MET in Addiction Counseling Flashcards

Flashcards covering key vocabulary and concepts from the lecture notes on Motivational Enhancement Therapy (MET) in addiction counseling.

Motivational Enhancement Therapy (MET)

A systematic intervention approach for evoking change in problem drinkers, based on principles of motivational psychology and designed to produce rapid, internally motivated change.

FRAMES (Elements of Brief Interventions)

Feedback of personal risk or impairment, emphasis on personal responsibility for change, clear advice to change, a menu of alternative change options, therapist empathy, and facilitation of client self-efficacy or optimism.

Precontemplators

People who are not considering change in their problem behavior.

Contemplation Stage

Individuals beginning to consider that they have a problem and the feasibility and costs of changing that behavior.

Determination Stage

The decision is made to take action and change.

Action Stage

Individuals begin to modify the problem behavior, normally continuing for 3–6 months.

Maintenance

Sustained change.

Relapse

A return to problematic behavior after a period of improvement.

Basic Motivational Principles

Express empathy, develop discrepancy, avoid argumentation, roll with resistance, support self-efficacy.

Express Empathy (in MET)

Communicating great respect for the client, avoiding superior/inferior dynamics.

Develop Discrepancy (in MET)

Enhancing and focusing the client’s attention on discrepancies between where they are and where they want to be.

Avoid Argumentation (in MET)

Explicitly avoiding direct argumentation, which tends to evoke resistance.

Roll with Resistance (in MET)

Not meeting resistance head-on, but rather "rolling with" the momentum to shift client perceptions.

Self-Efficacy

The belief that one can perform a particular behavior or accomplish a particular task.

Self-Motivational Statements

Statements of being open to input about drinking, acknowledging problems, and expressing a willingness to change.

Reflective Listening (Accurate Empathy)

Listening carefully to what the client is saying, then reflecting it back to the client, often in a slightly modified or reframed form.

Reframing

Inviting clients to examine their perceptions in a new light or a reorganized form.

Communicating Free Choice

The client's responsibility and freedom of choice.