Creado por batten.shelley
hace alrededor de 11 años
|
||
Pregunta | Respuesta |
Who said the key ingredient to change is motivation? | Miller & Rollnick (2002) |
Ambivalence | feeling two ways about something; pros and cons exist in behaviour change |
The righting reflex | therapist's impulse to use information to persuade and increase patient motivation to change |
Efficacy of the righting reflex | doesn't usually work; provokes resistance and defensive responding |
decisional balance | the balance between the costs of change and the benefits, leading up to a decision |
the spirit of motivational interviewing - three concepts | ACE, A - autonomy, C - collaboration, E - evocation |
ACE - autonomy | change arises from within the client, it is their responsibility to change, their perspective, direction and choice of when and how |
ACE - collaboration | Client enacts change, therapist supports change. Change is not imposed, or directed. Decision-making is a joint process. |
ACE - evocation | evoke pre-existing motives, goals, values, and resources from within the client. Connect behaviour change to client concerns. |
Primary aim of MI | enhance intrinsic motivation |
Primary method of MI | communication |
four principles of MI | 1. express empathy, 2. develop discrepancy, 3. roll with resistance, 4. support self-efficacy |
Why is it important to normalise ambivalence? | Provides relief, validation and understanding for client. Enables an examination of the pros and cons. |
How can a therapist develop discrepancy? | amplify the conflict between a client's stated goals and values and their present behaviour. |
If a client shows resistance, what might this signal to the therapist? | That it may be time to try something different. |
Motivation interviewing strategies: miscroskills O.A.R.S. | O - openness, A - affirming, R - reflecting, S - summarising |
O.A.R.S. - Openness | encourages client speech, ask open-ended questions, prompts |
O.A.R.S. - affirming | affirm and validate the client so they feel supported through the process of therapy |
O.A.R.S. - reflecting | reflect cautiously back to the client on the meaning of what they have been saying, guess at meaning.."maybe...or you seem a little upset..." |
O.A.R.S. - summarising | link the material together to reinforce discussion and demonstrate understanding |
Motivation interviewing strategies: the importance ruler | ask clients to rate the importance of an issue on a scale (1-10) it helps to build understanding and explore client motivations. What would it take to increase that to...? |
Motivation interviewing strategies: elicit change talk | resolve ambivalence by discussing pros and cons |
Motivation interviewing strategies: elaborate reasons for change | ask client for specific examples |
Motivation interviewing strategies: querying extremes | when little desire to change is evident ask "what is the worst thing that might happen if you continue....?" |
Motivation interviewing strategies: looking forward | help client envision a future without the problem |
Motivation interviewing strategies: building self efficacy | identify past successes and personal strengths |
Motivation interviewing strategies: change plan worksheet | a plan of action with goals and reason for change. Listing social supports, possible obstacles, and what success will look like |
MI - What is the name of the program Paxton et al developed for adults with binge eating problems? | Set your body free. |
In a 2008 study of the efficacy of MI for binge eating disorders (Cassin et al.), which treatment condition was more effective? | Group therapy plus a self-help manual was more effect than a self-help manual alone. |
What areas has MI been effectively applied? S______a____, and h____ b______. | substance abuse and health behaviours (dental, diabetes, diet and exercise, blood cholesterol, blood pressure, binge eating disorder) |
¿Quieres crear tus propias Fichas gratiscon GoConqr? Más información.