Motivational Interviewing Flashcards
Spirit
Attitude of extreme respect for your client
Engaging your client
Process of establishing a mutually trusting + respectful helping relationship
4 processes in engaging your client
Engaging
Focussing (collaborative agenda setting)
Evoking
Planning
2 things that can create disengagement
- asking too many questions -> promotes passive stance of client
- being the ‘expert‘ + offering advice/solutions prematurely
Focussing
Collaborative agenda setting
An ongoing process of seeking + maintaining direction
Querying commands
Statements with same intentions as open ended questions
Reflections
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
Purpose of using reflections in early part of session
To convey that you are hearing + understanding what your client is telling you, gathering info, building rapport
Summaries
Long reflections during which you reflect some of what you‘ve heard client say during a significant portion of the session
Uses for summaries
- 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
Affirmations
Statements that you make to your client that recognise clients strenghts, accomplishments, positive behaviour
Goal of focusing
Identify target behaviour/direction in which to proceed to
Counselor advocacy responses
SHOULD BE AVOIDED
Arguing for change, assuming the expert role, criticising, shaming, blaming, labeling, being in a hurry, claiming preeminence
Roadblocks
SHOULD BE AVOIDED
Ordering or commanding, threatening, persuading with logic, moralising, judging, agreeing, interpreting, analysing, humoring.
Ambivalence
Feeling two ways about a decision or potential change in behaviour
5 types of change talk
DARN-C
Desire
Ability
Reason
Need
Commitment
evocative questions
Using open questions as task directly for the kind of change talk you want
6 ways to elicit change talk by using open questions
- asking for it
- asking for elaboration
- querying extremes
- looking back
- looking forward
- exploring values and goal
4 open questions of the decisional balance worksheet
- what are the advantages of changing
- what are the disadvantages of changing
- what are the advantages of the status quo
- what are the disadvantages of the status quo
Advantages of relying more on reflections than on questions
- create momentum
- creates more change talk
- guides client to argue for change
Complex reflections include..
Double sided reflections
Paraphrasing
Using metaphor
Continuing the paragraph
Reflecting feeling
Taking more risky guesses
Social interaction view of resistance
Resistance is seen as a function/characterisitic of the interaction styles between client & counselor
Discord
Different from sustain talk + includes disagreement, not being on the same wavelenght, talking at cross-purposes, disturbance in the relationship
What is one of the biggest sources of discord in an MI session?
The righting reflex
