Exam 3: motivational interviewing, the basics Flashcards
Motivation interviewing definition: what are the 4 components?
What is the definition of motivational interviewing?
“Motivational interviewing is a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.”
What is ambivalence?
Uncertainty or fluctuation, especially when caused by inability to make a choice or by a simultaneous desire to say or do two opposite or conflicting things.
What are synonyms of ambivalence?
- Hesitation
- Indecision
- Uncertainty
- Inconclusivenes
- Quandary
- Iffiness
What are the tasks of MI?
- Engage, building an alliance & working relationship with patients.
- Focus on what’s important to the patient regarding behavior, health, and welfare. A shared idea about the main focus.
- Evoke the patient’s personal motivation for change. Bringing out the patient’s own arguments for change
- Planning, begins when the patient is willing to envision change & how they go about making it.
Motivating often means what?
resolving conflicting & ambivalent feelings & thoughts
Spirit of MI
A way of being with patients that is… (4)
A way of being with patients that is…
* Collaborative
* Evocative
* Respectful of autonomy
* Compassionate
Spirit of MI
- What is not collaboration?
- What is collaboration?
- What should you encourage?
- Not confrontation
- Developing a partnership in which the patient’s expertise, perspectives, and input are central to the consultation
- Fostering and encouraging power sharing in the interaction
Spirit of MI
- Evolation is not what?
- Motivation resides where?
- What is evocation?
- Ask what?
- Not education
- Motivation for change resides within the patient.
- Motivation is enhanced by eliciting and drawing on the patient’s own perceptions, experiences, and goals.
- Ask key open-ended questions.
Spirit of MI
What is Autonomy?
- Respecting the patient’s right to make informed choices facilitates change.
- The patient is in charge of his/her choices and thus is responsible for the outcomes.
- Emphasize patient control and choice.
Spirit of MI
What is compassion?
- Empathy for the experience of others
- Desire to alleviate the suffering of others
- Belief and commitment to act in the best interests of the patient
What MI Is Not? (6)
- A way of tricking people into doing what you want them to do
- A specific technique
- Problem solving or skill building
- Just patient-centered therapy
- Easy to learn
- A panacea for every clinical
MI is founded on 4 basic Principles:
- Express empathy.
- Develop discrepancy.
- Roll with resistance.
- Support self-efficacy.
Prinicpals
Empathy:
* Reflects what?
* Assumes what?
* seeks to do what?
* Encourges what?
Reflects an accurate understanding
* Assumes the person’s perspectives are
understandable, comprehensible, and valid
* Seeks to understand the person’s feelings and perspectives without judging
* Encourages a collaborative alliance, which also promotes change
What are tips when expressing empathy?
- Good eye contact
- Responsive facial expression
- Body orientation
- Verbal and nonverbal “encouragers”
- Reflective listening/asking clarifying questions
- Avoid expressing doubt/passing judgment
Develop Discrepancy?
* What is an example?
What are examples of Roll With Resistance?
What is self confidence? What is self efficacy?
Motivational Interviewing Core Skills & Strategies (4)
What are open ended questions?
Closed-Ended Questions are for what?
* What does it convey?
What are affirmations?
Why affirm?:
* Support and promotes what?
* Builds what?
* Reinforce what?
* What is the caveat?
What is reflective listening?
What is simple reflection? What an example?
What is complex reflexion?
* What are examples (2)
Summaries?
What are some summary starter sentences?
