motivational interviewing week #1 - nfartec€¦ · week #1 motivational interviewing . week # 7 -...
TRANSCRIPT
Week #1
Motivational Interviewing
Week # 7 - Agenda
• ReviewLearningActivityfromWeek6
• Managingsustaintalk• IntentionalChangeTalk–Demonstration
• RecognizingReadinesstoChange
Week 6 Learning Activity - Discussion
What is Unique to MI?
• Intentionalevokingandreinforcementofchangetalk
• Strategic-directiveuseofreflectionsandsummary
• Sequencingofpreparatorychangetalk-DARN-CAT
4
MotivationalInterviewingwascreatedtoexploreandresolveambivalenceandtoincreasemotivationforchange.
• “Convincing”peoplewhoareambivalentcanbecounterproductive–theyrespondby:
• Arguing• Defending• GivingLipService• BecomingPassive
Guidingthemtoexploretheirowndesire,reasons,ability,andneedtochangeismoreeffective
Ambivalence
Sustain Talk and Change Talk
Sustain Talk - Discord - Change Talk
CHANGETALK
Desire
Ability
Reason
Need
Commitment
Action
TakingSteps
DISCORD
Wheredoesitcomefrom?Previousexperiences,communicationroadblocks,lackofengagementHowdoesitshowup?Arguing,Ignoring,Interrupting,DiscountingWhattodo–Reengage,EmphasizeAutonomy,Apologize,ShiftFocus
SUSTAINTALK"Ireallywanttoquitsmokingbuttherearetimeswhensmokingisreallygreat."SustainingCounselor:"Tellmemoreaboutwhatyougetoutofsmoking?"Counselorhearingchangetalk:"youreallywanttoquitsmoking,saymoreaboutthat."
Softening Sustain Talk
SUSTAINTALKWecancreatediscordbyrespondinginanMInon-adherentway.
Intentional Change Talk
RecognizingandReinforcingChangeTalkChangetalkandsustaintalkreflecttwosidesofaperson'sambivalenceaboutchanging.Theintentionalcounsellorunderstandsthatdifferenceandguidestheclientawayfromsustaintalkandtowardchangetalk,listeningespeciallyforstatementsthatshowcommitment.
IntentionalChangeTalkDemonstration
Recognizing Readiness to Change
IntheTOOLBOX
Week 7 Learning Activity
Howdoyouknowthereisenoughmotivationtobeginplanning?• Bringexamplesof:• Someonewhoisnotreadyforplanning.Why?Whatwouldyoudonext?• Someonewhoseisreadyforplanning-Whatistheindicationofreadiness?
• Remembertouseyourjournaltodocumentyourcourseexperiences!
Toallofyou…
….andseeyouallnextweek!!
Gettingtoknowyou...Gettingtoknowyou...