As people move through their journey of life, quite often they’re faced with challenges and events that make them re-think who they are and who they want to be. Quite often change can be a daunting subject that elicits fear and uncertainness. As nurses we have the opportunity to work closely with clients in order to delve into their emotions and experiences, and collaborate with them and other professionals to come up with achievable goals. Motivational Interviewing provides a more client-centered approach that encourages individuals to make a change but also allows them to delve deeper into their uncertainties and struggles. In this video, my partner Beth expresses her struggle with using alcohol as a coping mechanism for her overwhelming …show more content…
This allows the client the opportunity to look inward on them selves and figure out what they are able to contribute to their process of change. By asking Beth were she was on the scale from one to ten, she was able to realize where exactly she was at in that moment. From there we were able to work together to figure out what is providing a barrier to getting to a ten. I didn’t impose my own ideas of what she needed to do to change, but instead asked questions such as: “have you ever tried other things? Do you have any other things that help relieve your stress? If we found something to replace your drinking to help with your stress, what would that look like? These types of questions put more responsibility on the client to take action on their …show more content…
She felt that I maintained eye contact and reiterated her responses in a way to made her feel heard. The open-ended questions that I had integrated into the interview allowed her to realize the inconsistencies between her current behavior and her future goals. I big point from her was that I allowed her to do majority of the talking which she believed put her in control and that I wasn’t forcing her into a particular direction of change. She could tell that I wasn’t completely confident in the way that I asked my questions, using a lot of “um’s” and “so’s “. We also discussed how she felt about the amount of pauses I took in order to respond and how this made for a awkward silence, taking away the comfort of the setting. It was also brought up that I could have used more empathy when responding to her as it would of let her knew that I am taking into account the difficulty of the change for
At the outset of the selected topic concerning Motivation and Satisfaction, it is imperative to clarify and elucidate what both these terms – Motivation; and Satisfaction– actually mean and connote in the psychological framework.
I participated in relias learning through my work. I engaged in completing five classes that were related to Motivational Interviewing. I learned several things through these courses. I saw this method used working with the population I am working with as well as in other areas.
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
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
Within this paper there will be an examination of core Biblical principles through exploring Motivational Interviewing (MI) and Alcoholics Anonymous (AA) 12 STEPS for treating individuals battling addictive behaviors and dependence. Also discussed in great detail and scriptural support is the importance of fostering healthy relationships, maintaining a strong sense of self-awareness, developing the ability to know one’s existing problems, and the value of having a dependency on God. The author will integrate a Biblical Worldview and examine the implications of incorporating a 12 STEP program and MI into counseling and the best avenue to utilize them with Non- and Christians alike. This paper closes with the writer’s personal reflections, considerations and revelations from the research done for this paper.
Atkinson (2000) among many others conceive of residential segregation as a multidimensional phenomenon that can be solved using empirical analysis. Likewise Atkinson wrote that segregation varies along five distinct axes of measurement: “evenness, exposure, concentration, centralization, and clustering.”– I am suggesting an alternative to researching segregation, focusing upon gaining an insight into peoples “on the ground” perceptions of segregation and if they feel if it is a relevant phenomenon in the area by using qualitative methods of interview. Allen (2008) argues that there is “an absence of reflexivity” concerning gentrification in social science research. It is important to understand my positionality as the researcher as an actor
I tried to have an open posture and to maintain eye contact as these approaches show the client that you are listening and are engaged in the conversation. I implemented silence listening and gave the client the time needed to respond. In the feedback, Jenessa mentioned that I seemed genuinely interested in what she was saying and that she appreciated having the time to elaborate on a question. Looking back at the video, I feel as if my body posture could have been better. Since we were sitting on a couch, it was hard to have that direct contact position. Also, I found that holding the clipboard was hindering my involvement as I kept glancing down at it. Moreover, I was using empathetic statement in the interview, such as "to clarify..." and "that must be difficult for you". Not only did this allow the client to add any more information if they pleased, but it also gave her comfort. In the interview, Jenessa mentioned that she was afraid of relapsing and that her hard work would be for nothing. In response, I validated her concerns by saying that they were
I like Sportchek most as compared to the other because Sportchek contains multiple brands under one roof. So, we can pick up our favourite brand from a single store.
Chapter five addresses different individual treatment strategies and how these strategies can assist the recovery process of substance abuse clients. The strategies are not mutually exclusive and could be combined to increase treatment efficacy. In recent times, insurance providers have considerably reduced treatment time for substance abuse. Therefore, counselors assisting clients in their recovery process need to make use of the most modern and efficient counseling techniques so the client can rehabilitate within the time frame established by the health insurers. Furthermore, the type of treatment is defined by the insurance company and the treatment decision is based on the medical model.
As a counsellor, you can help the client find that answer or discover what they want to do/change, by guiding them in the right direction with specific questions. This is what we did when creating our counselling videos, while maintaining an open body posture and eye contact, asking open ended questions and summarizing what they are saying to ensure both are on the same page, by using minimal encouragers and asking appropriate questions, we were able to encourage the client to open up and speak about their issues while also coming to a conclusion about their next steps to change/recovery.
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.
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).
The intent of this interview was discussed with the family, namely, how the data would be used to discuss family experiences for an assignment in Family and Societal Nursing for RNs at State University. Most importantly, I mentioned to the family that I hoped to provide them with interventions and support to...
Motivational interviewing is a counseling approach that attempts to engage an individual away from a state of indecision or uncertainty and towards finding motivation to making positive decisions and accomplishing established goals. The predominant thought was that lack of motivation needed to be addressed in therapy through confrontation. During this process, the therapist would first express empathy; both accept and understand the patient’s mindset. Second, develop discrepancies; list reasons why a change was needed; state the negatives associated with lack of change, and pressure the person to change as means to gain motivation. Third, Avoid Escalating Resistance; health care providers can unwarily come off as judgmental, diminish feelings and argue with the patients. Fourth, Roll with Resistance;
One key aspect that I learned from my patient interview relative to chronic care management is, the value in utilizing the 4 components of motivational interviewing. When I began my interview, my patient by sharing a list of diagnosis and dates. He also read a list of his medications. Rather than merely reading a problem list on his medical record, I wanted to capture the emotional essence of living with chronic heart disease and heart failure on my patient’s life. It can be challenging to get a patient to open up to a health care provider and share deeper emotions. I utilized the 4 components of motivational interviewing which included, open ended questions, reflection, affirmation and summarizing. Using these interview skills helped my patient