Treatment Flashcards
1
Q
traditional therapy approach
A
- Focused on fixing problem
- Assumes patient is motivates
- Ambivalence means person is in denial
- Advise, warn, persuade
- Paternalistic
- Goals are prescribed
- Resistance met with correction
2
Q
motivational interviewing approach
A
- Focused on patient’s concerns and perspectives
- Matches intervention to patient level
- Ambivalence = normal part of change process
- Emphasizes personal choice
- Egalitarian
- Goals are collaboratively set
- Resistance is interpersonal pattern influenced by provider behaviour
3
Q
stages of change model
A
- Pre-contemplation
- Contemplation
- Preparation
- Action
- Either maintenance or relapse
4
Q
what is motivational interviewing?
A
- A directive, client-centred method for enhancing intrinsic motivation to change by exploring and resolving ambivalence
- Solicits information from client about why they want to make the change rather than just telling them why they should
- When a person feels accepted for who they are and what they do —no matter how unhealthy— it allows them the freedom to consider change rather than needing to defend against it
5
Q
4 basic principles of motivational interviewing
A
- Express empathy
- Develop discrepancy
- Roll with resistance
- Support self-efficacy
6
Q
importance and confidence rulers
A
- Used to help solicit information about client re: why they want to change, what obstacles they have to face, how confident they are, etc.
- How important is it to eat healthy on a scale of 0 to 10?
- How confident are you that you can eat better?
- What would it take to get to a 10?
- How come you are not at a 2?
7
Q
Cognitive Behavioural Therapy
A
- Thoughts, physical sensations, emotions, and behaviours are linked
- Ex. Missing bus -> thoughts: “I’m so stupid, why didn’t I wake up earlier” -> emotions: sadness -> physical sensations: feeling upset -> behaviour: cry
- CBT model intervenes with thoughts to try and change behaviour
8
Q
Public health perspective
A
- Tax increases (ex. Liquor tax)
- Restricted access
- Bans on advertising (ex. Can’t advertise to children)
- Information and warnings
- Consequences for behaviour
- Nudging (moving people towards behavioural change in a way that isn’t overt)