Motivational Interviewing: A Case Study

The concept of motivational interviewing evolved from experience in the treatment of problem drinkers, and was first described by Miller (1983) in an article published in Behavioral Psychotherapy. These fundamental concepts and approaches were later elaborated by Miller and Rollnick (1991) in a more detailed description of clinical procedures. Motivational interviewing is a semi-directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Compared with non-directive counseling, it 's more focused and goal-directed. Motivational Interviewing is a method that works on facilitating and engaging intrinsic motivation within the client in order to change behavior. The examination and resolution of ambivalence is a central purpose, and the counselor is intentionally directive in pursuing this goal.

MET is based on the principles of motivational interviewing. It draws self-motivational statements early on in early discussion and plan for change is built on that. This approach engages the addict in building the plan. Based on their own motivations as oppose to societal. People who cannot follow like 12 –steps may benefit from this therapy. Enlightenment can only occur if an individual wants to learn and MET is centered on this insight. Using peoples own statements about desired better outcomes initial resistance is countered after this is achieved an introduction of behavioral techniques can be introduced to support and individual’s ability to fend for him/herself. MET is often used with other cognitive behavioral approaches. MET could go a long way in offering insights for those effective by many mental illness. With this therapy one can heal from other associated problems like anxiety and depression for life style change (The Ranch, 2014).

Motivation is a key aspect in the organization or workplace, and it is imperative to know the basic theory application and methods dealing with any problems that usually unavoidable for the employee and will come up in any work environment. This is a mandatory skills for a leader or future manager to know how important on how to motivate his or her employee to work more efficient. Motivating employees is a big dilemma for managers. To produce a higher level of performance and productivity, manager’s today are obliged to pay more attention on this matter. Every employee needs different types of motivation. In this paper will elaborate three motivational methods that a

Motivational interviewing is a way of conducting and occupy the essential motivation within the client in order to change behavior. It is “an efficient and collaborative style of clinical interaction that can boost the effectiveness of the therapeutic alliance” (Jellinek, Henderson, Dilallo, & Weiss, 2009, p.108). Motivational

In order to effectively execute this therapeutic technique, there are five basic principles of motivational interviewing such as the expression of empathy, the development of discrepancy, the avoidance of arguments, the adjustment to client resistance, and the support of self-efficacy and expression (Easton, Swan & Sinha 2000). Firstly, one must display an understanding and experiencing of the feelings, thoughts, and experience of another from the other person’s perspective ((Moller & Potter 2016b). In relation to an alcoholic client, one must develop a therapeutic and non-judgmental relationship with the client. By the use of active and reflective listening, one can create an empathetic atmosphere by establishing a safe and open environment to facilitate the vulnerability and honesty of the client. By taking the time to understand the client’s perspective, feelings, and values, you will create an empathetic environment that will facilitate the process of motivational interviewing (Easton, Swan & Sinha 2000).

Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers is an article written by Lyle Cooper concerning the abuse or misuse of illicit drugs, prescription medications, and alcohol in older populations. Due to lack of knowledge or resources, elderly individuals are falling victim to substance use problems and the numbers are projected to rise. Therefore, an assistance program called HeLP was created to provide evidence-based treatment to the specific cohort of 50 and up age range. Motivational interviewing is used to eliminate internal uncertainties clients may have concerning their treatment; hence, opening themselves up to behavioral changes. Clients who decide to move on to the next stage and if HeLP workers deem it necessary, cognitive-behavioral therapy is implemented to promote changes in thoughts, behaviors, and prevention of future relapse.

The process of motivational interviewing is essentially about creating "intrinsic motivation to change" within the client (Moyers, 1998). The choice to change must originate with the client and the process for helping this occur begins with motivational interviewing. There are two phases within motivational interviewing, the first focuses on increasing the client’s motivation to change and the second phase is negotiating a plan and consolidating commitment. It is important to understand the traps that can be encountered within this process, such as the question/answer trap. In this trap the client is led by the counselor with little chance to have free speech to explain themselves because the counselor is just focused on the next question instead of focusing on where the client is leading them. This trap is very similar to the expert trap in the fact that the client is left to believe they cannot find answers for themselves; they instead must listen to the expert who is giving them the answers. This is most definitely not the way to motivate a client to make changes for themselves. Other traps include premature focus, denial, labeling, and blaming; all of which can prevent the client from opening up in the treatment process.

Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the

The spirit of motivational interviewing (MI), which entails collaboration, evocation and autonomy, is the fundamental approach to elicit intrinsic motivations (1, 2). Throughout the video, the therapist appears to have applied the MI spirit in accordance with Miller and Rollnick (2). The therapist firstly created an encouraging atmosphere for change by monitoring and accommodating the client’s aspirations (collaboration). The therapist then evoked the client’s motivation through their perceptions, goals and values (evocation) and also informed about the right for self-direction leading to commitment to change (Autonomy). However, to sustain the MI spirit, a breakdown of the requirements will be discussed below.

Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.

Stevens, P., & Smith, R. L. (2013). Substance abuse counseling: Theory and practice (5th ed.). Upper Saddle River, NJ: Pearson Education, Inc.

Psychologists William Miller, PhD. and Stephen Rollnick, PhD. developed the counseling approach known as Motivational Interviewing (MI). Motivational Interviewing evolved out of experience in the treatment of persons who were problem drinkers, and was first described by Miller in 1983. In 1991 Miller and Rollnick provided these techniques as a method that promotes and engages intrinsic motivation within the client in order to change behavior. MI is a client-centered counseling style that is goal -directed and brings about behavior change by helping clients to explore and resolve ambivalence. Traditional Rogerian client-centered therapy does not guide or direct or focus in the way that MI therapists do to influence individuals to consider making changes, instead of non-directively explore themselves.

Afterwards, the essential concepts and methods were later particularized by Miller and Stephen Rollnick, Ph.D., in 1991. This involved a more comprehensive description of the clinical procedures of motivational interviewing. Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence (Miller & Rollnick, 1991). Motivational Interviewing is goal directed and more focused when compared with nondirective therapies. The central purpose is to examine and resolve ambivalence, with an intentionally directive therapist to carry out this goal (Miller & Rollnick, 1991).

McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49.

Relaxation, celebrating, and socializing are often reasons people engage in alcohol. However, the enjoyment of alcohol in moderation may become difficult for some individuals to manage when using alcohol as coping mechanisms or scapegoat, for other underlining issues: personal, social and work-related concerns. Unfortunately, lack of proper management may or can result into alcoholism. According to the DSM-V alcoholism is diagnosed as alcohol use disorder or alcohol addiction, in which a person becomes physically and psychologically dependent on alcohol to the point that he or she cannot function without it (American Psychiatric Association,2013).