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,
Motivational interviewing recognizes and accepts the fact that clients who need to make changes in their lives approach counseling at different levels of readiness to change their behavior. During counseling, some patient may have thought about it but not taken steps to change it while some especially those voluntarily seeking counseling, may be actively trying to change their behavior and may have been doing so unsuccessfully for years. In order
An interview utilizing motivational interviewing techniques was conducted by a nurse practitioner student and a consenting patient. The patient is a 55-year-old, male, with occupation as a heating, ventilation, and air conditioner technician that the nurse practitioner student identified on physical examination to have mild hearing loss. Hearing protection is admittedly not worn consistently at the jobsite during the history taking portion of the exam. This paper will discuss the behavioral health problem of noncompliance with hearing protection, the evidence supporting motivational interviewing strategies to support behavior change, and a discussion of the techniques used during the interview.
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
Changing is something that someone has to want to do, if there is no motivation things will stay the same. The first step to change is knowing and accepting the wrong that has been done and trying to figure out a way to change. There are numerous of practices that are used to help an offender bring their mistake to the light. These types of methods are called Evidence Based Practices and are used to help both the offender and probation officer learn to communicate on a different level. Evidence based practices are cognitive behavioral training, vocational education and training programs and treatment oriented intensive supervision program. They are used to reintegrate offender s back into the community successfully. The type of evidence based practice that I am going to talk about is motivational interviewing, the pro and cons and if it helps the offenders learn from their mistakes and if it is going to help in the future.
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 theories relating to the motivational methods and techniques I have chosen to reinforce the information are the two-factor and expectancy theory. The two-factor theory was developed by Frederick Herzberg’s and falls under two categories the satisfier and hygiene factors. The two are linked and are identified as being turned
Motivational interviewing (MI) is now widely acknowledged as an effective treatment for many different health, substance, and mental health problems. Asking open questions is a fundamental MI skill. Helping clients articulate goals and acknowledge potential benefits of positive change. Even when exploring the client's emotional pain, you can listen for and resonate with the unfulfilled positive goals contributing to that pain.
Do seniors that are provided with health coach using motivational interviewing have fewer hospital encounters than seniors that do not receive the intervention?
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.
The aspect of Motivational Interviewing that really jumped out at me that seemed important was aligning myself with my client. I really think it is important for me to walk with the individual with whom I interviewing. Not to be in a state of agreement or disagreement, free from positive or negative judgements, just getting in step with the people I work with. I just recently used the “Magic wish” question, it’s probably the one I use the most for the beginnings of some self-determination for the clients. It kept us talking for an hour, and helped the individual with what can or cant be done with the presenting problem. The challenges that I anticipate with incorporating Motivational Interviewing into my professional interactions is just
Step 2: Disrupt the negative by thought stopping or changing. Motivational Interviewing “change talk” techniques could be used in this step as well to teach Conner how to change his thoughts (Woolsey et al., 2003). For example, the basic principles of MI (expressing empathy, rolling with resistance, supporting self-efficacy (confidence in the moment), and developing discrepancy) could be intertwined into teaching Conner how to disrupt and change his thought processes.
MI therapists prize the client when they are with the client. As in Person-Centered therapy, the client is regarded as the expert of his life. Within the client lies the will to change if it can be adequately identified and then encouraged to come out. Once encouraged and heard, the will to change can then be involved in planning a change. Carl Rogers developed a therapy method that trusted the client. His person-centered approach began with the client receiving and benefiting from a special status conferred upon him by the therapist. This theoretical approach pivots around the idea that clients have the ability to
Solution-Focused Interviewing, The Transtheoretical Model, and Motivational Interviewing are three approaches used by practitioners to assist and guide people in changing their behavior. Each approach has its own format and process and this paper will compare and contrast some similarities and differences between these three approaches. This will be done by looking at five client scenarios and comparing and contrasting them with the approaches. The five client scenarios are; the client who wants something and sees themselves as part of the solution, the client who says someone else needs to change, the client who seems uninterested or resistant to changing, the client who wants what is not good for them and finally the client who does not seem to want anything.
Motivational interviewing may be defined as “a collaborative, goal-oriented style of communication with particular attention to the language of change. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion” (Miller and Rollnick 2012). It is this students aim to demonstrate an understanding of this concept. This will be achieved by critiquing a digital recording of a case scenario that this student previously recorded. Throughout this essay an