Motivational interviewing (Lecture 3+ Matulich) Flashcards
(16 cards)
What obstacles can be found that hinder change?
- Demoralization
- Effort and time
- Resistance
- Cognitive processes
- Environmental factors
How is motivation defined? + three components
- Will, confidence and readiness
- Can vary over time and be influenced
- Underlies change
What are the principles of MI? (6)
- Empathy
- Unconditional acceptance
- Avoid discussion
- Judo (roll with resistance)
- Affirmation
- Develop disbalance
In what situations can advice be given?
If a decision is made, it is explicitly asked, or the other does not have the right information
What is the righting reflex?
- Repair/for your own good reflex
- To do with own pov
What are the four processes of MI?
- Engage
- Focus
- Evoke
- Planning
What techniques are used for step 1 of MI (engaging)
- Comforting
- Asking for permission
- Giving options
- Talking about values of client (goal-oriented)
OARS in engaging?
- Open questions
- Affirmations
- Reflections
- Summaries
What is done in step 2 of MI (focusing)?
Determining goal>clarifying and prioritizing
What is done in step 3 of MI (evoking)?
- Exploring and increasing ambivalence
- Evoke change talk
- Why change?
What predicts change in a therapeutic setting?
The balance between change and sustain talk
What does DARN-Cat stand for
Desire, Ability, Reason, Need, Commitment, activation, taking steps
How can OARS be used to evoke change talk?
- O: more directed
- A: validate
- R: more provoking and complex (simple: complex > 1:2)
- S: not everything
What is a constructive self-confrontation?
- Used to disrupt balance, elicit ambivalence
- Repeat expressions based on change
- Judo
What other techniques can be used to evoke change talk?
- Talk about ideal future of the client
- Scaling questions
When is someone ready for change?
Increase of change talk, decrease of sustain talk, talk about solutions and visualization
