Motivational Interviewing Part I

Motivational Interviewing involves:

open ended questions, affirmation, reflective listening, paraphrasing, clarifying, focusing, reflecting observations and summarizing

What are 3 Communications Styles?

Directing, Guiding, Following

Which are verbs associated with guiding style of communication?

Administer Authorize Command Conduct Decide Determine Govern Lead Manage Order Prescribe Preside Rule Steer Run Take charge Take command Tell

3 multiple choice options

What does ambivalence refer to in the context of behavior change?

C) Simultaneously wanting and not wanting something or desiring two conflicting things.

3 multiple choice options

When a person is ambivalent what two kinds of talk are heard mixed together?

Change / Sustain

3 multiple choice options

change talk—

the person's own statements that favor change

sustain talk—the person's own arguments for not changing, for sustaining the status quo.

the person's own arguments for not changing, for sustaining the status quo.

righting reflex

—the desire to fix what seems wrong with people and to set them promptly on a better course, relying in particular on directing.

Which of the following best explains why Motivational Interviewing (MI) emerged in the context of addiction treatment?

MI was a response to the prevailing negative attitudes toward individuals with substance use disorders, offering a more compassionate and effective approach.

3 multiple choice options

Which of the following best describes the "righting reflex" in the context of behavior change?

B) The belief that people must be confronted with reality, provided with solutions, and persuaded to change through logic and argument.

3 multiple choice options

We developed these five questions in 2006 to give beginners a feeling for the process of MI:

1. "Why would you want to make this change?" 2. "How might you go about it in order to succeed?" 3. "What are the three best reasons for you to do it?" 4. "How important is it for you to make this change, and why?" 5. "So what do you think you'll do?"

A layperson's definition for MI that focuses on its purpose:

Motivational interviewing is a collaborative conversation style for strengthening a person's own motivation and commitment to change.

The problem in part is the complexity with three different levels of definition. Which one is NOT one of the three levels?

Layperson: Motivational interviewing is a collaborative conversation style for strengthening a person's own motivation and commitment to change.

3 multiple choice options

What are the four underlying vital aspects of MI?

Partnership, Acceptance, Compassion, Evocation

Which of the following is NOT one of the four aspects of acceptance in Motivational Interviewing (MI)?

D) Authoritative Guidance – Directing the client toward the best course of action for change.

3 multiple choice options

what are the 4 aspects of acceptance in MI?

Absolute Worth, Accurate Empathy, Autonomy Support, Affirmation

an active interest in and effort to understand the other's internal perspective, to see the world through her or his eyes."to sense the client's inner world of private personal meanings as if it were your own, but without ever losing the 'as if' quality"

Empathy

3 multiple choice options

Autonomy Support

involves honoring and respecting each person's autonomy, their irrevocable right and capacity of self-direction

Affirmation

to seek and acknowledge the person's strengths and efforts

One honors each person's absolute worth and potential as a human being, recognizes and supports the person's irrevocable autonomy to choose his or her own way, seeks through accurate empathy to understand the other's perspective, and affirms the person's strengths and efforts.

Taken together, these four person-centered conditions convey what

we mean by "acceptance.

Compassion

a deliberate commitment to pursue the welfare and best interests of the other.

Underlying spirit of Motivational Interviewing

Compassion, Collaboration, Acceptance, Evocation

Which one is NOT a principle of person-centered care?

Change is a power struggle whereby if change does not occur we "lose."

3 multiple choice options

What are the 4 central processes that form the flow of MI?

Engaging --> Focusing --> Evoking --> Planning

Which MI Process are these questions relevant to: How comfortable is this person in talking to me? • How supportive and helpful am I being? • Do I understand this person's perspective and concerns? • How comfortable do I feel in this conversation? • Does this feel like a collaborative partnership?

Engaging

Which MI Process are these questions relevant to: What goals for change does this person really have? • Do I have different aspirations for change for this person? • Are we working together with a common purpose? • Does it feel like we are moving together, not in different directions? • Do I have a clear sense of where we are going? • Does this feel more like dancing or wrestling?

Focusing

Which MI Process are these questions relevant to: What are this person's own reasons for change? • Is the reluctance more about confidence or importance of change? • What change talk am I hearing? • Am I steering too far or too fast in a particular direction? • Is the righting reflex pulling me to be the one arguing for change?

Evoking

Which MI Process are these questions relevant to: What would be a reasonable next step toward change? • What would help this person to move forward? • Am I remembering to evoke rather than prescribe a plan? • Am I offering needed information or advice with permission? • Am I retaining a sense of quiet curiosity about what will work best for this person?

Planning

What are the 5 core communication skills that cut across the 4 processes of MI (engaging, focusing, evoking, planning)?

Asking Open Questions / Affirming / Reflective Listening / Summarizing

What is the primary purpose of asking open questions in Motivational Interviewing (MI)?

.C) To invite reflection, strengthen collaboration, and explore motivation for change.

3 multiple choice options

Which of the following best describes the role of affirmation in Motivational Interviewing (MI)?

B) Affirmation involves recognizing and reinforcing the client's strengths, abilities, and efforts toward change.

3 multiple choice options

What is the primary function of reflective listening in Motivational Interviewing (MI)?

B) To make an educated guess about the client's meaning, clarify understanding, and encourage further exploration.

3 multiple choice options

What is the primary purpose of summarizing in Motivational Interviewing (MI)?

B) To gather and present key points from the conversation, reinforcing understanding and facilitating the next steps.

3 multiple choice options

The planning process

encompasses both developing commitment to change and formulating a concrete plan of action.

The process of evoking

involves eliciting the client's own motivations for change and lies at the heart of MI.

Focusing is the process by which

you develop and maintain a specific direction in the conversation about change

Engaging is the process of

establishing a helpful connection and working relationship.