MI and self-determination theory Flashcards
what does the effectiveness of MI studies depend on
the study design
the client
the target behaviour
the session duration and frequency
MI fidelity and training
what is known about MI
therapist empathy matters
MI inconsistent responses are detrimental
MI fidelity is key
what is unknown about MI
what is the active ingredient of MI
what is the training that counsellors need
what level of MI fidelity is needed
MI in the literature
MI has been criticized for being “atheoretical”
its effectiveness is not well understood
has been linked to health behaviour models, mainly on a descriptive basis
MI and the TTM
TTM provides a framework for assessing an individuals readiness for changing their behaviour
contemplation is looking for behaviour change in the next 6 months
maintenance is doing behaviour for 6+ months
MI basics
MI is a person-entered counselling style for addressing the common problem of ambivalence about change
the spirit of acceptance
absolute worth
autonomy
accurate empathy is understanding client
affirmation - acknowledging strengths
self-determination theory
a theory of personality development and self-motivated behaviour change
seeks to explain how people integrate sources of motivation and control their behaviours
SDT - best environment
best environment is an autonomous and supportive one
more likely to follow through if they have more autonomy
Continuum of relative autonomy
a-motivation: none
extrinsic: motivated by outside aspects
intrinsic: needed to change
extrinsic motivation
external regulation: reward-punishment
introjected reg: internalized self-esteem contingencies
identified reg: conscious acceptance of behaviour related outcomes
integrated reg: integration with core values and beliefs
intrinsic motivation
motivation that is driven by an interest or enjoyment in the task itself and exists within the individual
intrinsic vs extrinsic motivation
more autonomous motivations for change result in greater treatment adherence and long-term maintenance of change and medical outcomes
the focus in on the internalization and integration of non-intrinsically motivated behaviours
MI and SDT
MI can foster self-motivated behaviour change by promoting the internalization and integration of the regulation of new behaviours so that it is engaged in more willingly and more in accord with the person’s broader goals and values and sense of self
conclusion
SDT can offer a comprehensive theoretical rationale for understanding the efficacy of MI
the principles of MI match closely those social-environmental factors proposed in SDT
the tenets of SDT can inform the practice of MI
