Terms in this set (13)
What is it?
Goal oriented, client centered counseling that offers clients opportunities to explore and resolve ambivalence.
Talk w/ people about change
Decisions at every stage of life, even difficult decisions
Spirit of MI
Partnership, acceptance, compassion, evocation come from client
Different from Rogers
In MI, the therapist has an agenda: overcome ambivalence and reach goal
Some people are able to make decisions because...
they lack information, laziness, oppositional personality, or denial
uncomfortable leads to anxiety, procrastination, mistaken for resistance --> ambivalence
MI intends to resolve ambivalence and elicit one's own motivation for change
Open Questions: more than yes or no
Affirmations: statements about positive thing about the client.
Reflection: understand what client is thinking and feeling -> reflect back
Summaries: A long reflection of more than one client's statements, add positive, change talk
1st Processes: Engaging
Trusting mutually, respectful relationship
Discharging: assessing (not a bunch of questions off the bat)
Telling: (don't tell them how to fix their problem)
Power: ( not labeling)
2nd Process: Focusing
Seeking and maintaining direction
goals and priorities
3rd Process: Evoking
Eliciting client's own motivation to change
Change talk: speech -> movement to change
Change talk: ask questions, pros and cons, first step
4th Process: Planning
Developing specific change plan client agrees to and willing to implement
SMART (Specific, Meaningful, Assessable, Realistic, Timely)
Traps to Avoid
The Assessment trap: too many questions
The Expert trap
The Right Reflex: be a "fixer"
Premature Focus Trap: myopic, see where they are
Labeling: ex, "Alcoholic," etc.,
Blaming: ...because/no ownership
Chatting: getting off topic
Recognize Change Talk
Cost/benefit changing: "cost of changing/benefit of changing," and "cost of not changing/benefits of not changing"
Commitment to change
Confidence in success