Evoking

Question 1

Who is MI best suited for

Answer 1

For someone in the ambivalence stage

contemplation and moving into preparation stage

Question 2

approach - approach

Answer 2

candy store dilemma
* need to make a choice, they’re all good

– easy to resolve because winning either way

Question 3

avoidance - avoidance

Answer 3

person is torn between negative choices

• both options aren’t ideal
• finding lesser of two evils
• focus on the negative of what’s going to happen if you do that behaviour

Question 4

approach - avoidance

Answer 4

only one choice is being considered, and it has both significant positive and important negative aspects

• the choice you leave behind is more appealing once u choose the other one

Question 5

double approach - avoidance

Answer 5

two choices being considered, and both have significant positive and important negative aspects

Question 6

change talk

Answer 6

any self-expressed language that is an argument for change

Question 7

sustain talk

Answer 7

any self-expressed language that favours the status quo

Question 8

why is change talk important

Answer 8

the client provides the arguments for change (opposite the traditional counsellor-client roles)

what the counsellor has to say about the issue is less important - what the client says is gold

Question 9

Two broad categories of change talk

Answer 9

preparatory language

mobilizing language

Question 10

preparatory language

Answer 10

pro-change talk that paves the way for change, but does not necessarily translate into behaviour change

Desire, ability, reasons, need

Question 11

mobilizing language

Answer 11

linchpins of change; critical to predicting change behaviours

commitment
activation and taking steps

Question 12

Preparatory language DARN

Answer 12

desire, ability, reason, need

Question 13

desire to change

Answer 13

indicating a clear desire to change, but stopping short of commitment

• I wish, I hope, I want
• what hopes do you have coming to these sessions

Question 14

ability to change

Answer 14

expressing optimism about change: an expression of confidence (self-efficacy) that change is possible)

• “I think I can”
• “what is there about you that can make this change possible?”

Question 15

reasons for change

Answer 15

recognizing advantages of change: acknowledging the potential advantages to change - may be associated with an emotional reaction to these potential benefits

• “I can see the advantages”
• what good things would happen if you made this change?

Question 16

need for change

Answer 16

recognizing disadvantages of status quo: acknowledgement of the problem - may be associated with an emotional reaction to the potential consequences of their behaviour

• I can see the problem
• what are your concerns about your current behaviour?

Question 17

Mobilizing language - CATs

Answer 17

Commitment, activation, taking steps

Question 18

commitment talk

Answer 18

expressing intention to change through the use of action words; an expression of determination to make a change

• “I will do something about this”
• “what are you willing to try?”

Question 19

activation talk

Answer 19

signals that the person is leaning in the direction of change

• “I am willing and ready”
• “what are you prepared to do differently?”

Question 20

taking steps talk

Answer 20

taking small, even tentative steps in the direction of change

• “what did you try”
• I took a step and got a gym membership

Question 21

criteria for true change talk

Answer 21

content represents statements about change (mobilizing and preparatory)

linked to a specific target behaviour

recognized by/coming from the client (client says the words OR recognizes their accuracy)

Question 22

eliciting change talk

Answer 22

ask evocative questions: how does this concern you, what ways do you want to be different

ask for elaboration: in what ways? when was the last time that happened?

query extremes: what’s the best thing that would happen if you changed and worse thing that would happen if you didn’t

look back: ask about a time before the concern emerged and how things were different

look forward: ask what may happen if things stay the way they are, how would you like your life to look five years from now?

Explore goals and values: ask what the person’s guiding values are, what do they want in life?

use change ruler: on a scale from zero to ten, how important is it for you to start whatever behaviour