The Importance Of Motivational Interviewing

Motivational Interviewing is much more difficult to practice than anticipated and week 3, learning module G enhanced clarification, intention and appropriate use. The strategies and techniques of motivational interviewing by Sobell & Sobell (2008), Motivational Interviewing Strategies and Techniques: rationales and examples, serves as a helpful guide to quickly reference a variety of MI methods, rationales, and examples of application (Sobell & Sobell, 2008). I can use this intervention to assist members

The concept of motivational interviewing evolved from experience in the treatment of problem drinkers, and was first described by Miller (1983) in an article published in Behavioral Psychotherapy. These fundamental concepts and approaches were later elaborated by Miller and Rollnick (1991) in a more detailed description of clinical procedures. Motivational interviewing is a semi-directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Compared with non-directive counseling, it 's more focused and goal-directed. Motivational Interviewing is a method that works on facilitating and engaging intrinsic motivation within the client in order to change behavior. The examination and resolution of ambivalence is a central purpose, and the counselor is intentionally directive in pursuing this goal.

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.

There are 4 aspects of motivational interviewing (MI) spirts that practitioners need to consider when working with clients, these aspects include partnership, acceptance, compassion, and evocation. Partnership has to do with the practitioner functioning as the partner for the client and working with the client’s own knowledge to help them. Acceptance has to do with communicating absolute worth, accurate empathy, affirmation, and autonomy support. Compassion is the aspect of sincerely caring about the suffering of your clients and promoting the welfare of clients, giving priority to their needs. Lastly, evocation involves drawing out the client’s personal motivation for changing (Clifford, Curtis, 2015) Out of all 4 aspects of MI spirts, the

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

Client resistance is ever present in the social work profession. As per Goldstein (1995), resistance presents itself in treatment within the client’s conscious or unconscious actions which interfere with therapeutic progress. Assessing the complex dynamic causing a client’s resistant behavior during clinical treatment is a challenging, but an essential task for goal achievement. According to Woods and Hollis (2000), understanding why a client is resistant facilitates reaching common ground with the client, enabling realistic goal setting. The causality of resistance is often discomfort associated with the client not being in a state of readiness, further emphasizing the need for mutual goal setting in order to obtain treatment progression.

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

Resistance is not always clear or obvious. Resistance can look like anger, hurt feelings, defensiveness, push back, and increase especially in the storming stage (Gladding, 2012). Resistance is the defense mechanism that responds to a topic in therapy that members generally don’t want to explore. Managing client resistance in therapy is key to helping people see their challenges. Gladding (2012) believes if resistance isn’t managed well, key elements of the therapy process can be missed, leaving holes in the client’s understanding of themselves. Group leaders manage such defenses, by holding clients responsible for their reactions, and pointing out the pain and discomfort around a topic(Leszcz & Kobos, 2008). In our video we saw how Jerry

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.

People tend to learn what they believe, in part, by hearing themselves talk. This process will unfold organically when facilitating a session with a client; especially if the client is already seeking to make change (Houck, et al, 2015). Perhaps the client can prepare by writing down some ideas about how they would like to go about making change happen. This may include a short self- assessment of the presenting problem and possible goals. The trained therapist may take the stance of an unbiased, active listener, while demonstrating subtle empathy, encouraging the client to talk his/her way through the description of the problem at hand. The therapist may focus intently on reflective listening,

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.

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.

Stages of change are interrelated with the stages of treatment. The client’s expectation of progress, through the treatment stages, are consistent in these stages of change. There are five stages of change, each with its own characteristics. First is the precontemplation stage where the client has no intention to change any time soon, and also may be unaware, or clueless of any problems. Second is the contemplation stage were the client is aware of the existing problem and has strong thoughts of changing, but has not established any commitment due to indecisions to move ahead. Third is the preparation stage were the client intends to take some kind of action in the future, usually within in a month. The clinician is the key in helping make a realistic assessment for the client’s goals. Commitment to change without the appropriate activates and skills can create a weak and incomplete plan. This stage is where some meaningful action has taken place in the past few months but has not yet been effective enough. Action is the fourth stage in which the client has made a definite and specific adjustment in their behavior within the last six months. It is important to provide reinforcement and support in helping maintain positive steps towards change. This modification to the client’s behavior is only in the form of action and should not be considered as actual change. The maintenance stage involves successfully avoiding former behaviors and keeping up with the new behaviors. In

Motivational Interviewing (MI) is a set of techniques as well as an approach to counseling. MI is oriented around distinct goals and aims to elicit intrinsic change. This intervention originated from an experience in treating individuals suffering from alcoholism, first described by Professor William R Miller in 1983 (Center for Substance Abuse Treatment, 1999). MI revolves around exploring and addressing ambivalence towards change, serving as a catalyst that provokes clients to recognize their need to evolve. A vital aspect of MI is that change must occur from within the client, not coerced by extrinsic elements. This is achieved by and reinforcing the client's belief in their ability to reach goals that they have

Miller W. & Rollnick S. (2002) Motivational Interviewing. 2nd edn. The Guilford Press, New York.