Chapter 2 What Is MI And Why Use It Flashcards

1
Q

What are our considerations in responding to a persons dialogue?

A
  • respond to the statement in a manner consistent to MI
  • shape the response so we can support participation and provide new perspectives on that persons concerns
  • attention to the rest of the participants , as this persons concern could cause a rift
  • offer an alternative view for the participants consideration
  • avoid bogging down conversations that will lead away from the sessions focus.
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2
Q

What are the three primary communication tools

A
  • asking
  • listening
  • informing
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3
Q

What are the three styles

A

Directing
Following
Guiding

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4
Q

What does the directing style provide

A

provides expertise in the form of Advice and or plan of action

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5
Q

What is the message with the Directing style

A

The therapist has an idea of how to solve the situation.

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6
Q

What is the Following Style

A

The practitioner “follows the lead” as the client explores the area.
The client is primarily in charge.

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7
Q

In the “Following Style”, What is the practitioner’s goal

A

To listen well and understand the situation. The practitioner sets aside concerns and focuses on how the client sees the situation. Avoids the temptation to give advice.

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8
Q

In the Following Style, what is the practitioner implicit message

A

I accept and trust your wisdom for what is needed

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9
Q

What is the Guiding style approach involve

A

The practitioner and the client are a team. They walk together but the practitioner points out routes and options. But, it is the client that must choose the way.

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10
Q

What is MI

A

A collaborative conversational style for strengthening a persons own motivation for commitment and change.

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11
Q

What is the Style that most fits the MI definition.

A

Guiding

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12
Q

MY THOUGHTS SO FAR

A

Because everyone is so different, their manner of conversation so different, and the same, I MUST MOVE MY OWN INTERNAL DIALOGUE OUT OF THE PICTURE AND JUST, LISTEN, ASK, INFORM. ITS JUST NOT ABOUT ME.
Also, I do not need nor want to get caught up in their dialogue.

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13
Q

What are the basic concepts about readiness and change?

A

-Ambivalence
-change is often nonlinear
Initial steps
setbacks
Return to old behavior
-Readiness is not static
Many different paths
The practitioner has the ability to influence either positively or negatively
-Attend to readiness
When, how is the client “ready” to accept or view what a change would look like.

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14
Q

What are the four domains that describes the philosophy of MI

A
  • partnership
  • acceptance
  • compassion
  • evocation
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15
Q

In the “partnership” domain what is important to remember

A

That the client is an active partner. The client has expertises on themselves, their history and circumstances

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16
Q

What is the practitioners behavioral expression toward a client using MI?

A
  • actively eliciting the clients aspersions and goals

* creating a positive environment within change is possible

17
Q

What are the four domains that is the heart and mindset of MI?

A
  • acceptance
  • absolute worth
  • autonomy
  • empathy
18
Q

One of the4 domain is partnership, explain

A

Actively eliciting the clients aspirations and goals , as well as maintaining awareness of your own. And creating a positive environment within which change is possible.

19
Q

Acceptance has for main elements, which are?

A
  • absolute worth
  • autonomy
  • accurate empathy
  • affirmation
20
Q

Explain “absolute worth”

A

The belief that each person not only has value, but also has the potential to become more then they are

21
Q

One of the 4 domain, “acceptance “ is Autonomy, explain

A

People must make their own life choices and the direction in which that takes them.

22
Q

Under the acceptance domain is “empathy “, Explain

A

This element of the acceptance domain is the ability and the desire to see the world as the client does while RETAINING THE ABILITY TO NOT GET LOST IN IT.

23
Q

What are the 4 elements that comprise the Acceptance domain

A
  • absolute worth
  • autonomy
  • accurate empathy
  • affermation
24
Q

Compassion is one of the 4 domains, explain

A

A deliberate commitment to pursue the welfare and best interest of the other

25
Q

One of the 4 domain is Evocatin, explain

A

Drawing out ideas and solutions from clients

26
Q

What does the acrimony “OARS+I” stand for?

A
  • open ended questions
  • affirmations
  • reflective listening
  • summaries
  • information exchange
27
Q

What is change talk?

A

Eliciting specific kinds of speech designed to evoke the Clients own answers that reinforces change because it is coming from their thoughts.

28
Q

What are the 3 elements essential to MI?

A
  • MI spirit
  • OARS+I
  • change talk