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Positives and limitations of motivational interviewing
Complete reflection on motivational interviewing
Complete reflection on motivational interviewing
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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
Jeon, Y., Kraus, S. G., Jowsey, T., & Glasgow, N. J. (2010). The experience of living with chronic heart failure: a narrative review of qualitative studies. BMC Health Services Research. doi:10.1186/1472-6963-10-77
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.,
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
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.
Rebecca Kreman, Bernice C. Yates, Sangeeta Agrawal, Kathryn Fiandt, Wayne Briner, Scott Shurmur, The effects of motivational interviewing on physiological outcomes, Applied Nursing Research, Volume 19, Issue 3, August 2006, Pages 167-170, ISSN 0897-1897, DOI: 10.1016/j.apnr.2005.10.004.
For this assingment, I interviewed Simar Barkatullah, a junior at Loyola University Chicago. I have known Simar for quite a few years. She is not only a very close friend, but also my neighbor. Simar and I previously had multiple conversations about Islam. She plays a large part in getting me to where I am regliously, and continues to encourage me to be a better Muslim.
Menu: Provide a choice or menu of options related to the goals and means the patient wishes to implement to reduce alcohol consumption.
Williams K.B. and Bray K.K. (2009) Increasing Patient Engagement in Care: Motivational Interviewing. Access May-Jun, 36-39.
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
With this in mind, it requires an empathetic approach to ensure that the patient feels the support of those around him or her. In light of this, motivational interviewing was chosen to determine the behavioral changes and lifestyle choices that Mr. Thomas had resolved to take to manage the illness better. In motivational interviewing, the respondent reveals the changes and goals he or she is willing to make to control and manage a terminal illness (Longtin, Sax, Leape, Sheridan, Donaldson & Pittet, 2010). It includes an investigation into the eating habits, lifestyle choices and social dynamics of the patient that will enable improved care and continued therapy to reduce the adverse effects. In Mr. Thomas’ case, motivational interviewing entailed asking questions about his lifestyle choices, his dietary modification and the way he interacts with his family and friends. The end result of this investigation is to determine whether Mr. Thomas has taken a resolution to change the aspects of his life that would aggravate his condition and lead to more severe health outcomes. In so doing, it is possible for the patient to accept the illness and tailor his or her lifestyle and dietary needs according to the requirement of the
This paper will discuss what motivational interviewing is , who developed motivational interviewing and why it was developed. In addition, the most important aspects of motivational interviewing will be covered. Furthermore, the paper will discuss how I hope to use motivational interviewing in the future. At the conclusion of the paper the reader should have a better understanding of motivational interviewing.
As clinicians, it is imperative to listen empathetically during interview and health history. When one connects with their patients therapeutically, it builds trust and compliance. To build a therapeutic alliance with patients, clinicians must utilize these eight interviewing techniques: empathy, active listening, partnering, empowering the patient, positive body language, validation, reassurance and open communication (Bickley, 2017). For patient “a feeling of connectedness… of being deeply heard and understood is the heart of healing (Bickley, 2017).
learned how important it is that we must help our patients make a commitment to continue to
When we were first given this assignment I had not put much consideration into it. I thought we were to ask a couple of questions, it would all work itself out and I would be done. But this was not the case. The thought and reflection put into interview questions really surprised me. There was far more factors other than the questions you were asking, because you were also dealing with people, people who are giving you there free time, their attention and opening themselves up to you a stranger, so there were far more responsibilities then what were initially at hand.
Attitude, as one of the four main focus areas listed by the International Society for Study of Individual Differences, is followed by the other three, namely temperament, intelligence, and abilities. Meanwhile, in the same fields of the study of individual differences, motivation is overviewed as one of the four main branches apart from abilities, personalities, and mood (Cooper, 2002; in Dörnyei, 2005).