Motivational Interviewing Flashcards
What is ambivalence?
Both wanting to change and also maintaining behavior
Pros and cons of changing a behavior are equal
Expressed through sustain talk or counterchange - resisting change and maintaining status quo
What is Motivational Interviewing?
A collaborative and client-centered approach to facilitate behavior change.
Effective, evidence-based means for facilitating challenging behavior change; use when stuck in ambivalent state.
Communication to elicit motivations for making behavior changes in interest of one’s health.
Addresses heart of resistance, while working to increase intrinsic motivation.
What are Reflections?
Reflections are statements that convey your understanding of what the client is saying or feeling, without judging, interpreting, or advising.
To evoke from client the possibility of change talk (vs. counterchange or sustain talk)
Examples:
Simple
Reframe
Double-sided
Complex
Amplified
How is MI done in a coaching session?
Through reflections and open-ended. questions, and by shifting to valuing what is important to client.
Coach assists client in strengthening their commitment to change.
Simple Reflection
Rephrase what client said.
Reframe Reflection
State what client said differently, as positive and with meaning.
Double-Sided Reflection
Make sense of ‘discrepant or conflicting’ info; who they are vs. who they want to be.
When the coach notices a discrepancy in the client’s words, emotions, or behavior,
a double-sided reflection may raise the client’s awareness of the discrepancy.
Complex Reflection
Interpret what client may mean or what emotions they are holding.
Amplified Reflection
Exaggerate client talk to get them to argue less with proposed change; decrease resistance.
When the coach uses an amplified reflection, the client may reconsider aspects of resistance when s/he hears the
exaggerated reflection.
What is scaling?
Assess readiness or motivation to change from 1-10.
Meaning Reflection
