14 - Responding To Change Talk Flashcards
What are the 4 strategies to respond to change talk?
Use the OARS acronym:
O pen question
A ffirmation
R eflection
S ummary
What types of questions might you ask in response to change talk? (2)
When responding to change talk, ask a particular kind of open question: one that asks for
1) ELABORATION or
2) an EXAMPLE
What is an affirmation statement? (MI)
Affirmations comment on something that is good about the person.
They involve noticing, recognizing, and acknowledging the positive.
It can be as simple as commenting positively on what the person has said.
What is a reflection? (MI)
A statement summarizing or guessing at what they mean.
The client hasn’t directly voiced it yet, but change talk is one possible guess about what is being said.
Why does a reflection statement tend to lead to more change talk?
The client may concur and follow your interpretation with more change talk.
If you guess wrong usually the client corrects it, giving you the change talk you missed.
What kinds of statements should you make as reflections?
You should provide assumed change talk.
DARN CATs
Statements of assumed: desire, ability, reasons, needs or even commitments, activation language, or a summary of steps taken
What is the general rule of the statements you’ll get in response to a reflection?
In general, you will get more of whatever you reflect. If you reflect sustain talk you are likely to hear more sustain talk (although sometimes people do respond with change talk). Reflect change talk and you get more change talk.
What kind of response do you tend to get from a double sided reflection?
In a double-sided reflection (on the one hand . . . and on the other hand . . . ) you’re likely to hear more of whatever element you placed last.
Why might you use a summary in MI?
A quintessential MI summary pulls together most of the change talk that the client has offered.
There is something powerful about hearing all of one’s change talk collected, and such a summary is strategic, consciously directed toward change.
This collecting summary ends with an open question intended to elicit further change talk.
