The basis of motivational interviewing

Miscellaneous cdsa August 8, 2016 0 1
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Motivational Interviewing is a widely used method for clients / patients to encourage them to seek help for their problems or to address their unhealthy lifestyles. It is also important to know what motivational interviewing is and how some aspects of it go into work.

Motivational Interviewing

Motivation within a person can be both intrinsic and extrinsic. When intrinsic motivation comes from within the person, this motivation often occurs when the person that for which he / she must be motivated already like or interesting. Extrinsic motivation, there is an external factor to generate the motivation, often these external factors benefits, obligations, or the hope of results.
Motivational Interviewing is focused on intrinsic motivation. It is a clinically proven approach to prepare people for a change in behavior and to solve 'ambivalence'.

Ambivalence

This is the doubt of a patient / client or should or should not be made a behavioral change. Both options are equally attractive and repulsive at the same time. This is normal during the process of behavioral change. You can also hang as it were, in the ambivalence. Motivational interviewing has been devised for a patient to get out of here and bring about a change in behavior.
Motivation exists, according to the researchers and authors of the book 'motivational interviewing' William R. Miller and Stephen Rollnick, three branches in humans. These branches are briefly described below
Willingness
How prepared are you on a scale of 1 to 10 to change this behavior? How important is it for you?
Ability
How big do you estimate the chance, on a scale from 1-10 that you will succeed to change your behavior?
Readiness
What degree of priority does this change at this time in your life?
If one branch a low figure is scored it takes a different kind of intervention, per branch differs this so. In the motivating conversation is the intended purpose is often that there is at the end of the therapy in all three branches is scored well.

Righting reflex

'Direction reflex' means that the patient / client to undergo a change in behavior tends to restore balance. This often occurs during an information only one side is emphasized. For example: If there is emphasized the need to have stopped smoking, the patient will have the tendency to give against gas, and thus it was not quit smoking. This has the perverse effect, the patient will resist

Change Language

Change Language is any language that is in the direction of a change in behavior. The language change may be on different aspects. These aspects are to be, the reasons and necessity. It is also taking steps changeable language, although this is not a literal language.
Don'ts to effect change language:
  • Avoid discussions / convince
  • Avoid confrontations
  • Avoid warn
  • Not to send extrinsic motivation indicate through a reward or a punishment.

If there is motivational interviewing applied will be used the following steps, in most cases
  • The relationship with the patient must be good. Pay attention to empathy, acceptance inviting and give support.
  • Explore ambivalence. The interrogate the advantages and disadvantages of the current situation and interrogate the pros and cons of the change.
  • Change Language provoke and energize. It is intended to let the patients themselves say what the disadvantages of the situation for the behavior. Patients also often go articulate arguments. Behind this is the self-perception theory, Bem. This says that it is more powerful when you say an argument itself than when you hear the same argument from anyone else.
  • Enlarge discrepancy
  • Advice / information after giving consent.
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