Theories Of Motivational Interviewing

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.

Motivational interviewing is a way of conducting and occupy the essential motivation within the client in order to change behavior. It is “an efficient and collaborative style of clinical interaction that can boost the effectiveness of the therapeutic alliance” (Jellinek, Henderson, Dilallo, & Weiss, 2009, p.108). Motivational

The spirit of motivational interviewing (MI), which entails collaboration, evocation and autonomy, is the fundamental approach to elicit intrinsic motivations (1, 2). Throughout the video, the therapist appears to have applied the MI spirit in accordance with Miller and Rollnick (2). The therapist firstly created an encouraging atmosphere for change by monitoring and accommodating the client’s aspirations (collaboration). The therapist then evoked the client’s motivation through their perceptions, goals and values (evocation) and also informed about the right for self-direction leading to commitment to change (Autonomy). However, to sustain the MI spirit, a breakdown of the requirements will be discussed below.

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

Summarising, paraphrasing and reflection of feelings are all examples of counselling micro-skills that let the client know that the counselor is listening and understanding them correctly. Although it is important to try to respond accurately it is not essential as an incorrect response can encourage the client to re-think what they have said and then clarify it, possibly resulting

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.

Due to Marks very depressed state, the initial interaction required a great deal of empathy and high degrees of compassion. When first engaging a client, it is important to be compassionate and empathetic and listen without interrupting, prompting or advising (Berg-Weger, 2013). Reflecting and summarizing content delivered in the session is a valuable way to let the client know that you are actively listening to what they are saying

d. Using an open question with a client could be useful in getting the client to discuss what is on their mind. Affirmations can instill self-efficacy in a client by boosting their confidence level. Reflections can be useful to reiterate what the client is discussing, such as repeating (reflecting) what the client says so the

Accurate empathy - accurately sensing the client's world and communicating that understanding. Genuineness - self-awareness, honesty and openness; being real (not phony). Unconditional positive regard - accepting and valuing the client as a unique and worthwhile person, being nonjudgmental. Active listening - listening carefully and empathically to the client's story with undistracted attentiveness to 1) gain an understanding of the client's problem, 2) learn how the client thinks, feels and acts, 3) discover the client's strengths, assets and personal power, and 4) build rapport with the client. This includes maintaining comfortable eye contact and open body posture. Reflecting - mirroring the client's thoughts and feelings to demonstrate active listening and encourage the client to continue speaking. This includes: Restating - repeating verbatim the main thought or feeling expressed by the client. Paraphrasing - stating, in your own words, the main thought or feeling expressed by the client. This 1) lets the client know you are working to understand what they are communicating, 2) brings focus to the client's communication, 3) allows the client to correct any misperceptions or misunderstandings, and 4) encourages client self-exploration. Summarizing - summarizing, in your words, a set of thoughts or feelings expressed by the client. Open-ended questioning - Asking questions that require more than a minimal or one-word response by the client. They usually begin

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.

Is to escalate ATOD to recovery, discovering a resolution during various inconstancy to promote motivation. These five principals are used in individual therapy. While the therapist happen to make change due to the individual need to explore empathy, rebelliousness, assist in gaining self-confidence, discrepancy, and preventing confrontations. During the process of the motivational interviewing the client may have the reassurance to pursue recovery. Then the accomplishment of the motivation interviewing is when an individual may use “Change talk “ (Meyers et al, 2009). When referring to their future plans of sustaining abstinence from ATOD.

Reflection is a process of learning from ones experience (Spalding, 1998). The objective of my experience is to show the positive effect of using therapeutic communication skills with patients. Therapeutic communication can be described as a face to face technique of

Motivational interviewing (MI) refers to a counseling approach developed by clinical psychologists Professor William R Miller Ph.D. and Professor Stephen Rollnick. Professor Miller in 1983 described motivational Interviewing in an article published in Behavioural Psychotherapy as a response to substance abusers and problem drinkers that were in treatment experiencing high dropout rates and poor outcomes. Statements of Motivational Interviewing: it is a goal-oriented, client-centered counseling style designed to facilitate and engage natural motivation from within the client in order to elicit change behavior by helping them to explore and resolve ambivalence. In the book “Motivational Interviewing: Helping People Change” by William R. Miller

Radically William R. Miller described MI initially and further developed it with Stephen Rollnick in 1983 to help change in Alcohol drinkers (Wormer, 2007). Since, MI is consistent with the Humanistic approach it combines Client centred therapy with cognitive behavioural therapy to provoke change (Jenson et al. 2011). This focuses on the same principles as Rogerian’s therapy resembling Empathy, Unconditional positive regard and Genuineness to foster therapeutic gain and reduce ambivalence (Burke, L. 2009). MI is also based on research of smoking cessation by Prochaska & Diclemente, 1982 evolving with the transtheoretical model, revealing thinking patterns of smokers who were able to quit. This model followed the stages of pre-contemplation (not thinking of change), contemplation (thinking of change), preparation (making plans on how to change), action (working on change) and maintenance of change (Wormer, 2007). MI also builds on the cognitive dissonance theory by Festinger, 1957 and self-perception theory for changes in attitude by Bem, 1967 (Lundahl & Burke,

Human Resources is dependent on the success, happiness, and contentment of employees that keep the business on course. Motivation is one of the best ways to push employees forward while making sure everyone is in a comfortable position in their job. Motivational theories just attempt to explain what motivates or makes people act the way that they do. The goal of understanding these theories and their outcomes is to ensure a better performance from each employee, and to give each of those employees the best situation they can have in the workplace. Visionaries such as Abraham Maslow, Frederick Herzberg, and Henry A. Landsberger also brought forward new ways of management and ways to handle internal situations that changed the landscape of human resources as a whole. Motivational theories instituted in the workplace have a commonly positive effect on both employees and management, showing that it is important to strive for proven motivational practices.