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 …show more content…
Coronary heart disease is a common term for the build-up of plaque in the heart’s arteries that could lead to heart attack (Coronary Heart Disease, 2017). Furthermore, there are many known coronary heart disease factors that can be controlled. These are high blood cholesterol, high blood pressure, diabetes and pre-diabetes, obesity, smoking, lack of physical activity, unhealthy diet and stress (Coronary Heart Disease Factors, n.d). The techniques of motivational interviewing are more persuasive than coercive and more supportive than argumentative. The motivational interviewer must advance with a firm sense of purpose, clear methods and skills for seeking that purpose, and a sense of timing to mediate in specific ways at quick brief periods of time (Miller and Rollnick, 1991). The clinician uses motivational interviewing on account of four general principles in mind. The key principles are to express empathy, avoid argument, roll with resistance and support self-efficacy (Treatment, C. for S. A.,
Steinglass, P. (2008). Family Systems and Motivational Interviewing: A Systemic-Motivational Model for Treatment of Alcohol and Other Drug Problems. Alcoholism Treatment Quarterly, 26(1/2), 9-29. doi:10.1300/J020v26n01_02
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 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
This experience helped me to recognize the internal struggle that a substance abuser faces on a continuous basis. In addition, I know that an individual can have a difficult time changing their behavior even when they have a strong desire to change; the smallest thing can cause a person to relapse.
This literature review considers whether the practice of harm reduction strategies is a promising alternative to traditional substance abuse interventions that employ abstinence orientated strategies by addressing the following:
People with addiction may seek counseling to help them recover from drug usage. Using motivational interviewing can help find out how motivated the client is to staying clean and what will encourage them to stay away from drugs. The clients also needs to see how the addiction is effecting their lives and the lives of their loved ones.
Katzenstein, Larry, and Ileana L. Pinã. Living with Heart Disease: Everything You Need to Know to Safeguard Your Health and Take Control of Your Life. New York: AARP/Sterling Pub. Co, 2007. Print.
“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 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).
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.
Changing Substance Use: What We Know And What We Need To Know." Annals Of Behavioral Medicine 37.2 (2009): 117-125. Academic Search Complete. Web. 6 Nov. 2011.
Counseling Psychology is a specialty within the professional psychology that maintains a focus on facilitating personal and interpersonal function across the life span. Those who are Counseling Psychology focuses on the clients emotional, social vocational, education health-related, developmental, and organizational concerns.
A problem or issue from within my specialty that I feel needs to be improved on is empowering patients to participate more in exercise to lower their blood cholesterol level to treat hyperlipidemia. This issue of leading a sedentary lifestyle has a detrimental effect on one's life, and especially on one's cardiovascular health. This issues relates to the area of family nurse practitioner, because my plan after graduation is to work in the primary care setting. Working as a primary care provider, treating hyperlipidemia is a common practice that will be seen by all providers, and involves patients from all different stages in life. With the number of people being diagnosed with hyperlipidemia, and at younger ages, the effects of exercise