Motivational interviewing basics 20 the counselors style is a powerful determinant of clients actions and reactions. Fill in the blank with any behavioral change your client is considering. In motivational interviewing, oars or openended questions, affirmations, reflections, and summarizing are employed toward eliciting change talk. Resolving ambivalence in motivational interviewing with cathy cole, lcsw table of contents tips for making the best use of the dvd 4 summary of motivational interviewing approach 6 discussion questions 12 reaction paper guide for classrooms and training 17 roleplays 18 related websites, videos and further readings 21 video transcript 23. Where is the trainee or audience currently in this developmental process. Motivational interviewing training is a process that requires commitment of resources, including staff time as well as financial resources. Motivational interviewing is not a phrase many people would have heard of, except you work in some form of health care role. Ceu courses are affordable with our unlimited ceu plan.
This is the authoritative, bestselling guide that professionals and students turn to for a complete introduction to motivational interviewing mi, the powerful. Below is a chart that contrasts counter motivational statements with change talk. The key to inspiring your childs intrinsic drive is to use a technique called motivational interviewingand it can be done with just two questions motivational interviewing is a tool used to help someone recognize their own reasons for doing something. Compared with nondirective counseling, it is more focused and goaldirected, and departs from traditional rogerian. Motivational interviewing a personcentered counseling method for addressing the common problem of ambivalence about behavior change ambivalence the central aspect of behavior change. Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. A 2part series this article is the first of a 2part series.
Motivational interviewing psychology today australia. Skill development, and ultimately competence, in mi requires. Evoking self motivational statements is a primary goal of mi approach and unlike oars, is more directive. It can be briefly integrated into patient encounters and is designed to promote clarity and open communication. My primary theoretical orientation is reality therapy but have found motivaitonal interviewing to be an easily integrated set of techniques for virtually any counseling style. Evidencebased interventions to improve client engagement and accelerate behavioral change check location. This part will 1 briefly describe motivational interviewing mi, 2 provide an example of how it works, 3 explain our approach to mi, and 4 explain why it is so effective in helping patients engage in health behaviors eg, taking their medications, losing weight, quitting smoking. Scott will examine how we can become selfmotivated in the psychology of selfmotivation. The goal is to help the client identify and resolve ambivalence so he or she can move forward. The unexpected challenge of motivational interviewing fpm. Miller and stephen rollnick helped develop the motivational interviewing approach to counseling. In 2015, the motivational interviewing implementation and practice. For example, change talk can be elicited by asking the patient questions such as. Sep 01, 2012 this is the authoritative, bestselling guide that professionals and students turn to for a complete introduction to motivational interviewing mi, the powerful approach to facilitating change.
It is defined as a collaborative, goaloriented type of communication with particular attention to the language or change. Motivational interviewing is a counseling method that helps people resolve ambivalent feelings and insecurities to find the internal motivation they need to change their behavior. Talking to change a motivational interviewing podcast. Motivational interviewing mi is a counseling approach developed in part by clinical psychologists william r. Motivational interviewing allows the client to be in charge of determining the changes that need to take place in their life and provides a way of enabling the client to talk themselves into making such changes. My primary theoretical orientation is reality therapy but have found motivaitonal interviewing to be an easily integrated set. I recently completed an introductory course in motivational interviewing and found the book an invaluable companion. A core skill in building a collaborative relationship is asking open questions. Motivational interviewing and the stages of change theory. To be most effective, they land on client change talk and are clientcentered by utilizing. Helping people change 3rd edition is an essential text for any clinician who hopes to use the intervention in their practice. A guide to the theory and practise of the integration of motivational interviewing with cognitive behaviour therapy. The unexpected challenge of motivational interviewing.
It is a good motivational book that hands you the tools you need to help you succeed. The importance of awareness and motivation to change negative selftalk has received support in earlier studies in sports hardy et al. Alternative view 1 of motivational interviewing, third edition. The therapeutic relationship for both rogerian and motivational interviewers is a democratic partnership. Motivating often means resolving conflicting and ambivalent feelings and thoughts. This book covers the key features of miinformed cbt, offering essential guidance for students and practitioners experienced in both mi and cbt, as well as practitioners from other theoretical orientations who require an accessible guide to this developing approach. I have had more positive feedback from students regarding this book.
Motivational interviewing is a collaborative, goal oriented. Recent metaanalyses show that mi is equivalent to or better than other treatments such as cognitive behavioural therapy cbt or pharmacotherapy, and superior to placebo and nontreatment controls for decreasing alcohol and drug use in adults 46 and adolescents. Motivational interviewing mi is an alternative approach for raising problem awareness and facilitating change exploration with individuals who may be reluctant, stuck, or not yet ready to make behavioral changes. Motivational interviewing builds on carl rogers optimistic and humanistic theories about peoples capabilities for exercising free choice and changing through a process of selfactualization. This is the authoritative, bestselling guide that professionals and students turn to for a complete introduction to motivational interviewing mi, the powerful approach to facilitating change. When you read the right book, you want to go out and conquer the world.
Our continuing education is both state and nationally approved for license or credential renewal. Around seven years ago i read a wonderful book called motivational interviewing in health care. Motivational interviewing techniques facilitating behaviour change in the general practice setting. More than an assessment strategy, motivational interviewing is a brief, clientcentered directive intervention designed to enhance intrinsic motivation for behavior change through the exploration and reduction of patient ambivalence. Motivational interviewing skills manual christopher bolling, md 3 asking open questions. Chapter 3motivational interviewing as a counseling style. Ceus motivational interviewing in social work practice. It is no exaggeration to say that motivational interviewing mi has transformed the way doctors engage with patients, families, and colleagues alike. The book elucidates the four processes of miengaging, focusing, evoking, and planningand. Millers clinical experience based on the rogerian clientcentered paradigm and his interest in social. Similar to carl rogers, millers goal of becoming a pastor was shortlived, with psychology becoming his subsequent area of professional interest. Change talk is how people talk about the idea of change and allows the youth to support his own need for change without the probation officer imposing it. Once we hear these statements from the client, we must then reduce their resistance and develop discrepancies between the clients goals, values, selfimage, and current behavior. A behavioranalytic account of motivational interviewing.
Helping people change, third edition, by william r. Cant be answered with yes or no allow for a fuller, richer discussion are nonjudgmental. Additionally, encouraging selfmotivation and longterm change can reduce recidivism, thus protecting the community and resulting in less victimization. Books motivational interviewing network of trainers mint. Fortunately, one of the easiest ways to get motivated is to read a great book. Explore the good thingsnotsogood things ask about the positive and negative aspects of the target behavior. Psychological strategies motivational interviewing techniques. Below is a chart that contrasts countermotivational statements with change talk. Future sessions can be used to check in, tweak the change plan when there are difficulties, and maintaining motivation with change talk. Mi was not founded on behavioral principles, but rather grew from william r. Motivational interviewing is an integral part of sbirt, and its principles can also be applied to other therapeutic interactions revolving around behavior change. Introduction to stages of change and change talk in. This may be the single most important book you ever buy during your medical training. Take our online ceu course on motivational interviewing in social work practice and renew your license today.
Motivational interviewing an overview sciencedirect topics. Pdf awareness and motivation to change negative selftalk. Motivational interviewing the tasks of mi are to engage, through having sensitive conversations with patients. An empathic style is more likely to bring out selfmotivational responses and will reduce resistance from the client each person has powerful potential for change. These tasks can also provide a framework for developing a sequence of training.
A clinicians treatment guide for addiction recovery using relapse prevention therapy, acceptance and commitment therapy, and motivational interviewing. It is a directive, clientcentered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Rotations come and go, exams come and go, but regardless of specialty, patientcare will be at the heart of your practice. Applications and effectiveness of motivational interviewing. Motivational interviewing or mi is an effective, evidence based counselling approach applicable to a wide wide range of psychological, behavioral and physical health issues. Motivational interviewing builds on carl rogers optimistic and humanistic theories about peoples capabilities for exercising free choice and changing through a process of self actualization.
Dec 30, 2019 motivational interviewing is not a phrase many people would have heard of, except you work in some form of health care role. He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. In this slide presentation i talk about the basic concepts of motivational interviewing mi. Talking to change a motivational interviewing podcast, hosted by glenn hinds and sebastian kaplan, is a series of conversations exploring motivational interviewing mi and its influence on supporting individuals and groups as they make positive health. Eight tasks in learning motivational interviewing this is content from miller and moyers 2006 that can be useful in conceptualizing training. The book elucidates the four processes of mi engaging, focusing, evoking, and planning and vividly demonstrates what they look like in action. Christian faith was no longer working for him, and he became an agnostic for a short period of time. Millers research has focused particularly on the treatment and prevention of addictions. Selfconcept, decisions, chosen attitudes, grief, and acceptance. Focus on whats important to the patient regarding behavior, health, and welfare.
Further, as probation officers work with youth and help guide them down this path, moral reasoning. Furthermore, it is proposed that a consideration of motivational interviewing from a selfdetermination theory perspective will help in reaching a better understanding of the processes involved, which could inform future developments and research into its methods and applications. Motivational interviewing mi is a counseling approach developed in part by clinical. Explore decisional balance ask the pros and cons of changing and staying the same. Research evidence and the evolution of motivational interviewing. Motivational interviewing implementation and practice manual a jjses resource april 2015. When it is lacking, its tough to do even the simplest of things. Once we hear these statements from the client, we must then reduce their resistance and develop discrepancies between the clients goals, values, self image, and current behavior. Evoking selfmotivational statements is a primary goal of mi approach and unlike oars, is more directive. The following materials supplement formal mi training, but cannot replace the instruction and practice necessary to become proficient. Helping people change 3rd edition is an essential text for any clinician who hopes to.
In this way, it can improve their selfconfidence for change. Motivational interviewing a conversation of empathy and selfhealing. The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles. Mar 30, 2018 motivational interviewing is an integral part of sbirt, and its principles can also be applied to other therapeutic interactions revolving around behavior change. Soliciting change talk is a cornerstone of motivational interviewing.
The key to inspiring your childs intrinsic drive is to use a technique called motivational interviewingand it can be done with just two questions. Motivational interviewing, often abbreviated as mi, is the evidencebased, clientcentered, or patientcentered counseling approach for use by clinicians and counselors of all types designed to help clients change behavior toward healthier options. Motivational interviewing toolkit ireta institute for. Motivational interviewing mi is a patientcentered counseling approach used during a clinical visit. Motivational interviewing in a brief encounter skills handbook. Racgp motivational interviewing techniques facilitating. Motivational interviewing consists of interesting sounding techniques like oars, smart goals, asktellask, change talk, and scaling questions, but more importantly, it requires an entirely. Helping people change, written with stephen rollnick, in 1991. Contents chapter 1 spirit of motivational interviewing chapter 2 core mi skills. Chapter 3motivational interviewing as a counseling style ncbi. Motivational interviewing motivational interviewing online. Compared with nondirective counseling, it is more focused and goal. Preparing people to change addictive behavior, they outlined.