Ch. 5 - Motivational Interviewing

Question 1

3 Goals of Motivational Interviewing

Answer 1

1. MI strives to increase client intrinsic motivation for behavior change. Intrinsic motivation has a greater impact on behavior change than extrinsic motivation.
   Extrinsic motivation entails others defying the desired behavior change.
2. MI helps lower resistance in treatment.
3. MI helps to resolve ambivalence.
   Ambivalence – having two opposing thoughts/feelings on an issue

Question 2

MI influenced by:

Answer 2

Person centered theory
Cognitive behavioral therapy
The stages of change model

Question 3

MI Spirit – 3 common communication styles

Answer 3

The directive style involves the counselor directing, prescribing, or advising in the session.
The guiding style has the counselor encouraging the client in regard to a behavioral change.
The following style is where the counselor simply exists in the same space as the client.

Question 4

MI Principles

Answer 4

R
Resisting the righting reflex
U
Understanding the client’s own motivations
L
Listen with empathy
E
Empower the client

Question 5

MI Processes

Answer 5

engaing, focusing, evoking, planning

Question 6

engaing

Answer 6

refers to establishing a collaborative relationship with the client

Question 7

focusing

Answer 7

is where clinicians help clients find direction in terms of treatment goals and behavior change via involving clients in a dialogue about the process of behavior change.

Question 8

evoking

Answer 8

is respecting the client’s thoughts and emotions about change.

Question 9

planning

Answer 9

refers to developing a collaborative plan for realistic and obtainable behavioral change.

Question 10

core component of

mi technique?

Answer 10

reflective listening

Question 11

Simple reflection

Answer 11

states back to the clients what was said by paraphrasing

Question 12

Complex reflection

Answer 12

adds meaning to the client statement by including emotional content

Question 13

What do OARS strategies do?

Answer 13

build rapport, show counselor empathy, and help the client recognize the importance of behavioral change

Question 14

“O”

Answer 14

Open ended question

Question 15

“A”

Answer 15

Affirmations

Question 16

“R”

Answer 16

Reflections

Question 17

“S”

Answer 17

Summary

Question 18

6 Types of Change Talk (DARN CAT)

Answer 18

Desire to change
Ability to change
Reasons for desiring change
Need for desiring change

Commitment to the behavior change
Activation
Taking steps toward achieving the change

Question 19

Change Plans

Answer 19

Are completed during the entire session or in stages across a series of sessions
Change plans can be a written or verbal counseling exercise

Question 20

Good change plans should contain the following content:

Answer 20

A good change plan is specific and includes an awareness of any barriers to change as well as some ways to possibly overcome them.
The goals are written in measurable and behavioral terms
The change plans include a time frame as to when clients will start and a roster of who provides them with recovery support and how.