Chapter 2 What Is MI And Why Use It Flashcards
What are our considerations in responding to a persons dialogue?
- 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.
What are the three primary communication tools
- asking
- listening
- informing
What are the three styles
Directing
Following
Guiding
What does the directing style provide
provides expertise in the form of Advice and or plan of action
What is the message with the Directing style
The therapist has an idea of how to solve the situation.
What is the Following Style
The practitioner “follows the lead” as the client explores the area.
The client is primarily in charge.
In the “Following Style”, What is the practitioner’s goal
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.
In the Following Style, what is the practitioner implicit message
I accept and trust your wisdom for what is needed
What is the Guiding style approach involve
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.
What is MI
A collaborative conversational style for strengthening a persons own motivation for commitment and change.
What is the Style that most fits the MI definition.
Guiding
MY THOUGHTS SO FAR
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.
What are the basic concepts about readiness and change?
-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.
What are the four domains that describes the philosophy of MI
- partnership
- acceptance
- compassion
- evocation
In the “partnership” domain what is important to remember
That the client is an active partner. The client has expertises on themselves, their history and circumstances
What is the practitioners behavioral expression toward a client using MI?
- actively eliciting the clients aspersions and goals
* creating a positive environment within change is possible
What are the four domains that is the heart and mindset of MI?
- acceptance
- absolute worth
- autonomy
- empathy
One of the4 domain is partnership, explain
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.
Acceptance has for main elements, which are?
- absolute worth
- autonomy
- accurate empathy
- affirmation
Explain “absolute worth”
The belief that each person not only has value, but also has the potential to become more then they are
One of the 4 domain, “acceptance “ is Autonomy, explain
People must make their own life choices and the direction in which that takes them.
Under the acceptance domain is “empathy “, Explain
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.
What are the 4 elements that comprise the Acceptance domain
- absolute worth
- autonomy
- accurate empathy
- affermation
Compassion is one of the 4 domains, explain
A deliberate commitment to pursue the welfare and best interest of the other
