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PTS > Motivational Interviewing > Flashcards

Motivational Interviewing Flashcards

1
Q

Spirit

A

Attitude of extreme respect for your client

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2
Q

Engaging your client

A

Process of establishing a mutually trusting + respectful helping relationship

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3
Q

4 processes in engaging your client

A

Engaging
Focussing (collaborative agenda setting)
Evoking
Planning

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4
Q

2 things that can create disengagement

A
  1. asking too many questions -> promotes passive stance of client
  2. being the ‘expert‘ + offering advice/solutions prematurely
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5
Q

Focussing

A

Collaborative agenda setting
An ongoing process of seeking + maintaining direction

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6
Q

Querying commands

A

Statements with same intentions as open ended questions

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7
Q

Reflections

A

Statements made to the client that mirror, give back, repeat, rephrase, paraphrase or otherwise make manifest what you hear the client saying or see doing

GUESSED HYPOTHESES ABOUT WHAT IS GOING ON IN THE CLIENT‘S MIND AND HEART -> REFLECTING ON WHAT YOU THINK THE CLIENT MEANS

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8
Q

Purpose of using reflections in early part of session

A

To convey that you are hearing + understanding what your client is telling you, gathering info, building rapport

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9
Q

Summaries

A

Long reflections during which you reflect some of what you‘ve heard client say during a significant portion of the session

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10
Q

Uses for summaries

A
  • transition to a new topic
  • highlight/reinforce some significant client motivational statements
    -connect different things you‘ve heard during session
  • make sure that u understanding what client wants/expects during the session
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11
Q

Affirmations

A

Statements that you make to your client that recognise clients strenghts, accomplishments, positive behaviour

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12
Q

Goal of focusing

A

Identify target behaviour/direction in which to proceed to

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13
Q

Counselor advocacy responses

A

SHOULD BE AVOIDED

Arguing for change, assuming the expert role, criticising, shaming, blaming, labeling, being in a hurry, claiming preeminence

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14
Q

Roadblocks

A

SHOULD BE AVOIDED

Ordering or commanding, threatening, persuading with logic, moralising, judging, agreeing, interpreting, analysing, humoring.

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15
Q

Ambivalence

A

Feeling two ways about a decision or potential change in behaviour

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16
Q

5 types of change talk

A

DARN-C
Desire
Ability
Reason
Need
Commitment

17
Q

evocative questions

A

Using open questions as task directly for the kind of change talk you want

18
Q

6 ways to elicit change talk by using open questions

A
  1. asking for it
  2. asking for elaboration
  3. querying extremes
  4. looking back
  5. looking forward
  6. exploring values and goal
19
Q

4 open questions of the decisional balance worksheet

A
  1. what are the advantages of changing
  2. what are the disadvantages of changing
  3. what are the advantages of the status quo
  4. what are the disadvantages of the status quo
20
Q

Advantages of relying more on reflections than on questions

A
  • create momentum
  • creates more change talk
  • guides client to argue for change
21
Q

Complex reflections include..

A

Double sided reflections
Paraphrasing
Using metaphor
Continuing the paragraph
Reflecting feeling
Taking more risky guesses

22
Q

Social interaction view of resistance

A

Resistance is seen as a function/characterisitic of the interaction styles between client & counselor

23
Q

Discord

A

Different from sustain talk + includes disagreement, not being on the same wavelenght, talking at cross-purposes, disturbance in the relationship

24
Q

What is one of the biggest sources of discord in an MI session?

A

The righting reflex

25
Q

Key questions

A

Move client into another phase of MI session: planning phase

26
Q

Change plan

A

Consists of setting + clarifying goals, arriving at a plan, eliciting commitment

27
Q

What makes changing so difficult? Obstacles

A

Demoralisation
Effort & time
Resistance
Automatic cogn processes
Environmental factors

28
Q

What is motivation

A

-degree of willingness/readiness to change
- can very over time (not stable)
- can be influenced
- underlies the actual change of behaviour

29
Q

3 components of motivation

A

-WILL to change
- CONFIDENCE in own ability to change
- READINESS to change

30
Q

What is MI?

A

A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence

31
Q

Principles of MI

A
  1. show empathy
  2. unconditional acceptance
  3. avoid discord/discussion
  4. roll with resistance (judo)
  5. affirmation
  6. develop disbalance (cognitive dissonance)
32
Q

MI spirit

A

Collaboration
Acceptance
Evocation
Compassion

33
Q

What does not work in MI

A

Convincing
Direct confrontation
Discussion
Tips & triks
Stressing neg. Consequences
Unsolicited advice

34
Q

When is giving advice okay?

A
  • a decision is already made
  • asked for explicitly
  • other does not have right info
35
Q

Stages of change

A
  1. pre-contemplation
  2. contemplation
  3. preparation
  4. action
  5. maintenance
    (6. relapse)
36
Q

Engaging phase

A
  • entering therapuetic alliance/agenda setting
  • provide feeling of safety

PTS (7 decks)

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