Motivational Interview Case Study

Psychologists William Miller, PhD. and Stephen Rollnick, PhD. developed the counseling approach known as Motivational Interviewing (MI). Motivational Interviewing evolved out of experience in the treatment of persons who were problem drinkers, and was first described by Miller in 1983. In 1991 Miller and Rollnick provided these techniques as a method that promotes and engages intrinsic motivation within the client in order to change behavior. MI is a client-centered counseling style that is goal -directed and brings about behavior change by helping clients to explore and resolve ambivalence. Traditional Rogerian client-centered therapy does not guide or direct or focus in the way that MI therapists do to influence individuals to consider making changes, instead of non-directively explore themselves.

The idea of motivational interviewing builds on Rogers' theories about people having freedom of choice and changing through the process of self-actualisation (Davidson, 1994). Miller and Rollnik (1991) describe it as a technique in which the heath practitioner becomes a helper in the change process while expressing acceptance of their client. A central goal of motivational interviewing, says Geldard & Geldard (2012), is to help resolve the ambivalence which prevents clients from realising their personal goals and to facilitate positive change. Motivational interviewing is mostly utilised to counsel those troubled by addiction (not just substance, but also behaviours).

The discussion of the video below is in accordance with the Motivational Interviewing Reflection Tool (MIRT).

Motivational interviewing is a practice wherein conveying acceptance of your client, you become an aid in the process of change. Motivational interviewing fosters Carl Rogers ' optimistic and humanistic theories; around ones competences for employing free choice and shifting through a course of self-actualization. The therapeutic relationship for both Motivational Interviewers and Rogerians’ is a democratic partnership. The concept of Motivational Interviewing (MI) progressed from the experience of treating problem drinkers. Motivational Interviewing was first described by William R. Miller, Ph.D., in 1983.

McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49.

Galindo analyzes that the fundamental “mission” of a congregation is the same as any other congregation that exists in any part of the world. He argues that though every congregation has a mission and a vision, at the same time, it shares a basic common mission. (43) This reminds me of my home church The First Church of Evanston and my Field Site, The Evanston Vineyard Church. Both churches have a common mission of welcoming people to the church, irrespective of their ethnic, cultural, racial, and economic and, gender backgrounds. The mission is to help people be received in the house of God with due and deserved Christian love so that they feel loved and welcomed. Both these churches encourage church attendees to attend the service and receive the Eucharist.

An interview utilizing motivational interviewing techniques was conducted by a nurse practitioner student and a consenting patient. The patient is a 55-year-old, male, with occupation as a heating, ventilation, and air conditioner technician that the nurse practitioner student identified on physical examination to have mild hearing loss. Hearing protection is admittedly not worn consistently at the jobsite during the history taking portion of the exam. This paper will discuss the behavioral health problem of noncompliance with hearing protection, the evidence supporting motivational interviewing strategies to support behavior change, and a discussion of the techniques used during the interview.

The process of motivational interviewing is essentially about creating "intrinsic motivation to change" within the client (Moyers, 1998). The choice to change must originate with the client and the process for helping this occur begins with motivational interviewing. There are two phases within motivational interviewing, the first focuses on increasing the client’s motivation to change and the second phase is negotiating a plan and consolidating commitment. It is important to understand the traps that can be encountered within this process, such as the question/answer trap. In this trap the client is led by the counselor with little chance to have free speech to explain themselves because the counselor is just focused on the next question instead of focusing on where the client is leading them. This trap is very similar to the expert trap in the fact that the client is left to believe they cannot find answers for themselves; they instead must listen to the expert who is giving them the answers. This is most definitely not the way to motivate a client to make changes for themselves. Other traps include premature focus, denial, labeling, and blaming; all of which can prevent the client from opening up in the treatment process.

Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers is an article written by Lyle Cooper concerning the abuse or misuse of illicit drugs, prescription medications, and alcohol in older populations. Due to lack of knowledge or resources, elderly individuals are falling victim to substance use problems and the numbers are projected to rise. Therefore, an assistance program called HeLP was created to provide evidence-based treatment to the specific cohort of 50 and up age range. Motivational interviewing is used to eliminate internal uncertainties clients may have concerning their treatment; hence, opening themselves up to behavioral changes. Clients who decide to move on to the next stage and if HeLP workers deem it necessary, cognitive-behavioral therapy is implemented to promote changes in thoughts, behaviors, and prevention of future relapse.

Changing is something that someone has to want to do, if there is no motivation things will stay the same. The first step to change is knowing and accepting the wrong that has been done and trying to figure out a way to change. There are numerous of practices that are used to help an offender bring their mistake to the light. These types of methods are called Evidence Based Practices and are used to help both the offender and probation officer learn to communicate on a different level. Evidence based practices are cognitive behavioral training, vocational education and training programs and treatment oriented intensive supervision program. They are used to reintegrate offender s back into the community successfully. The type of evidence based practice that I am going to talk about is motivational interviewing, the pro and cons and if it helps the offenders learn from their mistakes and if it is going to help in the future.

The novel was written and published at a time when slavery was a sensitive issue and had divided Americans. In the 1850s, Americans had emotive discussions on whether to allow slavery in the newly created territories such as Kansas and California. Temporary

With this statement, Jacobs specified her purpose for writing and her intended audience.  This insight gives readersan understanding of why she chose to include what she did in her story as well as why she chose to exclude other details.  Although this work is presented as a narrative of

Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.

Just like the Europeans, the children feel hopeless and unable to grow and stuck in mental decay. When Jacob enters into their lives, he manages to give them a sense of meaning, value, and camaraderie. Without these values, the peculiars’ lives would have been an endless void stuck in an infinite spiral. The protagonist serves as an example of how people should live their everyday lives. When people are trapped in a state of gloom, only one person is necessary in order to spread hope and ensure humanity’s overall progress. The one person who stands up for what is right does not have to be “peculiar” or have any sort of superpower; to act as a voice for the people is a superpower alone. Action based off of bravery is easier said than done, but no one has ever gained anything out of cowardice. Muhammed Ali once said, “he who is not courageous enough to take risks will accomplish nothing in life,” meaning that nothing ventured is ever gained. Bravery is an inherent characteristic of human beings, and it is all about taking risks, making a difference, and changing the lives of

This course has had a great impact on my walk with Christ as well as my witness for Christ. I pastor a church and teach two classes and for me I thought that I was doing plenty. However this course has helped rekindle my passion for sharing Jesus Christ with people through personal evangelism. This paper will demonstrate what I have learned throughout this course.