mi presentation march2012

25
“I’ve Been Afraid of Changing”: Using Motivational Interviewing principles in academic advising to promote positive student change Miranda Atkinson Career & Academic Adviser School of Journalism & Communication University of Oregon

Upload: mirandaatkinson

Post on 28-Nov-2014

1.218 views

Category:

Education


4 download

DESCRIPTION

NACADA Region 8 (2012) presentation on Motivational Interviewing in Academic Advising

TRANSCRIPT

Page 1: Mi presentation march2012

“I’ve Been Afraid of Changing”: Using

Motivational Interviewing principles in academic

advising to promote positive student change�

Miranda Atkinson Career & Academic Adviser

School of Journalism & Communication University of Oregon

Page 2: Mi presentation march2012

Outline

• Background and Context • Definition of MI

• Development of/theory behind MI • The spirit of MI

• Key areas of skill • Traps to avoid • Advising applications

• Important considerations

Page 3: Mi presentation march2012

Background and Context •  My background •  M.Ed. in counseling •  Trained in MI as part of a smoking cessation research

program for University of Michigan

•  Motivational Interviewing •  Counseling theory/approach developed in 1991 by

William Miller and Stephen Rollnick

•  Designed to help clients change

•  Originally developed for counseling clients with substance abuse

•  Other appropriate applications have been developed.

Page 4: Mi presentation march2012

Background and Context • Conception •  Retention and Outreach program

•  Used elements of Motivational Interviewing in individual conversations

•  Presence of “change language” indicated higher likelihood of improved grades

Page 5: Mi presentation march2012

What is �Motivational Interviewing?

• A client-centered, directive approach for enhancing intrinsic motivation to change by exploring and resolving ambivalence.

Page 6: Mi presentation march2012

Development of and theory behind MI

•  The “dilemma of change”

•  ambivalence = feeling two ways about something

•  ambivalence is normal, getting “stuck” is the problem

•  “Ambivalence is a reasonable place to visit, but you wouldn’t want to live there” (Miller & Rollnick, 2002, p. 14).

•  lack of motivation = unresolved ambivalence

Page 7: Mi presentation march2012

Ambivalence Illustration

Page 8: Mi presentation march2012

Development of and theory behind MI

•  Types of ambivalence

•  Approach-approach conflict: choose between two similarly attractive options

•  Avoidance-avoidance conflict: choose between two negative options

•  Approach-avoidance conflict: attracted to and repelled by same option

•  Double approach-avoidance conflict: choose between two options, each with attractive and negative qualities

Page 9: Mi presentation march2012

• We usually see double approach-avoidance, the most challenging to resolve.

Development of and Theory behind MI

Page 10: Mi presentation march2012

•  Motivation has three critical components:

•  Ready: priorities

•  Willing: importance

•  Able: confidence

•  These components are intrinsic

•  Our goal is to help students become ready, willing, and able to change.

Development of and theory behind MI

Page 11: Mi presentation march2012

Noticing motivation to change

• Listen for “change talk”

• Disadvantages of status-quo

• Advantages of change

• Optimism for change

• Intention to change

Page 12: Mi presentation march2012

Example “I’ve been afraid of changing, ‘cause I’ve built my life around you. But time makes you bolder, children get older, I’m getting older too.”

What types of change talk did you hear?

Page 13: Mi presentation march2012

Resistance

• You will also hear “resistance talk”

• “I’ve been afraid of changing, ‘cause I’ve built my life around you.”

• This is a reflection of ambivalence, which is a normal part of the change process.

Page 14: Mi presentation march2012

The “Righting Reflex”

•  Avoid the “righting reflex”

•  Reflex to push someone in the “right” direction

•  “Have you considered...?”

•  “You should try...?”

•  “If you would just...?”

•  A physics lesson

Page 15: Mi presentation march2012

What is �Motivational Interviewing?

• Re-examine the definition:

• Client-centered (student-centered)

• Directive approach

• Enhances intrinsic motivation to change

• Explores and resolves ambivalence

Page 16: Mi presentation march2012

The Spirit of MI

•  Collaboration

•  Exploration and support vs. authoritarian coercive

•  Evocation

•  Elicit vs. impart information

•  Autonomy

•  Facilitate self-direction vs. telling client/student what to do

Page 17: Mi presentation march2012

Key Areas of Skill

• Reflective listening

• Responding to change talk

• Responding to resistance

Page 18: Mi presentation march2012

Reflective Listening

•  Reflect the core of the student’s statement back to him/her.

• Clarifies meaning

• Encourages continued exploration of issue

• Does not simply repeat the student’s words

Page 19: Mi presentation march2012

Responding to Change Talk

• It is not possible to reflect all meanings of a statement.

• Reflect selectively by choosing to reflect change talk.

• This encourages the client/student to continue exploring change talk.

Page 20: Mi presentation march2012

Responding to Resistance • Resistance is a reflection of ambivalence.

• Resistance rises from the client/counselor relationship.

• It is not fixed.

• Resistance is an indication of dissonance

• Client is not on the same page

• Roll with resistance to find the meaning behind it and move forward together.

Page 21: Mi presentation march2012

The Phases of MI

•  The goal is to use these guiding principles to move clients through the phases of MI:

•  Building intrinsic motivation for change

•  Strengthening commitment to change and developing a plan to accomplish it

Page 22: Mi presentation march2012

Tempting traps

• Q/A trap: avoid with open-ended questions and reflective listening

• Taking sides: avoid arguing one side of ambivalence

• Expert trap: avoid “fixing” or prescribing a solution

• Labeling trap: avoid attaching a diagnosis or label to the client

Page 23: Mi presentation march2012

Student Populations and MI

•  What student populations might benefit from an MI approach?

•  Students struggling with academic performance

•  Students struggling with destructive behavior

•  Students struggling with a difficult decision

•  All students benefit from an open, non-judgmental student-advisor relationship.

Page 24: Mi presentation march2012

Important Considerations

• MI’s popularity has resulted in confusion

• Not teaching how to practice, just basic underlying principles.

• Brief adaptations of MI are not = MI

• Advisers will not always have time for MI.

• Not all students are ready to change.

Page 25: Mi presentation march2012

References

• Miller, W. R. & Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change, (2nd ed.). New York, NY: The Guilford Press.

• Other resources: MI Website • http://www.motivationalinterview.org/

• Questions?