4. Psychological and social contexts

Question 1

How to nourish inner power? 5 strategies

Answer 1

Motivation:
- not trying drugs
- stopping using
- using in a safer way
- using less harmful substances
- using in a way that reduces harm to self and others

Question 2

2 views of motivation

Answer 2

Traditional: it is a stable characteristic (you are either motivated, or not); if not-denial; in clients hands

A highly dynamic process which may be supported by a therapist - motivational interviewing

Question 3

4 principles of motivational interviewing

Answer 3

1. De-emphasis on labelling
2. Individual responsibility (you can make decisions about your life)
3. Internal attribution (“I believe I can make it”)
4. Cognitive dissonance

Question 4

5+2 stages of change in motivational interviewing

Answer 4

1. Precontemplation - not considering
2. Contemplation - considering
3. Determination - reaching a decision
4. Action - effort
5. Maintenance - transforming effort into a new habit
6. Relapse - reuse of old pattern
7. Permanent change - new pattern becomes a part of life

Question 5

6 beginner strategies of motivational interviewing

Answer 5

1. Open questions
2. Affirmation
3. Reflection as reinforcement
4. Reflection as restructuring
5. Summarizing
6. Eliciting self-motivational statement

Question 6

5 advanced strategies of motivational interviewinf

Answer 6

1. Explore decisional balance (good and bad things about status quo)
2. Look back (how were things before)
3. Look forward
4. Query extremes (worst and best things that can happen)
5. Use change rulers (on a scale.. how important)