why motivational interviewing · resources – rosengren, d.b. (2009). building motivational...
TRANSCRIPT
![Page 1: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/1.jpg)
WHY MOTIVATIONALINTERVIEWING?
Stephanie A. Ballasiotes, MC.Two Steps Forward Training and Consulting
www.2sft.com
![Page 2: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/2.jpg)
What do you know aboutMotivational Interviewing?
![Page 3: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/3.jpg)
Let’s begin with some thoughts from someone who worked to find his place…
Finding Strengths
place…
![Page 4: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/4.jpg)
What is MI?
a collaborative, goal-oriented style of communication with particular attention given to the language of change. communication with particular attention given to the language of change.
![Page 5: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/5.jpg)
What is MI?
designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion.
![Page 6: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/6.jpg)
Let’s imagine for a moment…
• You’re stuck on the horns of a personal real dilemma
• You’ve tried to reason your way through it• You’ve tried to reason your way through it
• Friends are not an option
• You need discretion
• What qualities do you want for a helper?
![Page 7: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/7.jpg)
• Pair up
• Share qualities with partner
• Listener: NO TALKING, NO QUESTIONS• Listener: NO TALKING, NO QUESTIONS
![Page 8: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/8.jpg)
Two Elements:• The relationship
– “Spirit” of MI
Lets break it down a bit
• Technical– Skills: Client centered– Strategies
![Page 9: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/9.jpg)
MI Spirit
Partnership
Acceptance
Compassion
Evocation
![Page 10: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/10.jpg)
Five fundamental skills…
• Open Questions
• Affirmations
• Reflections
• Summaries• Summaries
• Information sharing/exchange
Not unique to MI…..right?
![Page 11: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/11.jpg)
Which brings us to Darryl Bem and Self-Perception Theory…
• In situations where we’re not sure what we believe
Why is Listening So Important?
we believe
• We come to believe what we hear ourselves say
• Except when coerced
![Page 12: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/12.jpg)
Break down a bit more….
• What’s up withambivalence?
– Two sides, reasons for/against, – Two sides, reasons for/against, – Up and down– Wants answer, but doesn’t – Normal
![Page 13: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/13.jpg)
Change and Sustain Talk
![Page 14: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/14.jpg)
And pushing on ambivalence creates…?
![Page 15: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/15.jpg)
Break down a bit more….
• What is change talk?– I want, need, should, can– I’m worried, don’t want, – reasons to– reasons to
What video and write downchange talk
![Page 16: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/16.jpg)
What does it look like…
![Page 17: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/17.jpg)
Giving Advice
How much of you work involves giving information or advice?How much should you give?HOW do you give it? What happens when we give unsolicited advice?
![Page 18: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/18.jpg)
ADVICE?
![Page 19: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/19.jpg)
Doctor - Patient
![Page 20: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/20.jpg)
Righting Reflex
• Born of concern and caring
• There’s a problem? Let’s fix it!• There’s a problem? Let’s fix it!
• Fails to consider ambivalence in change process
• May engender resistance
![Page 21: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/21.jpg)
What could this look like?
OARS
• Collaborative• Goal-oriented (whose goal?)
• Attention to the language of change • Eliciting and exploring client’s reasons for change
• Accepting• Compassionate
![Page 22: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/22.jpg)
In a Framework of:
Four Fundamental
Processes …Evoking
Planning
Engaging
Focusing
![Page 23: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/23.jpg)
Exercise – BranchingScripts
![Page 24: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/24.jpg)
WHAT ARE YOUR REASONS TO GIVE IT A TRY?
Miller & Rollnick, 2012
![Page 25: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/25.jpg)
MI is powerful,
but like a muscle, it must be built.
![Page 26: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/26.jpg)
End with a little inspiration!
![Page 27: WHY MOTIVATIONAL INTERVIEWING · Resources – Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Press. – Arkowitz,](https://reader034.vdocument.in/reader034/viewer/2022050601/5fa8b64ae5a71f611461fa8c/html5/thumbnails/27.jpg)
Resources
– Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Skills: A Practitioner’s Workbook. New York: Guilford Press.
– Arkowitz, H. Westra, H. Miller, W.R., & Rollnick, S. (2008). Motivational Interviewing in the Treatment of Psychological Problems. Guilford: New York.
– Miller, W.R., & Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change. Guilford: New York.
– Training Tapes: MI Series– MI Website: www.motivationalinterviewing.org