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My Motivational Interviewing Experience Introduction My experiences with behavioral change comes mostly from the self-work I have done. Prior approaches to discussing behavioral change with a friend, client, or acquaintance are reflections of content and feeling, summarizing, joining, open and closed ended questions, active listening, and simply engaging in dialogue. I have experienced little results in the form of feedback from people I have talked with. Many conversations with others have turned out to become all about me. However, within the last few terms at school, I have actively practiced my reflection skills and have seen and experienced positive results. My readiness to apply motivational interviewing is at a six out of ten. I am …show more content…
He is a student at both Rogue Community College and Southern Oregon University. We began to discuss his ambivalence toward his choice in a career and working toward the degree for this career. His experience thus far has been a gradual process toward completion of the degree and ambivalence toward changing his major, as stated by him. He finds himself in a position to lose the funding for his degree if he makes the wrong decision. His current experience at an internship has caused him to reassess his goals. This individual has a high degree of self-efficacy and does not seem to have many issues regarding taking action to solve problems. The Center for Substance Abuse Treatment (1999) states “self-efficacy is a critical determinant of behavior change—it is the belief that they can act in a certain way or perform a particular task and thereby exercise control over events” (p. 95). I happened to be in a comparable situation and used this opportunity to practice my motivational interviewing …show more content…
As per the suggestions in the motivational interviewing book. This helped me to avoid using “why,” “do,” and “are” at the beginning of the question because they facilitate closed-ended questions. His response to all the open-ended questions was a willingness to answer, openly and with a little bit of vulnerability. It seemed to me that it helped to evoke some of the answers to the questions he had been asking himself about the dilemma he was in. The Center for Substance Abuse Treatment (1999) states “asking open-ended questions helps you understand your clients’ point of view and elicits their feelings about a given topic or situation” (p. 50). Also, the open-ended questions furthered the dialogue between us by keeping the focus on
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
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
It was effective because it started by stating the behavioral issue and why it needs to be modified. Then this program formed various reasons as to why individuals portray certain behaviors. Next, the target behavior and the assessment of behavior was examined, measured and observed. During this time, a frequency tracking of the behavior was done and results were recorded. After obtaining the results, realistic goals were set with positive and negative reinforcement. Altogether, these steps resulted in a change in behavior which was evident by our test sample, Sarah. The behavioral modification needs to be exposed to the world on a broader scale to create more effective behavioral changes with guidance because there are many individuals who would like to change their behaviors but do not know the first step to take in doing
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
USAA defines itself by its dedication to help manage military members’ finances throughout their military career and beyond. (usaa). USAA and its employees are simply already motivated by serving the military community because those in the military have sacrificed so much to serve their country. Serving those in the military gives employees a sense of purpose and doing meaningful work. Motivating employees isn’t that simple though, therefore USAA’s motivational techniques have been analyzed in order to determine what areas the company is succeeding in and what areas need improvement.
Self-efficacy: emphasizing that the subject is the primary determinant of the effectiveness of the treatment and valorize the efforts already accomplished.
“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:
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.
Instead of using crack every day, he will use every other day or at least four times a week and then gradually each time cut back until he does not need to use or he is using at least once a week. Another short term goal is that Mr. Jones learned coping strategies, such as, walking away from situations that makes him want to use like when he and his father get into fights about his drug use. Another coping strategy, is to call a friend who he rely on when he feels like using or when he is at the point of relapse. During sessions, we talked about not associating with people who used drugs and alcohol, and avoiding places where he used to get high because these people and places can trigger use, which is also his third short term goal. Some of the long term goals are that Mr. Jones want to improve his relationship with his parents and his daughter so that either side are no longer blaming and shaming each other. Also, to save money and open his own savings account, he must keep at least $1000 in the account and make bi weekly deposits of $100. The last long term goal is that he needs to find his own apartment where he can live separately from his parents. It has been a year since Mr. Jones entered a treatment program at the clinic, however, he did not reach a full year as he terminated his services with us within six months of treatment. He gradually stopped coming to his weekly sessions and would not
The Egan Model of counseling can be integrated into one of the principles of psychiatric nursing called motivational interviewing. Egan Model is used to help the counselor use structured and specific skills to assist the client to move forward. Motivational Interviewing “is a client centered, directive therapeutic style to enhance readiness by helping clients explore and resolve ambivalence” (Hettema, 2005, page 91). These models can easily be integrated into each other; there are many ideas and steps that overlap and complement each other.
The transtheoretical model is a model that theorizes the health behavior changes through a six phase process This paper will examine the stages of process of change: precontemplation, contemplation, preparation, action, maintenance, and termination. The stages of change are outlined with a period and tasks associated with steps forward through that stage (Kennedy, & Gregoire, 2009). This paper will further explore the framework of change influenced by the emergence of the transtheoretical model. Lastly, it will study the process of changes for clients as they go through each phase by examining challenges and interventions of each stage with focus on the Motivational therapy approach theory.
Motivation is often one of the primary obstacles in getting an individual to engage in the recovery process. Having worked in both inpatient and outpatient treatment facilities, I have experienced both motivated clients and unmotivated clients. Motivated clients enter treatment looking to change their lives. Those who are motivated have acknowledged that their lives have become unmanageable and are looking to recover. By entering treatment they are seeking professional assistance to help them overcome their addiction and get their lives back on track. The unmotivated clients may not in be denial about their problems, but quite frankly do not care at all about change and are only seeking a “break”
(2) FAC Chapter 7 What do you see as the strengths and weaknesses of motivational interviewing?
A simple Google search on ways to assist or “make” substance abusers change brings up many articles and supported research. As our courseware material and articles outline it is not Best Practice for the counsellor to “make” the clients change, but for the counsellor to see clients as the major driving force behind their change or support a client driven approach.. There are a number of reasons why it is important counsellors need to be client driven and one reason is that it helps in the client adhering to their choice of treatment. Adherence or participation in treatment can be associated with improved positive outcomes, if a client does not adhere to a mode of treatment there will be no different outcomes and certainly no change. Within the framework of motivational interviewing sources of adherence are addressed and a competent counsellor can review, predict and understand the influences effecting adherence, whilst allowing the client to be in the driver’s seat.
Motivational interviewing is a great way to get clients involved. In the healthcare setting, it is a way to empower clients and help them help themselves. As shown in the BMJ learning module, motivational interviewing accepts the changes that occur in the human life which is very important for the process of change. This allows the healthcare provider and client to work together and make necessary changes along the way to reach the overall goal. It also gives the client support, autonomy, and a sense of efficacy on reaching their goal.