Motivational Interview Flashcards

Question

Agenda Mapping

Answer 1

When you lay out the choices in what is important. It is a collaborative effort. Be mindful of how the topic of conversation is shifting.

Answer 2

The Idea that the client has within them already ideas and motivations for change that you want to draw out of them and bring into your interaction with them.

Answer 3

Talking about why things should not change.

Answer 4

Desire, Ability, Reasons, Need

Answer 5

I will I'm going to....

Answer 6

I'm willing I'll consider I'll think about it

Answer 7

Taking action that moves closer to the change they want I got all the cigarettes out of the house I bought a pair of running shoes I resisted buying carbohydrates

Answer 8

Commitment Activation Taking Steps

Answer 9

How would you like for your life to be different? What are you hoping the result will be of our work together? What do you want to happen?

Answer 10

If you did decide to make this change knowing what you know about yourself, how would you go about it?

Answer 11

What would you say are the three best reason for you to make this change?

Answer 12

Inviting the person to imagine having changed or not having changed and to think about the consequences.

Answer 13

Ask the person about what things used to look like in their life. "How would you like your life to be different from now"

Answer 14

No. Motivational interviewing is having the privilege of being beside a person as they tell from their heart what is important to them.

Answer 15

An acronym that helps in guiding us to respond to change talk. E-Example or Elaborate A-Affirmations R-Reflections S-Summaries These techniques give us ways to encourage more change talk from the client.

Answer 16

Example: "Give me an example of how they would be happier"

Answer 17

Elaborate: "In what way do you think your family would be happier?"

Answer 18

To use a reflection.

Answer 19

Whenever a client offer change talk imagine the change talk is like a flower they are giving to you. Once you have some flowers you can offer the flowers back to them as a summary. Example: "Three reasons you've told me so far about why you want to reduce your drinking is that your family would be better, you would feel better in the morning and you would be saving some money."

Answer 20

A way to gage the importance of something that the client is expressing. "On a scale of 1 to 10 where 0 means not at all important and ten means 'the most important thing for me right now ' how important would you say it is for you to____________"

Answer 21

Expression of desire is universal in human language. " I want to lose weight" "I wish I was more comfortable around other people" Desire is an important component it helps people really want the change.

Answer 22

A persons self-perceived ability to change.

Answer 23

1) How important is it to you, to do something about your? 2)If you were to decide to make this change, how confident do you feel about succeeding?

Answer 24

A structured exercise that you go through with clients that really forces both of you to look at what are the characteristics of that person that they might bring forward into the change process.

Answer 25

What Strengths do you have? What do you know about yourself that makes you think you can accomplish this change?

Answer 26

Dissidence in the working relationship between counselor and client. Often involves the word "you". Used to be called "resistance"

Answer 27

A way of testing the waters for planning. Example "What do you think you'll do next?"

Answer 28

When a client is considering change but has not yet committed. This is a stage of the client "getting ready" for change. This can be described as the "uphill" method of change talk.

Answer 29

When a client has begun to take action to change. This is when the client is taking action. There is a certain momentum to this kind of change talk. This is described as the downhill side of making change.

Answer 30

This is a way of providing advice to a client that still allows for autonomy. The best way to go about this process is to offer little bits of information and then to step back and allow for feedback. Offering too much all at once may overwhelm and turn off the client to the advice being offered.

Answer 31

Reflections that go beyond what the client is saying. Some examples include reflecting the underlying feeling, continuing the paragraph or reframing. These reflections help to motivate the client to think more deeply about what it is they would like to change. Complex reflections are usually stated as statements rather than questions.

Answer 32

Reflecting the underlying feeling is a way of sensing the feeling beneath the words being expressed. An example could be Client: "I just want to get out of this place and do something with my life" Therapist: " Sounds like you're frustrated and stuck where you are right now"

Answer 33

Saying what could be the next sentence in the paragraph. Stay away from making these statements in an assertive way.

Answer 34

Suggesting a slightly different meaning. Example: There is a client who is living with alcohol use disorder . The client had been sober for 3 months but one day came into therapy admitting to have had 4 drinks last week. The client starts to blame and condemn himself for his failure. Sensing this the therapist chimes in with a reframe "So you're upset that you relapsed last week and had a few drinks. When you first came to see me you were having 30 plus drinks a week. You went months without a drop and now you had 4 drinks last week and none this week. Sounds to me like you're doing great!"

Answer 35

Captures both sides of what the person is saying at the same time. Use "and" not "but" The word "but" tends to dismiss what came before. Examples "This diagnosis came out of the blue and you feel fine" " One the one hand in your own mind you feel a lot of love for your boy and you feel you know what is best for him and that's what your striving for on the other hand your noticing some things about the way he is communicating with you"

Answer 36

Keep reflecting overtime. Offering five reflections in a row. Just keep offering reflections rather than asking questions. Avoid questions, advice and other roadblocks.

Answer 37

Amplifies or extend how the client may be feeling.

Answer 38

1) The feelings of putting words in clients' mouth. 2) People get nervous about offending the clients.

Answer 39

The term that Carl Roger coined for active listening.

Answer 40

Undivided Attention Eye Contact Angled view. Not directly facing one another. React to what the person is saying with appropriate facial expressions. The only exception is to not react with an angry expression if the client is angry.

Answer 41

False. The good reflective listener must hear the words but decode their meaning by guessing at the emotions and needs beneath the words.

Answer 42

Questions can often evoke defensiveness. Questions can make the speaker unsure if they really mean what they are saying.

Answer 43

Because it helps the speaker explore their own experience and wisdom. Reflective listening focuses on the person's own narrative rather than asserting your own understanding of it.

Answer 44

3 reflections to every 1 question.

Answer 45

1. Ordering Commands like "You must..." or "You have to..." can shut down communication. They convey a lack of empathy and authority, making the listener feel controlled. 2. Warning Threatening phrases such as "If you don't, then..." can create resistance. They often lead to defensiveness rather than open dialogue. 3. Moralizing Statements that impose moral judgments, like "You should..." or "It's your responsibility..." can alienate the listener. They may feel judged rather than supported. 4. Advising Offering unsolicited advice can undermine the listener's confidence. It suggests they cannot solve their own problems. 5. Using Logic Logical arguments or facts can dismiss the emotional context of the conversation. This approach often ignores the listener's feelings. 6. Criticizing Negative feedback or name-calling can trigger defensive reactions. This can damage trust and hinder open communication. 7. Praising While praise can be positive, it can also feel insincere if not relevant to the conversation. It may distract from the main issue. 8. Labeling Assigning labels to people or their feelings can simplify complex emotions. This can lead to misunderstandings and resentment. 9. Analyzing Analyzing someone's feelings or situation can come off as dismissive. It may make the listener feel misunderstood. 10. Reassuring Offering reassurance can sometimes minimize the listener's feelings. It may suggest that their concerns are not valid. 11. Questioning Probing questions can feel intrusive. They may ignore the emotional aspect of the conversation, making the listener feel unsupported. 12. Avoiding Withdrawing from the conversation or changing the subject can signal disinterest. This can discourage the listener from sharing their feelings.

Answer 46

ASK: What do you know or have you already been told about_________? TELL: I have some information would you be interested? [Give straightforward advice] ASK: Here I have given you this information. What do you think? Same as Elicit-Provide-Elicit

Motivational Interview Flashcards

(72 cards)