why motivational interviewing · resources – rosengren, d.b. (2009). building motivational...

WHY MOTIVATIONALINTERVIEWING?

Stephanie A. Ballasiotes, MC.Two Steps Forward Training and Consulting

www.2sft.com

What do you know aboutMotivational Interviewing?

Let’s begin with some thoughts from someone who worked to find his place…

Finding Strengths

place…

What is MI?

a collaborative, goal-oriented style of communication with particular attention given to the language of change. communication with particular attention given to the language of change.

What is MI?

designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion.

Let’s imagine for a moment…

• You’re stuck on the horns of a personal real dilemma

• You’ve tried to reason your way through it• You’ve tried to reason your way through it

• Friends are not an option

• You need discretion

• What qualities do you want for a helper?

• Pair up

• Share qualities with partner

• Listener: NO TALKING, NO QUESTIONS• Listener: NO TALKING, NO QUESTIONS

Two Elements:• The relationship

– “Spirit” of MI

Lets break it down a bit

• Technical– Skills: Client centered– Strategies

MI Spirit

Partnership

Acceptance

Compassion

Evocation

Five fundamental skills…

• Open Questions

• Affirmations

• Reflections

• Summaries• Summaries

• Information sharing/exchange

Not unique to MI…..right?

Which brings us to Darryl Bem and Self-Perception Theory…

• In situations where we’re not sure what we believe

Why is Listening So Important?

we believe

• We come to believe what we hear ourselves say

• Except when coerced

Break down a bit more….

• What’s up withambivalence?

– Two sides, reasons for/against, – Two sides, reasons for/against, – Up and down– Wants answer, but doesn’t – Normal

Change and Sustain Talk

And pushing on ambivalence creates…?

Break down a bit more….

• What is change talk?– I want, need, should, can– I’m worried, don’t want, – reasons to– reasons to

What video and write downchange talk

What does it look like…

Giving Advice

How much of you work involves giving information or advice?How much should you give?HOW do you give it? What happens when we give unsolicited advice?

ADVICE?

Doctor - Patient

Righting Reflex

• Born of concern and caring

• There’s a problem? Let’s fix it!• There’s a problem? Let’s fix it!

• Fails to consider ambivalence in change process

• May engender resistance

What could this look like?

OARS

• Collaborative• Goal-oriented (whose goal?)

• Attention to the language of change • Eliciting and exploring client’s reasons for change

• Accepting• Compassionate

In a Framework of:

Four Fundamental

Processes …Evoking

Planning

Engaging

Focusing

Exercise – BranchingScripts

WHAT ARE YOUR REASONS TO GIVE IT A TRY?

Miller & Rollnick, 2012

MI is powerful,

but like a muscle, it must be built.

End with a little inspiration!

Resources

– Rosengren, D.B. (2009). Building Motivational Interviewing Skills: A Practitioner’s Workbook. New York: Guilford Skills: A Practitioner’s Workbook. New York: Guilford Press.

– Arkowitz, H. Westra, H. Miller, W.R., & Rollnick, S. (2008). Motivational Interviewing in the Treatment of Psychological Problems. Guilford: New York.

– Miller, W.R., & Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change. Guilford: New York.

– Training Tapes: MI Series– MI Website: www.motivationalinterviewing.org