This paper will discuss what motivational interviewing is , who developed motivational interviewing and why it was developed. In addition, the most important aspects of motivational interviewing will be covered. Furthermore, the paper will discuss how I hope to use motivational interviewing in the future. At the conclusion of the paper the reader should have a better understanding of motivational interviewing. Definition of Motivational Interviewing “Motivational interviewing was introduced by Dr. William R. Miller in 1983, to help problem drinkers prepare for treatment and has been developed in collaboration with Dr. Stephen Rollnick. Motivational interviewing is a client centered directive method of communication for enhancing intrinsic motivation to change by helping people to explore and work through ambivalence. (Miller &Rollnick,2002).” This definition simply means that motivational interviewing is a method that uses the techniques taught by Carl Rodgers, such as empathy, positive regard, and congruence all of which lead to a collaborative relationship between the counselor and the client. This supportive and collaborative relationship will enable the client to open up and have honest discussions with the counselor. Therefore, the counselor will be able to help the client recognize: 1) The advantages and disadvantages of changing their negative behavior 2) Whether they are capable of changing their negative behavior 3) Whether or not they intend to change their negative behavior The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi... ... middle of paper ... ...ore, motivational interviewing encourages the counselor to use affirmations which is something that most likely is missing from the teenager’s life. I also feel that motivational interviewing will be helpful when counseling a wide range of individuals. Conclusion Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
...ersatile and positive orientated framework. By looking at the person and their story, I assert that a comprehensive view of the client can be reached. The empowerment and positive nature of the solution-focused modality undoubtedly generates results. However, I do no think these positive results could be reach without some traditional base as appoint of reference. While this will serve as my main counseling format, I am aware that I will need to be versed with other counseling and testing techniques.
233). From this, clients should want to change as well as believe in their capacity for change. For Jim, he can benefit from motivational interviewing since it can be used to help him overcome ambivalence to change. A collaborative, and nonconfrontational relationship are part of motivational interviewing. This is important for the client Jim in order to respect and encourage his self-determination. Motivational interviewing gives clients like Jim the opportunity to discover their own reasons for making change. One of the principles for motivational interviewing is expressing empathy where it gives clients the chance to freely explore their values, perceptions, goals and the implications of their present situation without being judged. The counsellor who is working with Jim can use active listening skills for expressing empathy in order for Jim to feel like he is being heard. The second principle is developing
The first part of this essay will be based on discussing the Egan Model and the Motivational Interviewing Models separately; describing what they are and how they work. Then a discussion on how they compare and how the models can be integrated into each other.
...ives from the implementation of an empathic, hopeful continuous treatment relationship, which provides integrated treatment and coordination of care through the course of multiple treatment episodes” (Watkins, 2015). Whether, confronted with a substance use disorder, gambling or sex addiction the way in which a counselor work with the client in an open helpful manner is the key to motivating the client to change their behaviors. “A man convinced against his will, Is of the same opinion still” (Carnegie, 1981). The most piece of the helping relationship is that the client is the lead in their care, as they are the ones that will be making the decisions for their care. A counselor is essentially a trained skillful teacher that guides an individual toward their best recovery options and it is up to the individual to make the needed changes in their life and behaviors.
With the subject, the interview can take place in a warm and empathic atmosphere, without confrontation, requiring the active participation of the subject. An empathic therapeutic attitude allows the subject to express of difficulties, his feelings. I would try to perceive things through the patient's eyes, putting myself in his place to understand what he can feel. Thus, the person can feel appreciated and will be more willing to open and share their experiences, allowing the therapist to visualize his or her resources, weak points in the process of change and beliefs around Alcohol consumption. In a motivational therapeutic interview, I must not directly confront the person on his tendency to trivialize, even deny, his problems of alcohol. I must assume that the final decision of change belongs to the subject. The defensive arguments put forward by the question in the face of change are not
The evidence-based model that is used in with FACT clients is the Motivation Interviewing (MI). This practice became a widespread approach to
Motivational interviewing (MI) has many definitions and many applications. For the purposes of this paper, MI is defined as, “A collaborative, goal-oriented style of communication with particular attention...
Motivational Interviewing (MI) is a tool that has been used for many decades. According to Motivational Interviewing by Hettema, Steele and Miller “Motivational interviewing (MI) was developed as a way to help people work through ambivalence and commit to change (Miller 1983). An evolution of client-centered therapy, MI combines a supportive and empathetic counseling style (Rogers 1959) with a consciously directive method for resolving ambivalence and direction of change.” MI is used only briefly, usually is one or two sessions with the client. The goal of MI is for the client to build motivation in order for themselves to make a change. The counseling profession expresses that the counselor is not the one making the change, but the client is the one who seeks to change themselves. MI requires the counselor to listen more as opposed to telling the client what to change. This approach seeks to have the client find their own motivation for change within themselves.
My experiences with behavioral change comes mostly from the self-work I have done. Prior approaches to discussing behavioral change with a friend, client, or acquaintance are reflections of content and feeling, summarizing, joining, open and closed ended questions, active listening, and simply engaging in dialogue. I have experienced little results in the form of feedback from people I have talked with. Many conversations with others have turned out to become all about me. However, within the last few terms at school, I have actively practiced my reflection skills and have seen and experienced positive results. My readiness to apply motivational interviewing is at a six out of ten. I am
By revisiting the cause problem clients will increase discouragement and resistance to a new behavioral change. However, coaches should assist clients generate effective ways to overcome challenges and stay positive by focusing on their strengths rather than their weakness. For example, in the early stages where challenges are still fresh and might appear overwhelming, coaches should put themselves in their client’s shoes by expressing empathy for client feelings.
Throughout societies, individuals from time to time are constantly faced with inevitable life circumstances and crises in varying areas of their lives where they are forced to employ coping strategies as a way of dealing with their situations. Such skills can either be healthy or unhealthy where effectiveness varies and is based on subjective reports derived from individuals. Likewise, within the field of mental health, individuals encounter struggles in different areas including emotional, social, cognitive and psychological where their ability to engage in effective reasoning and problem solving becomes impaired thus allowing them to become incapable of making appropriate decisions. Conversely, many such individuals resort to inappropriate
Motivational interviewing is an important technique and counseling style that was created by William Miller and Stephen Rollnick in the 1980’s. The brief definition of motivational interviewing (MI) that is provided by Miller and Rollnick in their influential text is “a collaborative conversation style for strengthening a person’s own motivation and commitment to change” (Miller & Rollnick, 2013). Motivational interviewing is considered to be a style that evolved from client-centered therapy. The style is considered to be empathic but requires the counselor to consciously directive so that they may help their client resolve the ambivalence they are experiencing and direct them towards change. The important thing to note is that client autonomy is key to the process (Hettema, Steele, & Miller, 2005). However, despite being able to currently give a definition of MI, one that could be considered a working definition, motivational interviewing is “a living, evolving method” (Miller & Rollnick, 2009). It will continue to evolve as times change and it is implemented in use with other maladaptive behaviors. MI is a relatively new style that it still has the ability to undergo changes to adapt to what purpose it is serving (Miller & Rollnick, 2009).
...blem as well as their treatment. Miller suggests that client resistance is a product of the interaction with the counselor who uses confrontational interviewing style. Rather than counselors trying to convince the client to change, the counselor should draw out arguments for change. Such technique is the use of empathy in their style. Several studies supported that therapists behaviors influence clients treatment outcomes. It has been found that the more counselors confront the clients drinking the more the client will drink (Miller, 1993).
Motivational interviewing is a holistic approach where a nurse may elicit motivation for change in many patient health problems. According to Dossey & Keegan (2016), “Motivational interviewing (MI) is a well-known, research-based method of interacting with patients that were developed in the 1980s to improve outcomes…” (p. 207). Dossey & Keegan also notes the idea behind this methodology is the ultimate goal is to not point out discrepancies but to have the patient utilize a tool called self-discovery (2016, p.108). Determining one’s own individuality helps people develop a sense of what their strengths and weaknesses are, so they may develop a plan that works for the person.
Cormier, S, Nurius, P & Osborn, C 2012, Interviewing and change strategies for helpers: fundamental skills and cognitive behavioural interventions, 7th edn, Brooks Cole, Belmont, California.