Motivational interviewing Flashcards
Motivational Interviewing(MI)
Methods of MI support the eliciting of autonomous motivation encouraging a client to find his or her own reasons to change it involves pro change talk and avoid triggering of change resistant talk
Coaching
A growth promoting relationship which elicits motivation increases the capacity to change and facilitate a change process through visioning goal setting and accountability leads to sustainable change for good
Coaching key elements
eliciting motivation and increasing the capacity to change
Principles of motivational interviewing
Engaging
focusing
Evoking
Planning
Principle 1: Engaging
Pro change talk is facilitated by a calm safe judgment free relational space in which people feel secure and honestly securing their thoughts feelings and needs and desires without fear of judgment ridicule or pressure
- Rolling with resistance-Clients do not resist change the resist being changed
- Resist use of the righting reflex or confronting resistance directly such as arguing diagnosing and fixing or anything else at Fosters resistance
- Use open ended inquiry and perceptive reflections to encourage change
Supposed to focusing
Focusing- exploration of the discrepancies between a clients stated values and the goals and their current behavior.Focus on gap between a clients present situation and their values and goals.
- developing discrepency
- decisional balance
- pros and cons
Perceptive reflections in MI
Simple reflections Amplified reflections double sided reflections simple reflections shifted focus reflections
Call reflections
(flat mirror) paraphrases and we states what the client is saying using their own words without exaggeration interpretation or distortion
Amplified reflection
Maximize what the client is saying in order to have a disagreement from them in the direction of change talk reflect an increased or decreased intensity of clients
Double sided reflection
They revealed multiple perspectives at the same time by encouraging clients to look at different facets perhaps comparing a current resistance statement with a prior readiness statement
Shifted focus reflection
They redirect our attention away from a resistance provoking subject in order to focus on another area
Principle 3: Evoking
I’m covering a clients reasons for a change exploring the autonomous way behind a behavior change
Principal 4 planning
Collaborating on an action plan supported by increasing self efficacy
Social cognitive theory Albert Bandura
Social cognitive theory plays a big part in self efficacy South Africa see is impacted by all three factors personal, environmental and behavioral.
4 Sources of self efficacy according to Bandura
Physiological/effective
verbal persuasion
vicarious experiences
mastery experiences