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Motivational Interviewing Reflection Paper

Decent Essays

The discussion of the video below is in accordance with the Motivational Interviewing Reflection Tool (MIRT). Strengths MI spirit 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. Change talk - DARN Commitment language includes four dimensions namely desire, ability, reason and need (DARN) (2, 3). The strength of commitment language has been discovered proportional to behavioural outcomes (4). In the video, the therapist had elicited all four dimensions by …show more content…

The therapist used collecting and linking summaries. In the collecting summaries, the therapist stated “you really like to do exercise…it’s important for your health, fitness and mobility…allows you to engaged with the world and family…if you were to do more, how would you go about it?”. This summary collected the information, moving the conversation forward while reinforcing change talk (3, 5). In the linking summary, the therapist stated “you mentioned family as being the most important thing and the thing almost gets in the way of exercises…family is almost one of the most important things for the exercise…”. This linking developed discrepancy as well as explored the client’s ambivalence creating an opportunity for the client to reflect on the problem (3,

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