Addictions 2- Final in person lec slides

Comprehensive vocabulary flashcards covering the 'Engaging', 'Focusing', and 'Evoking' tasks of Motivational Interviewing, CPI Verbal Intervention Training concepts, and the principles of Mindfulness-Based Interventions for addiction treatment.

Engaging

The process of establishing a mutually trusting and respectful helping relationship, serving as the foundation of all Motivational Interviewing skills.

Assessment Trap

Asking an excessive amount of questions and focusing too heavily on gathering client information as a necessary first step, which can promote a passive client-therapist relationship.

Expert Trap

Telling a client what to do, which communicates a power imbalance and undermines collaboration by dismissing client expertise.

Premature Focus Trap

Focusing on a particular problem or topic before building rapport or establishing a relationship, often on a topic different from what the client identifies.

Labelling Trap

A specific form of the Premature Focus Trap where the therapist assigns a label to the client or their concern, such as 'you’re an alcoholic'.

Blaming Trap

The assumption that responsibility for the problem must be determined in order to help the client, which can increase defensiveness.

Focusing

The second task of MI involving the clarification of goals and direction, acting as the foundation for evoking and planning.

Agenda-Mapping

A focusing technique used when multiple topics feel overwhelming; it involves stepping back to explore options and agreeing on a focus.

Orienting

A focusing scenario where the client’s situation feels diffuse or unclear, requiring the clinician to listen carefully to move the conversation from general to specific.

Evoking

The task of drawing out the person’s own motivation for change, grounded in the idea that people become more committed to what they hear themselves saying.

Change Talk

Any client speech that favors movement toward change; in MI, therapists are encouraged to do 'more of the same' when they hear it.

Sustain Talk

Client speech that favors the status quo; therapists should do 'something different' when encountering increasing amounts of it.

DARN

An acronym for Preparatory Change Talk: Desire, Ability, Reasons, and Need.

CAT

An acronym for Mobilizing Change Talk: Commitment, Activation, and Taking Steps.

Importance Ruler

A scale typically ranging from $0$ to $10$ used to facilitate change talk by asking clients to rate how important a change is to them.

Developing Discrepancy

Creating 'cognitive dissonance' by highlighting the conflict between a client's behaviors and their broader goals or values.

Discord

A breakdown in the therapeutic alliance characterized by client behaviors like defending, squaring off, interrupting, or disengagement.

Amplified Reflection

Repeating back what a client has said with emphasis or increased tone to explore an aspect of their statement.

Double-Sided Reflection

Repeating back both sides of the client’s ambivalence, typically reflecting sustain talk first followed by change talk using 'and'.

Coming Alongside

A strategic response involving joining with the person’s sustain talk and using amplification with the hope of triggering change talk.

The Crisis Development Model

A CPI framework organizing behaviors into four levels: Anxiety, Defensive, Risk Behavior, and Tension Reduction.

Rational Detachment

The ability to remain professional and composed by separating the person from the behavior and not taking challenging behavior personally.

Proxemics

The management of personal space in non-verbal communication.

Kinesics

The management of body language and physical posture.

Paraverbal Communication

The mastery of how words are spoken, specifically focusing on tone, pacing, and volume.

Mindfulness

Paying attention in a particular way: on purpose, in the present moment, and nonjudgmentally.

Non-Eliminative

A form of self-regulation that is not aimed at the elimination of painful private experiences or symptoms.

Default Mode Network (DMN)

A mid-brain network associated with ruminative/obsessive thoughts and emotional reactivity, which mindfulness practice diminishes.

Urge Surfing

An exercise in mindfulness that involves allowing discomfort, distress, or tension to arise and pass away.

Acceptance and Commitment Therapy (ACT)

A treatment modality where mindfulness is used to change one’s relationship to experience while committing to actions that align with values.