Evoking Flashcards
Who is MI best suited for
For someone in the ambivalence stage
contemplation and moving into preparation stage
approach - approach
candy store dilemma
* need to make a choice, they’re all good
– easy to resolve because winning either way
avoidance - avoidance
person is torn between negative choices
- both options aren’t ideal
- finding lesser of two evils
- focus on the negative of what’s going to happen if you do that behaviour
approach - avoidance
only one choice is being considered, and it has both significant positive and important negative aspects
- the choice you leave behind is more appealing once u choose the other one
double approach - avoidance
two choices being considered, and both have significant positive and important negative aspects
change talk
any self-expressed language that is an argument for change
sustain talk
any self-expressed language that favours the status quo
why is change talk important
the client provides the arguments for change (opposite the traditional counsellor-client roles)
what the counsellor has to say about the issue is less important - what the client says is gold
Two broad categories of change talk
preparatory language
mobilizing language
preparatory language
pro-change talk that paves the way for change, but does not necessarily translate into behaviour change
Desire, ability, reasons, need
mobilizing language
linchpins of change; critical to predicting change behaviours
commitment
activation and taking steps
Preparatory language DARN
desire, ability, reason, need
desire to change
indicating a clear desire to change, but stopping short of commitment
- I wish, I hope, I want
- what hopes do you have coming to these sessions
ability to change
expressing optimism about change: an expression of confidence (self-efficacy) that change is possible)
- “I think I can”
- “what is there about you that can make this change possible?”
reasons for change
recognizing advantages of change: acknowledging the potential advantages to change - may be associated with an emotional reaction to these potential benefits
- “I can see the advantages”
- what good things would happen if you made this change?
need for change
recognizing disadvantages of status quo: acknowledgement of the problem - may be associated with an emotional reaction to the potential consequences of their behaviour
- I can see the problem
- what are your concerns about your current behaviour?
Mobilizing language - CATs
Commitment, activation, taking steps
commitment talk
expressing intention to change through the use of action words; an expression of determination to make a change
- “I will do something about this”
- “what are you willing to try?”
activation talk
signals that the person is leaning in the direction of change
- “I am willing and ready”
- “what are you prepared to do differently?”
taking steps talk
taking small, even tentative steps in the direction of change
- “what did you try”
- I took a step and got a gym membership
criteria for true change talk
content represents statements about change (mobilizing and preparatory)
linked to a specific target behaviour
recognized by/coming from the client (client says the words OR recognizes their accuracy)
eliciting change talk
ask evocative questions: how does this concern you, what ways do you want to be different
ask for elaboration: in what ways? when was the last time that happened?
query extremes: what’s the best thing that would happen if you changed and worse thing that would happen if you didn’t
look back: ask about a time before the concern emerged and how things were different
look forward: ask what may happen if things stay the way they are, how would you like your life to look five years from now?
Explore goals and values: ask what the person’s guiding values are, what do they want in life?
use change ruler: on a scale from zero to ten, how important is it for you to start whatever behaviour
