Matulich MI

Question 1

4 words of spirit of MI

Answer 1

Partnership
Acceptance
Compassion
Evocation

Aka respect

Question 2

DARN-Cat

Answer 2

Desire
Ability
Reason
Need to change
Commitment

Question 3

Strategic open questions

Answer 3

Asking for it (why would you want to)

Asking for elaboration (Tell me more about how you did it last time)\

Querying extremes (Whats the best thing that could happen)

Looking back (What were things like)

Looking forward (what would you want it to be)

Exploring values/goals

Question 4

Advanteges/disadvatages

Answer 4

Always ask for advantage of change, not of staying with how it is

Question 5

obstacles of change

Answer 5

Demoralisation; Haven’t succeeded, worried you won’t (hopeless)

Effort and time; not the good time now, i wont be able to sleep and I need sleep etc etc.

Resistance; I’ll decide myself (eg with unsollicited advice)

Automatic cognitive processes; Not aware of behavior, habit

Environmental factors; cues and triggers

Question 6

Sustain behaviour

Answer 6

You need to find the underlying reason for problem behaviour. This gives you insideson how to approach.

Question 7

`Motivation

Answer 7

Degree of willingness and readiness to change. It can vary overtime and can be influenced (eg by clinician). it underlies the actual change of bahviour.

Three components:

Will to change
Confidence in own ability
Readiness to change

It’s increased with ambivalence; evokes discomfort and starts change (cognitive dissonance)