Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PPC Final > Miller and ollnick Motivational Interviewing REAL > Flashcards

Miller and ollnick Motivational Interviewing REAL Flashcards

1
Q

Who are involved in the history of motivational interviewing?

A

Developed in the the 1980s by: William Miller, PhD (professor of psychology & psychiatry)
Steven Rollnick, PhD (Professor of General Medicine, clincial pyschologist)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is motivational interviewing history and how did it begin

A

Began as a frame work for counseling clients with alcolhol problems
Adapted as a broader framework for changing behavior:
- Social Work
- Corrections
- Relationship Counseling
- General Medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is it, MI?

A

A reaction to the more confrontational counseling methods (“Tough love”) of the 1970s and 1980s
A recognition that classic psychological concepts (e.g. avoidance of pain/punishment) don’t always work the way we predict

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Definition of Motivational Interviewing.

A

Motivational interviewing is a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is motivation?

A

Readiness
Willing
Able

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is ready?

A

Client perceives change to be a relatively high priority

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is willing?

A

Client perceives discrepancy between status quo and desired goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is able?

A

Client perceives high self-efficacy (confidence to actualize one’s intentions)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

This is where we talked about self efficacy

A

Self efficacy is the confidence to actualize one’s intentsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is involved in the general spirit of MI?

A

Collaboration
Evocation
Autonomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is collaboration?

A

counselor should not enact an authoritarian, one-up stance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is evocation?

A

Counselor should work to draw wisdom out of the client, not impose it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is autonomy?

A

Counselor should openly respect the client’s freedom to accept or reject ideas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is “Change Talk”?

A 
The client needs to voice the arguments for change (counselor works to bring this out):
Disadvantages of the status quo
Advantages of change
optimism about change
Intention to change
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is involved in the counseling practices?

A
  1. Express empathy
  2. Develop discrepancy
  3. Roll with resistance
  4. Support of self-efficacy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is involved in expressing empathy?

A
  • Being accepting of the client’s circumstances (acceptance is not agreement or approval)
  • Treat the client’s choices as understandable
  • “Ironic process” - acceptance encourages change; lack of acceptance limits change
  • -Unraveling of tough love
    • acceptance encourages change, now the personal feels they could change
    • irony - oppositie of expectations
17
Q

MI asks you to check your own morality at the door. It’s the patients morality. You must set your own aside and focus on the patient. You will fail at this as much as you will succeed.

A

A quote

18
Q

Expressing Empathy employ reflective listening techniques which include:

A
  1. Paraphrasing ( “It sounds like..”
    - Invites clarification
  2. Summarizing ambivalence (“On one hand… and on the other hand…)
  3. Moderate understatement (intentionally misunderstand)
      • “It sounds like you’re a bit annoyed about that”
    • – “I get completely furious
  4. Moderate overstatement
      • you feel your drinking is totally under control
    • – well there are some times when i wonder…”
19
Q

Develop discrepancy

A

See where the status Quo is and the desired goal and how far they are from one another and how much motivation will be used.

20
Q

What is involved in developing discrepancy?

A

Open-ended questions:

  1. Disadvantages of status quo
  2. Advantages of change

Inclining to patient motivation and patient care. These are used to motivate patients and those people around you to influence you within your goals

21
Q

What is roll with resistance?

A

Resistance (“No change talk”) is a natural manifestation of ambivalence
Arguments for change invite client resistance
Boxing versus Aikido
– Aikido: MI takes this approach (the way of unifying)

22
Q

What are reactions to avoid as a counselor?

A
  • — Arguing for change
  • — Assuming the expert role
  • — Criticizing, shaming or blaming
  • — Labeling the client
  • — Acting in a hurry
23
Q

What are reactions to rely on as a counselor?

A
  • — Reflective listening
  • — Discussing the positive of not changing
  • — Shifting focus
  • — agreeing with a twist
  • — Emphasizing client choice and control
24
Q

What is Support Self efficacy?

A

Even when motivation is high, a client with low self-efficacy will struggle to change
Enhancing the patients self-efficacy

25
Q

What kind of questions to evoke change talk?

A

Open-ended questions

a) Optimism about change
b) Intention to change

PPC Final (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions