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16 Cards in this Set

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what are 8 components of motivational interviewing
1.giving advice about specific behaviours to change
2. removing barriers (often regarding access to help)
3.providing choice through encouragement
4. decrease desirability to ambivilence
5. practice empathy
6. provide feedback (from variety of perspectives to give client full picture)
7.clarify goals
8.active helping
what are the 5 stages of change
pre-contemplation
contemplation
planning
action
maintenance
what are the 5 principles of motivational interviewing to create the conditions for change
1. express empathy
2. avoid argument
3. support self efficacy
4. roll with resistance
5. develop discrepency
how can you express empathy?
active listening
respond with consise s
statements encapsulating what
the client is trying to convey
how can you avoid argument?
therapist must actively listen
to the patients reasons why it is difficult to ....so that the patient hears themself say why they want to change
how can you support self efficacy?
reframe "failure" as
a. the person knows what needs to change
b. motivated to keep going under difficult circumstances
c. willing to accept help to achieve the goal
how can you roll with resistence?
ask for clarification
elaborate the problem, sometimes to the point of exxageration (to help the patient see incompatable beliefs)
How can we develop discrepency?
help patient to accept that the arguments for change are based on incompatible beliefs
help client establish reasonable goals
determine the difference between the current and ideal situation
what are the 8 steps related to HOW a counselor does motivational interviewing
1. establish rapport
2. set the agenda
3. assess readiness for change
4. sharpen the focus
5. identify ambivalence
6. eliciting self-motivating statements
7. handling resistance
8. shifting the focus
how does a counselor assess the radiness for change
ask simple questions such as..
"on a scale of 1-10 how keen are you to ....?
then gently challenge the response with something like
"you said 4, why not 3 or 7?
this will identify barriers
how does a counselor sharpen the focus
focus specifically on what the client wants to change. it helps to break down their "pattern of behavior, into its component parts
how can a counselor identify "ambivelence"
ambivelence is normal , and can be identified if the client is epressing disagreement,denies or ignores statemnets of reflection, or counselor request for elaboration. It is an idication that there still remains reasons for/against changing

r
what are some causes of ambivelence
if the therapist is working with the information the client is giving, and not interpreting or hurrying the client to change there should be no reason for disagreement
how can a counselor elicit self motivating statemnets
take every opportunity to encourage the client to phrase things in a positive way.
ask "what would be the best outcome from a course of action they might choose"
rather than accept "if i could only do" to " I am keen to..."
how can a counselor handle resistence
reflecting back to the client what you are hearing and seeing
how can a counselor shift the focus?
shift to beliefs underpinning behaviour
repeat the belief, acknowledging the power of the stment
offer to the client the opportunity to talk about it when/if they are ready.