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Effectiveness of motivational interview methodology in counselling
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COUNSELING– MOTIVATIONAL INTERVIEW Vs. TRADITIONAL INTERVIEW Shivagni kirtika kumar(S150351) Course Name : Course Code: PBH601 Programme: BDN. Course Convener: Paul Laginikoro Due Date: 8/05/2016 Nowadays days it has been seen that NCDS (non-communicable diseases) is increasing at a greater rate than in olden times. Young people in Fiji are suffering from NCDS due to unhealthy diet however, it is not the only factor that leads to NCDS. There are factors such as lack of exercise and physical inactivity, tobacco use and the harmful use of alcohol (World Health Organization, 2015). Whereas, in olden days people were more physically active for example they used to relay on farming and obtaining fresh, the use of tobacco and alcohol …show more content…
and Stephen Rollnick, PhD. They published Motivational Interviewing: Preparing People for Change in 1991 and a second edition of that book was published in 2002 (PBH notes ,2016). Motivational interviewing is a directive client centered counseling for modification of behavioral change and making out of effective solution to the issue client is suffering from. According to, American Journal of Nursing, 2007 it is defined as a method that works on facilitating and engaging intrinsic motivation within the client in order to change their …show more content…
Firstly, the ability to ask open ended questions secondly, the ability to provide affirmations that is reflection. Thirdly, the ability to provide summary to the client at the end of counseling session (American Journal of Nursing, 2007). This type of counseling increases client’s awareness on the issue and consequences experienced. In motivational counseling therapists helps the clients in envision of a better future, and to become increasingly motivated to achieve their goals. The main goals of motivational interviewing is to motivate client to a positive change (Rollnick, Miller,
“The health of individuals and populations is influenced and determined by many factors acting in various combinations. Healthiness, disease, disability and, ultimately, death are seen as the result of … human biology, lifestyle and environmental (e.g. social) factors…” (Mary Louise Fleming, 2009) There are many unchangeable contributing factors that play a role in a person’s health condition, this can be anything from the gender and location that they were born into, to genetic impairments and the lifestyle that their parents raised them in or even government policies; but for as many unchangeable factors, there are also changeable factors. In Mr. A’s case he was born from Pacific Islander descent, therefore it can be assumed that he was born into an obese family with little money, and was raised in poorer living conditions than the average Australian. Due to this, his health is expected to be worse that the average Australian because his social determinants make it so. He is now a full-grown man with a family, but still lives in problematic conditions due to his upbringing and culture along with the minimal to no levels of prevention shown. There are many risk factors that have affected Mr. A’s health due to the social determinants that he has been faced with such as obesity, type 2 diabetes, arthritis, etc. There are also upstream and downstream factors affecting his health, “While upstream and midstream determinants influence the type, likelihood, number and severity of diseases that affect a person, downstream inequities come into play when a person becomes ill.” (AMA, 2007). These factors have had a major role in the result of his heart attack. Finally, his level of prevention exhibited is a key aspect on how much of an eff...
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.,
International Journal of Epidemiology 36.6 (2007): 1229-234. International Journal of Epidemiology. Oxford University Press, 28 Sept. 2007. Web. The Web.
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
The counseling session should be centered on the client and their understanding of their world and/or problems not heavily weighted on the counselor interpretation of the client’s situation. The role of the counselor is to examine a problem needs changing and discover options in overcoming their problem. Bringing about change can help change the client’s narrative on their problem in the future and/or on life in the process.
Global health risks: mortality and burden of disease attributable to selected major risks. (2009) WHO Library Cataloguing-in-Publication Data
Over the year's, our health organization's have grown to better serve our communities globally through CDC. "CDC has 23 programs designated as WHO global collaborating centers, providing our expertise and capabilities to protect Americans at home from threats abroad" (CDC, 2016). CDC continues to change their strategies against disease prevention to try to eradicate all diseases. "Many deaths in the United States are attributable to lifestyle and personal actions on the part of individuals, such as tobacco use, improper diet and activity patterns, overuse of alcohol and firearms, unsafe sexual behavior, and vehicular accidents while under the influence of alcohol" (Williams & Torrens, 2008, pp. 154). Most diseases are contributed to bad lifestyle choices, genetic's and also poor health insurance policies."Many of the health insurance plans issued at the present time do not include reimbursement for health promotion and disease prevention, and as a result, individuals who may actually have health insurance coverage of a general nature are not covered for health promotion and disease prevention services" (William & Torrens, 2008, pp.
Motivational interviewing is a more direct, client-centered approach, and is best used for clients who are showing a great deal of uncertainty about change. The goal of motivational interviewing in human service work is to help resolve the client’s uncertainty about change, encourage change in the client’s life, and motivate the client into change. This is a short term interviewing skill used to gauge where the client is at in the counseling process and where to go forward from there.
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
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
Mathers, C. D. (2006). Projections of Global Mortality and Burden of Disease from 2002 to 2030. Public Library of Science Medicine, 3(11), e442. April 16, 2011. doi:10.1371/journal.pmed.0030442
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.
In the 21st Century, there is a major advance in technology; a lot more diseases can be treated by medicines and anti-biotic. In the history of diseases, most continents have suffered massive pandemics, however, Oceania is an exception. Australia has never suffered from major diseases such as Black Death, S.A.R.S, etc. However, chronic illness is a growing problem in Australia as the population ages.
This assignment consists of two parts. Whereas part 1 will analyses the causes and impacts of health issues to individual, communities and nation. Also will address the preventive measure and methods to overcome from these health issues noted. Moreover in this part will discuss the understanding of global and national health priorities. On the other hand part B will give a comparison about the primary and secondary data of the global burden of disease with that of Maldives situation. Finally, there will be a conclusion based on the findings of this essay.