Chapter 4 Flashcards

1
Q

T or f? Contemplating change involves self-talk, thinking about the pros and cons of available alternatives.

A

True

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2
Q

How can people talk themselves into change?

A

By voicing change arguments

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3
Q

Pro-change arguments are known as what?

A

self-motivational statements

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4
Q

What is one motivation for change?

A

Wanting

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5
Q

T or f? People can still do things even though they don’t want to.

A

True

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6
Q

What is the second concept of motivation?

A

Person’s self-perceived ability to achieve it

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7
Q

What is the third speech act Amrhein identified?

A

Statement of a specific reason for change.

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8
Q

In talking about reasons for beginning a program of physical exercise, someone might say what?

A

” I would probably have more energy,” “I might get better sleep at night,” “It would control my diabetes,” “I’d more attractive and get more dates,” and “I want to be around to see my grandchildren”

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9
Q

” I would probably have more energy,” “I might get better sleep at night,” “It would control my diabetes,” “I’d more attractive and get more dates,” and “I want to be around to see my grandchildren” does not imply ability or desire. True or false?

A

True

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10
Q

A decisional balance exercise includes typically involves what?

A

Compiling specific reasons for and against change.

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11
Q

True or false? Closed ended questions are great in crisis situations.

A

True

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12
Q

What is the most important skill in an effective therapeutic relationship?

A

Empathy

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13
Q

What is empathy?

A

An accurate description of a person’s spoken and unspoken feelings
Refecting back verbally & nonverbally attending behaviors and understanding of the other person’s feelings
Attunement to the other person’s feelings in the moment

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14
Q

What skills support the use of empathy?

A

Attunement and listening

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15
Q

What is actively connecting and adjusting oneself to the other person’s feelings following his/her expressions? This begins prior to the first session by reading existing case records or applications for services.

A

Attunement

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16
Q

Empathy and listening involves understanding the other person’s story. True or false?

A

True

17
Q

What are the four main tasks of the clinician?

A

Express empathy, develop discrepancy, roll with it, and support self-efficacy

18
Q

What are two important/main topics in motivational interviewing (MI)?

A

Reflective listening and self-determination (autonomy)

19
Q

What does OARS stand for?

A

Open-ended questions, affirming the client, reflective listening, and summarizing

20
Q

When is the readiness ruler used

A

In motivational interviewing

21
Q

T or f? MI is largely based on reflection.

A

T

22
Q

What is a strategy for dealing with resistance?

A

Double-sided reflection

23
Q

T or f? A clinician is always looking for readiness to change.

A

T

24
Q

T or f? There is a significant body of evidence at this point that demonstrates the effectiveness of motivational interviewing in a number of areas.

A

T

25
Q

T or f? In addition to dealing with changing addictive behaviors, which motivational interviewing was initially designed to target, there’s now a significant body of research looking at increasing physical activity, particularly in the elderly. Improving adherence to medication and other treatment regimes by individuals struggling with psychiatric illness, and decreasing smoking, particularly among adolescents, and in decreasing drinking by alcoholics.

A

T