one counseling with a psychologist, alcohol counselor, etc. From the point, alternatives like group meetings or medication may be suggested. Also, a serious alcohol-dependency problem may need special attention in a recovery center. Another option is completely being independent in the sobering process. Often times these alternatives are used in a combination or in a series for more effectiveness.
“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:
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).
Unlike other drugs, with alcohol we have an opportunity to contrast levels of intervention as
...s all treatment and continues on the road of self-destruction. These examples show how self-efficacy in the health care field can be a valuable an necessary tool for improving health care, but like most concepts, self-efficacy is only as good as the person willing to practice it. It is not experienced by everyone and is impacted by self-esteem, self-confidence and many other variables.
Alcohol consumption is prevalent in our society; people drink while at parties, sporting events, and at dinner. Drinking is socially acceptable and legal, so there is no surprised that many drink. However, individuals can be deemed deviant if they exceed a certain level of drinking. The deviant receives the label of an alcoholic; to distinguish their behavior is outside the normal values of our society. “Nearly one-third of the US population will meet criteria for alcohol abuse or dependence within their lifetime” (Young, 2011). Alcoholism is considered deviant because the person drinks excessively and frequently disregarding the safety of themselves and others. Society stigmatizes these individual as clinically ill; their behavior is a result of disease which needs to be addressed and treated, in order to provide safety for the public. Alcoholism not only affects the public’s safety however it influences how the individual interacts with others, their ability to perform on the job, and has considerable health related risk. These behaviors and attitudes fuel the drive to treat alcoholics; in hopes that their behavior will go into remission since once an alcoholic always an alcoholic.
The concept of self-efficacy is grounded in Bandura’s (1977) social learning theory. Bandura (1994) defines perceived self-efficacy as “people’s beliefs about their capabilities to produce efforts” (p. 71). In essence, one having strong self-efficacy experience increase in motivation, accomplishment, and personal well-being ( Bandura, 1994). Those with a low sense of self-efficacy, on the other hand, often suffer stress and depression; unbelieving of their capabilities and often succumbed to failure (Bandura, 1994).
Since alcohol increases the metabolism and hence the need for nicotine, it follows that the success of smoking cessation programs will be improved if drinking habits of patients are controlled. Treatment of incipient alcoholism thus becomes a prerequisite for the ultimate success of behavior modification aimed at the elimination of smoking.