Motivational interviewing in treating addictions

Question 1

addicts are often ambivalent about changing their behaviour, because the drugs also have positive, rewarding effects. therefore it is important to enhance their motivation for and commitment to therapy

Answer 1

oke

Question 2

motivational interviewing =

Answer 2

a collaborative, goal-oriented conversation style that is designed to enhance personal motivation and commitment to a particular goal by eliciting and exploring a persons reason for change in an atmosphere of acceptance and compassion

Question 3

main mechanism of MI

Answer 3

elicit change talk rather than sustain talk, by asking open questions about benefits of change and disadvantages of continuation (cost/benefit balance).

change talk = language use that involves the expression of wanting change (i would like to quit)
sustain talk = language use that involves not wanting or being able to change (i need to smoke to be able to relax)

Question 4

hoe is MI useful

Answer 4

voor mild cases: suitable as stand alone. in severe cases: useful in addition to CBT

Question 5

components of MI

Answer 5

• engaging: forming a collaborative working alliance and engaging clients by honestly trying to understand their experiences and perspective. should be done from the start
• focusing: discussing the clients goal/focus instead of deciding for them and pushing too far (alle kleine beetjes zijn goed, beter dan niets)
• evoking: eliciting the clients own reasons for change.
• planning: initiate once motivation seems sufficient (too fast = resistance)

Question 6

evoking change talk: how?

Answer 6

• ask
• reflect
• affirm
• summarize

Question 7

decisional balance =

Answer 7

an interviewing approach that is about exploring all reasons for and against change (MI is alleen over voor). more nondirective, without influencing people’s choices.