3005PSY Week 3 PDF

3005PSY WEEK 3 Study online at https://quizlet.com/_d0ad45 1. Transtheoretical precontemplation, contemplation, preparation, action, Model maintenance 2. Spirit of Motiva- Collaboration tional Interview- Evocation ing Autonomy 3. process of mo-...

3005PSY WEEK 3 Study online at https://quizlet.com/_d0ad45 1. Transtheoretical precontemplation, contemplation, preparation, action, Model maintenance 2. Spirit of Motiva- Collaboration tional Interview- Evocation ing Autonomy 3. process of mo- 1. Engaging: to establish rapport tivational inter- 2. Focusing: viewing 3. Evoking: covering the clients own motivation for change 4. Planning 4. What is motiva- a client-centered, directive method for enhancing intrinsic tional interview- motivation to change by exploring and resolving ambiva- ing? lence developed originally for substance abuse 5. motivational in- in combo to engage people with other intervention ap- terviewing can proaches be used alone and 6. in precontempla- they don't think there is an issue tion mode defensive/resistant focus is to build client's motivation for change 7. for change to the advantage to change has to outweigh the negtives happen in pre- contemplation 8. change strate- link client with social liberation forces gies for precon- templation stage 9. contemplation stage of change in which people are considering changing stage behavior in the next 6 months assess feasibility and cost of change wants to understand behaviour 1/9  3005PSY WEEK 3 Study online at https://quizlet.com/_d0ad45 10. contemplation provide info on a disorder/recovery change strategy push advantages of change self monitoring functional analysis analyse alternative reinforcers 11. preparation poised to change in next month stage 12. change strategy goal setting for preparation develop change plan stage develop coping skills 13. action stage started to modify the problem been trying to promote change for past 6 months 14. change strategy appraisal of high risk situations in action stage alternative reinforces should be applied assessment of social support so they are helpful for goals 15. maintenance change has occurred for 6 months + strategies find alternative sources of satisfaction and enjoyment assist in the individual's coping strategies vigilance of cognitive distortions maintain environmental control 16. relapse problem has resumed, cycle begins again, individual re- turns to contemplation/precontemplation stage 17. strategy for re- opportunity for greater awareness of high risk situations lapse and coping strategies 18. empirical sup- no support that ppl move thru stages in a linear fashion port for transthe- cognitive processed show evidence of contemplation/prep oretical theory stages supports change being a cognitive process first then be- havioural 2/9  3005PSY WEEK 3 Study online at https://quizlet.com/_d0ad45 MI is successful with substance abuse and benefits ado- lescents 19. how to show em- express empathy pathy in MI develop discrepancy support self efficacy 20. building rapport empathetic listening in MI nondirective statements allow client to decide direction reinforce change statements 21. goals with MI reinforce change statements, bolster motivation for change, create discrepancy with client values and goals and behaviour 22. what to focus on talk about change (affirm it too) reflecting in MI 23. Do's in Motiva- set tentative agenda tional interview- being where client is ing explore perceptions empathetic reflection affirm client self efficacy summary at end 24. Don't's in motiva- Don't scold, lecture, judge, accuse, or assume to know tional interview- what the patient should do ing don't overly ask questions offer advice until sufficient motivation is built 25. how to elicit elicit arguments in favor of change self motivational explore advantages to change statements how does the problem affect people close to you 26. what to do in face see it as a sign your methods aren't working, and how can of resistance you change tactics? avoid confrontation Do's: reflection, amplified/double sided reflection, shift fo- 3/9  3005PSY WEEK 3 Study online at https://quizlet.com/_d0ad45 cus, agree w them, reframing, paradox, encourage free choice 27. 4 main signs of arguing resistance interrupting denying ignoring 28. simple reflection allows for exploration over defensiveness 29. amplified reflec- acknowledges it but in an extreme fashion (so you're never tion going to stop drinking ever in your life and continue this forever) 30. double sided re- Reflections that capture both sides of a dilemma that is flection fostering ambivalence (you feel sad about idea of not drinking but also feel like your relationship will fall apart if you continue) 31. questions to elic- problem recognition (you see how this is causing issues) it self motivation concern (will you be okay with this if you continue this issue) querying extremes (so you imagine you'll continue this forever?) 32. pro's for change intention to change (I want to do this) talk optimism about change (life will be better when I weigh less) querying extremes 33. decisional bal- Weighing the pros and cons to change ance (this is a client task) pros and cons of behaviour, and change (make sure to dig into asking for examples, how/when/what ways) 34. how to support main goal of MI self efficacy helping the client get to a point where they feel they can 4/9  3005PSY WEEK 3 Study online at https://quizlet.com/_d0ad45 change scaling q's on confidence levels for change 35. how to build evocative q's confidence and scaling q's readiness review past successes personal strengths brainstorming reframe failure 36. evocative ques- 'how might you do this' tions 37. ruler assessment 'how confident are you that you can quit drinking' 38. personal 'who could help you with this?' strengths 39. review past suc- 'how did you succeed in the past?' cesses 40. reframing failure 'what if you just used the feedback that being in that situation doesn't support you?' 41. hypothetical if the obstacle was gone, how would you go about this change 42. permanent exit permanently finished with problem behaviours in transtheoreti- not sequential, people jump around and can relapse at any cal model point useful as a way to help understand motivation 43. key principles in engaging - establish working relationship Motivational in- focusing -develop/maintain a direction for change terviewing evoking - elicit client's own motivation for change (their ideas and feelings) planning - process involves developing client's commit- ment to change and formulating action plan 5/9  3005PSY WEEK 3 Study online at https://quizlet.com/_d0ad45 44. ambivalence wanting 2 things at once, then stop considering it because it's uncomfortable 45. William Miller developed motivational interviewing after success with ad- dicts 46. OARS Open-ended questions Affirmations Reflective listening Summaries 47. Motivational In- conversation terviewing focus- es on ____ as natural language can show willingness, commitment, re- a method for luctance change 48. speech to elicit directing change guiding 'we could brainstorm' following 'whatever you think is best' 49. when faced with question: why/how/ is this important? how important? ambivalence, in- less about you and more about client's desire for change stead of giving advice do this 50. efficacy for MI increases participation large effect size effective as a brief intervention 51. spirit of motiva- being empathetic tional interview- develop discrepancy ing roll w resistance support autonomy 52. acceptance in- absolute worth cludes accurate empathy autonomy support affirmation 6/9  3005PSY WEEK 3 Study online at https://quizlet.com/_d0ad45 53. things to avoid falling into 'expert' trap with MI enhance what person already has, they just need to tap into it 54. summary stage collecting: pull together info looks like linking: connect previous/current convos transitional: shift/close session/move to another topic 55. exploring values picking up discrepancies between them and behaviour and goals allows allow them to engage in self confrontation 'why is this for meaningful' 56. traps to avoid assessment: too many questions falling into with expert: client is expert on self MI premature focus: focusing before engaging labelling: diagnostic labelling blame: blaming for failed attempts chat: talking too much about wrong things 57. questions to fo- desires/goals/why this is important cus on when en- positivity gaging expectations hope/optimism 58. focussing stage finding one or more specific goals/outcomes includes has to be client directed client decides when/how to change (unless high risk of harm) may enter ready for change or get there through MI process 59. what stage do contemplation stage (unless counselling is mandated) most clients en- ter MI at? 60. Elicit-Pro- An approach the clinician uses to ask, listen and inform vide-Elicit that encourages patients to talk about and hear their in- trinsic motivation for change learn what they already know, fill in any gaps, give time 7/9  3005PSY WEEK 3 Study online at https://quizlet.com/_d0ad45 to reflect/be open to disagreement, elicit reactions, under- standing, reflection EMPHASIZE PERSONAL CHOICE 61. goals with evok- resolve ambivalence in direction of change ing stage recognise, elicit, respond to change talk aim to increase commitment closer you move to one choice, the more disadvantages become clear 62. DARN Desire Ability Reasons Need (preparatory change talk) 63. If you hear DARN it's helpful to follow up w other types to see if missing/rel- talk evant doesn't always indicate commitment to change 64. CATS mobilising talk commitment activation taking steps (can also occur as sustain talk) 65. eliciting informa- using OARS to target change talk (DARN AND CATS) tion can include don't ignore sustain talk respond to change talk with CATS evoking hope 66. signs they are increased change talk ready for plan- decrease sustain talk ning stage taking steps resolution of ambivalence envisioning future w/o behaviour asking about change 8/9  3005PSY WEEK 3 Study online at https://quizlet.com/_d0ad45 67. how to develop a clients often know what to do next, once you have a plan plan use CATS encourage troubleshooting be a support goals need to be graded discuss options 68. planning process strengthening commitment to and supporting change is also about public commitment, social support, self monitoring is use- ful 69. Therapeutic ap- standalone or to increase engagement in other interven- proach tions always client focussed 4 processes are layered 9/9