What’s New in MI3…? …LOTS! Miller, W. R., & Rollnick, S. (2012). Motivational Interviewing, 3rd Edition. New York: Guilford Press Paul.

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Presentation transcript:

What’s New in MI3…? …LOTS! Miller, W. R., & Rollnick, S. (2012). Motivational Interviewing, 3rd Edition. New York: Guilford Press Paul

What’s New? 1. Definitions 2. Spirit 3. Four Processes 4. Discord Paul

3 Definitions … 1. Layperson’s definition: “MI is a collaborative conversation style for strengthening a person’s own motivation and commitment to change”. Paul

3 Definitions … 2. Practitioner’s definition: “MI is a person-centered counseling style for addressing the common problem of ambivalence about change.” Paul

3 Definitions … 3. Technical definition: MI is a collaborative, goal-oriented style of communication with a 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. Paul

MI Spirit… Paul

MI Spirit… Paul

Planning Paul

Sustain Talk & Discord Resistance is now conceptualized as Discord Resistance focuses on client pathology Paul

Sustain Talk & Discord Desire for status quo Inability to change Reasons for sustaining status quo Need for status quo Commitment to status quo Paul

Sustain Talk & Discord Behavior Interpersonal (It takes two to resist) A signal of relationship deterioration Highly responsive to helper style Paul

Sustain Talk & Discord Both are predictive of non-change How we respond to sustain talk can cause discord! Paul

Signs of Discord Defending Arguing/Squaring Off/Power Struggle Interrupting Disengagement Paul

Where It Comes From… Discord in Engaging: The client’s prior experiences, expectations; counselor use of labeling or blaming Paul

Where It Comes From … Discord in Focusing: Premature focus trap; counselor focus on a particular issue Paul

Where It Comes From… Discord in Evoking: Pushing in a particular direction; using the righting reflex Paul

Where It Comes From… Discord in Planning: Not being collaborative Paul

Responding To Sustain Talk Emphasizing autonomy Reframing Agreeing with a twist Running head start (pros and cons) Coming alongside Paul

Responding To Discord Reflective listening Apologizing Affirming Shifting Focus Paul