Motivational Interviewing: Eliciting Clients’ Own Arguments for Change – William Matulich

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• Don’t miss the recent Motivational Interviewing updates and changes!
• Evidence-based strategies to elicit change talk
• Effective interventions and strategies for six stages of change
• Six key elements of effective feedback enhancing client motivation
• Eight approaches to motivation

Motivational Interviewing (MI) is a client-centered, goal-directed counseling style developed by Drs. William R. Miller and Stephen Rollnick to help people change behavior. MI involves learning to use simple but powerful techniques that help to quickly establish a productive, working relationship with clients, allowing them to explore their own motivation, ambivalence, and resistance to change and to efficiently guide them toward more desirable behavior. The effectiveness of MI has been demonstrated in a variety of settings with many different types of clients in several different countries.

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• Recognize and express the “Spirit” of MI.
• Discuss what motivates people to change behavior.
• Utilize several simple but powerful techniques to measure and increase client motivation.
• Employ techniques to elicit change talk.
• Practice techniques to reduce client resistance.
• Recognize and avoid traps that can impair progress.

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Learning MI

• The mindset and methods
• How is MI different?
• Learning to listen
• Recognize “change talk”
• Elicit change talk

What is MI?

• A conversation
• Person-centered
• Addresses ambivalence
• Goal-oriented
• Evokes intrinsic motivation
• Honors autonomy
• Evidence-based

Theories of Motivation

• Myths
• Stages of Change
• Expectancy Theory
• Needs Theory
• Reactance Theory
• Self-Perception Theory
• Self-Determination Theory

What really motivates us?

• Extrinsic Motivation
• Intrinsic Motivation
• Styles of Helping Communication
• Guiding
• Directing
• Following

Assessing Motivation

• Scaling questions

The “Spirit” of MI

• Partnership/Collaboration
• Evocation
• Acceptance/Autonomy
• Compassion

The Processes of MI

• Engaging
• Focusing
• Evoking
• Planning

How do we do it? The OARS

• Open-ended questions
• Affirmations
• Reflections
• Summaries

Change Talk

• DARN-CAT
• Respond to Change Talk
• Elicit Change Talk

Resistance or Discord?

• Seven ways to handle resistant clients

What to avoid

• The Righting Reflex
• Question-answer trap
• Confrontation
• Labeling
• Premature focus
• Blaming
• Expert
• Gordon’s roadblocks

Planning

• Gain commitment
• Change Plan

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