Presentation on theme: "Motivational Interviewing"— Presentation transcript:
1 Motivational Interviewing Chapter 4What is Motivational Interviewing?
2 What is Motivational Interviewing? There is a fundamental spirit of MI that is much more important than any particular set of techniques Important aspects of that spirit include collaboration, evocation and autonomy
3 CollaborationThe counselor avoids an authoritarian one-up stance, instead communicating a partner-like relationship.Exploration and support rather than persuasion or argument
4 EvocationThe interviewers tone is not one of imparting things (such as wisdom, insight, reality) but rather of eliciting, or finding these things within and drawing them out from the person
5 EvocationIt is not an instilling or installing but, rather, an eliciting, a drawing out of motivation from the person
6 AutonomyResponsibility for change is left with the clientRespect is shown for the individual's autonomy
7 AutonomyWhen motivational interviewing is done properly, it is the client rather than the counselor who presents the arguments for change
8 There are four general principles of Motivational Interviewing 1. Express empathy2. Develop discrepancy3. Roll with resistance4. Support self-efficacy
9 Express EmpathyA client-centered and empathic counseling style is one fundamental and defining characteristic of motivational interviewingThe counselor seeks to understand the client's feelings and perspectives without judging, criticizing, or blaming
10 Express EmpathyAcceptance is not the same thing as agreement or approvalThe crucial attitude is a respectful listening to the person with a desire to understand his or her perspective
11 Express EmpathyThe attitude of acceptance and respect builds a working therapeutic alliance and supports the client's self-esteem, which further promotes change.
12 Develop DiscrepancyMotivational interviewing is intentionally directive -- directed toward the resolution of ambivalence in the service of change
13 Develop DiscrepancyMotivational interviewing is specifically directed toward getting people unstuck, helping them move past ambivalence toward positive behavior change
14 Develop DiscrepancyA second general principle of motivational interviewing is thus to create and amplify, from the client's perspective, a discrepancy between present behavior and his or her broader goals and values.
15 Develop DiscrepancyIf the behavior gap is very large, it can decrease motivation by diminishing confidence
16 Develop DiscrepancyWhen skillfully done, motivational interviewing changes the person's perceptions (of discrepancy) without creating any sense of being pressured or coerced.
17 Develop DiscrepancyPeople are often more persuaded by what they hear themselves say than by what other people tell them.
18 Roll With ResistanceResistance that a person offers can be turned or reframed slightly to create a new momentum toward change
19 Roll With ResistanceIn motivational Interviewing one does not directly oppose resistance but, rather, rolls or flows with it
20 Roll With ResistanceWhat to do about a problem, if anything, is ultimately an individual decisionIt is not the counselor's job to provide all the answers and generate all the solutions
21 Roll With ResistanceIt is assumed that the person is a capable and autonomous individual, with important insight and ideas for the solution of his or her own problems
22 Roll With ResistanceResistance is an interpersonal phenomenon, and how the counselor responds will influence whether it increases or diminishes
23 Support Self-Efficacy Hope and faith are important elements of changeA general goal of motivational interviewing is to enhance the client's confidence in his or her capability to cope with obstacles and to succeed in change
24 Support Self-Efficacy A person may also be encouraged by the success of others or by his or her own past successes in changing behavior
25 SummaryIt is vital to understand the overall spirit and underlying assumptions of the methodMotivational interviewing is a skillfull clinical method, not a set of techniques that can be easily learned
26 SummaryMotivational interviewing is more than a set of techniques for doing counseling. It is a way of being with people.