For the motivational interview, I interviewed my roommate about his tobacco addiction. He is a 24-year-old male that has been using tobacco for the past seven years. On average, he uses tobacco around four times per day. During our interview session, we discussed multiple topics pertaining to his motivation for using tobacco, what he thinks about his current tobacco use, and if stopping tobacco use would be beneficial to his life. Throughout the interview, there were multiple scenarios that came up that allowed me to identify personal strengths, weaknesses, and other factors contributing to motivational interviewing. Before the interview, I asked him if he had some time to sit down with me and was willing to talk about his tobacco use. After he agreed, I started out the interview by asking open-ended questions. These questions allowed me to gain a broad overview of his reasons behind using tobacco and how he got started. Once I started to gain a better understanding on why he uses tobacco I started getting more into depth about these issues. For example, I was asking questions related to his feelings about his tobacco use, how his health was being impacted, and if he recognized the risks of tobacco use. It was surprising to hear his answers to these questions and think that he was still using tobacco. He understands all of the possible risks but has not made that final decision to quit for reasons he could not fully justify himself. Mostly, he reiterated that he thinks it
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).
This essay will consider how each of the 5 psychological perspectives explain smoking. I will cover the psychodynamic, the behaviouristic, the biological, the cognitive and the humanistic approach.
According to Herman et al 2011, when we, as humans, hear reasons why we should change, our minds automatically contemplate reasons why we shouldn’t. In this situation the patient has other “issues” going on in her life at the present moment rather that quitting smoking. As a nurse I have to accept this. It was poorly portrayed in the digital recording in my opinion.
Discussing how it would affect your mind and physical health. Knowing there are many influence factors that has a big role in many people starting to smoke. The first would be family history/background. This is most common factor because most people start when they was a child/ teenager. This would be coming from homes where family members smoke around the children’s, and the children tend to follow the parents. Children sometimes love to imitate their parents and any older sibling they think is acceptable to do (Wiley, 2011). Another great factor would be peer pressure; it is so similar to family history as well. Young teen’s younger children see their friend doing it and they get so much help and encouragement to try and do it. Some feel as though they may lose their friendship or “cool points” with their friends, which is so much more important to them. Not knowing the more you hang with the friends that smoke, the more you’re going to smoke until your now become addicted on your own. Now you can no longer quit, it becomes hard and uncontrollably hard to quit. Once again smoking doesn’t just affect the smoker it also affect the co-workers at the workplace, but for the smoker you would start needing unscheduled smoke breaks. Why? Because
I interviewed my stepson who is currently struggling with an opioid addiction. This 24-year-old male has struggled for the nine years with his addiction, and when discussing it appeared to be depressed and unable to feel any hope to overcome it. When asked about his goals in life he reacted disempowered and unable to build a path to achieve his dreams. When we discussed his family and support he reacted very irritated and frustrated by the lack of support, as the family members who have been there for him in the past will not speak to him due to the re occurring relapses. The interviewee was asked about his diet and fitness habits and although he communicated a desire to continue a proper diet and exercise regime he has not been motivated to
According to page 225, substance abuse is a maladaptive pattern of substance use that results in recurrent and significant negative consequences of substance use. What the Elyn Saks’ and Joanna Hari’s perspective add to my conceptualization of psychiatric conditions and substance abuse and treatment implications is that it has helped me recognize the link between substance abuse and psychiatric conditions. It can be difficult to diagnose certain types of substance abuse and mental illness. I found the video on motivational interviewing to be educational. Much of health care today involves client-provider relationships with providers helping the client. The motivational interview is a structured intervention designed to motivate the patient.
I work as a respiratory therapist and treat patients diagnosed with chronic obstructive pulmonary disease (COPD). Smoking is a leading cause associated with developing COPD. As a professional working in the healthcare field, I have been fortunate and educated about the dangers and consequences linked to cigarette smoking. I have treated and have experience with individuals who have smoked and developed COPD. Also, as an educator, I have tried to help individuals quit smoking to improve overall health. As an educator, I view smoking as an addiction to the drug nicotine and managing cravings will help individuals quit smoking.
Significant number of people has been addicted to the habit of smoking despite of knowing the fact that it is injurious to health. In the past, it was considered as the taboos and only adult group was habituated but currently, it is common among both adolescent and adult population. Cigarette smoking is habit of inhaling smoke of cigarette and releasing it. A study by Gong (2011, pp.48) reveals that the prevalence of cigarette smoking among adult of age group 45-65years is higher than adolescent age group 15-24 years with 63% and 33.6% respectively.
Goal: I want to persuade my audience that smoking is a health risk to all of society and that smokers should be encouraged to quit.
Motivational interviewing is a techniques in which the clinician assist in the change process and express acceptance of the client. It is a collaborative approach with substance-using clients in which the style of counseling can help resolve ambivalence that prevent clients from attaining their personal goals. Motivational interviewing builds on Carl Roger's optimistic and humanistic theories about people's capabilities for exercising free choice and changing through a process of self-actualization. The clinician role in motivation interviewing is directive, with a goal of eliciting self - motivational statements and behavioral change. Essentially, motivational interviewing actives the capability for beneficial change that everyone possess.
According to Miller and Rose (2009), Motivational Interviewing is an evidence-based psychotherapeutic method that was developed by Dr. William R. Miller following unexplained outcomes that emphasized the impact of interpersonal processes on behavior change after Miller trained counselors on techniques of behavioral self-control and accurate empathy. The clinical method has been defined by Lewis Dana and Belvins (2015) and Miller and Rollnick (2002) as goal-directive, client-centered counseling method for eliciting behavior and enhancing intrinsic motivation to change by helping clients explore and resolve their ambivalence (Lewis, Dana & Belvins, 2015; Miller & Rollnick, 2002). While composed of general principles and early methods, Miller and Rollnick (2002), Miller and Rose (2009), and Lewis et al (2015) all discuss the basic practice of Motivational Interviewing is underlined by the Motivational Interviewing spirit, which focuses on collaboration, and evocation between the counselor and the client, and the autonomy of the client (Lewis et al, 2015; Miller & Rollnick, 2002; Miller and Rose, 2009). Although originally developed to address substance abuse disorders, as published by Miller and Rose (2009), Motivational Interviewing is effective in reducing maladaptive behaviors and promoting adaptive health behavior changes. Additionally, the relatively brief intervention is easily learned by a broad range of helping professionals, compliments other forms of active treatment
I’m not going to lie, at that time, my main problem was girls, and Albert was always open to share his knowledge about them with me. The thing is that I would actually get involved with girls and Albert, the expert, would struggle to keep them around, but that is another story for another time. Bianca, my girlfriend at that time, was my first love. I would go to her house every weekend, but before getting to her place, I would occasionally make a stop at Albert’s house. Sometimes to kill time, other times to smoke a cigarette before taking off to Bianca’s house. Every time, without an exception, before driving away, he would tell me “Hey man, be careful, wear a condom.” The first hundred times I took it as my friend being considerate with me,
Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the
The tobacco industry is important to the economy. In 1991, worldwide tobacco sales exceeded $59.8 billion and in 1992 the industry was rated as one of the top one hundred advertisers (Pechmann and Ratneshwar, 1994). However, there are high prices to pay - socially, economically, and personally - as a result of this industry. Annual mortality figures indicate that cigarette smoking is the number one cause of preventable death in the United States. An estimated 390,000 people die each year of smoke related illnesses, which is greater than the combined mortality for cocaine, crack, AIDS, homicide, suicide, and alcohol abuse (Botvin, G., Baker, Botvin, E., Dusenbury, Cardwell, and Diaz, 1993).
I will be talking with a client who is having issues with his career and drugs issues. Using the 4 principles from Motivational Interviewing (Rollnick & Bell, 1992) which is empathy, discussion of discrepancy, rolling with resistance, and support of efficacy, the interview aims at getting the client into the career-changing action they are contemplating. The client John is a 29 year old white male who seeks career counseling. He is employed full-time as a tester for a computer company and works part-time as a DJ for weddings and other social events at night and on the weekends (Capuzzi, D., & Stauffer, M.D.