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Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

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Nội dung chi tiết: Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 all forth or up•To cite, especially with approval or support•To bl ing to mind or recollection•To recreate imaginatively•To cause (a particular res|H>

nsc or reaction) lo happenWe’ve now established the direction we wish to travel together. Wouldn't it be lovely il that were all we had to do? clients Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

become clear about what needs to happen and off they go. Our clients would shake our hands, thank US, and then be on their way. Sometimes that happen

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

s; more often the process is complicated, \\1ty is that?Ix'ts begin with the obvious answer: change' is hard. It is important to acknowledge this trut

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 how we just can’t quite make that change happen. We should cat less, cat healthier, exercise more, get to Ixid earlier. spend more time with our loved

ones, put down the electronic device, do things that arc more creative, volunteer our lime, take care of that mess, clean that bathroom, write that n Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

ote—and despite knowing this, it’s hard to make it happen. In fact, one of my favorite quips acknowledges this reality and our foibles on this account

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

: "Change is hard. You go first.”Yet, there are some exceptions when change is not hard or complicated, when the change is straightforward and not par

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 US for directions alwnit the "change river" and then hopping into the raft. The current pulls gently, and so they move down stream with relative ease,

clients might need to paddle to keep the raft in the middle of the river and away from the weeds at the side, but it’s more or less a gentle float, a Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

nd the}- don't need more help from US on this trip. However, research tells US this process is not typically the ease when attempting to make complex

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

behavioral changes.When the change is complex, information may Im* necessary, but it’s rarely sufficient to cause change (Fisher. Fisher. & Harman. 20

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 resence still might not be required on the trip, or might be needed for only a part of the trip, this remains a mon? complex and challenging river for

clients to navigate.Although we've described the situation and hinted at what is important (i.e.. motivation and skills), it does little to help US u Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

nderstand what needs to happen next for either our clients or us. To do that, we return Io that familiar traveling companion: ambivalence.In Chapter 2

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

. we introduced ambivalence as a normal part of the change process. It contains all the crosscurrents ol why we think change might be agood idea and w

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 ame coin.Although ambivalence manifests behaviorally, it also happens internally for clients and is expressed ill their language. Moreover, tin* rcsis

arcli dial Terri Moyers and Olliers have done demonstrates that this language not only reflects what is happening internally, it also helps to create Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

what is happening Ix'liaviorally (Glynn & Moyers, 2010) and predicts w hat will happen with a client (e.g.. Apodaca et al.. 2016). For these reasons,

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

in MI we pay par-licular attention to elienl language and respond dilicrcntially Io what we hear. Attention to language and differential responding an

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 s quo, including discord; and neutral talk, change talk indicates the person is considering the possibility of change. This is one side of ambivalence

. Sustain talk indicates the person is considering the possibility of things remaining unchanged. Discord is a special form of sustain talk and indica Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

tes that the person is not just considering the possibility of avoiding change, but In* or she is feeling pressure Io change and is actively pushing b

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

ack against us. Notice the ’us.” From an MI viewpoint, discord either arises or strengthens as part ol an interpersonal process; as a result, the term

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 al pr

the ambivalence coin. Neutral talk refers to statements that are neither for nor against change. Il is simply neutral on this account or on another t Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

opic altogether. These categories are things We already know and hear as a practitioner. For example, read these smoker statements aloud and then deci

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

de into which category each of these would fall:1 Thanks to Allan Znckofffor this really helpful way to frame discord.Evoking 2571."I don’t think my s

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 "I will quit at some point (localise I know it’s not good for me.”Did your practitioner car help you know w here these things tell? Here is how I woul

d sort these statements: 1—Sustain: 2— Discord: 3 Neutral; 1—change. Don't worry if your categories Icaikcd a little dilferent. chapters 9 and 11 w il Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

l provide additional information about these categories, which will help fine-tune your sensitivity to these language categories. For now, it’s enough

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

to discover these are things you’ve already heard and know n, but might not have put into words.With this information about ambivalence and language

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 influencing. Third, the conversation itself helps organize clients' experience. Filially, the conversation does not just describe the experience, it

helps create it. We’ll take each of these ideas in turn.rhe first idea seems like common sense. ()l course, your path will determine where you end up. Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

Yet. it’s easy to lose track of this simple idea in our busy work situations. We feel compelled Io gather particular bits ol information or solve cer

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

tain problems. In this process we may become reactive rather than intentional in choosing where we will focus our attention. Or we Ix-comc intent OU c

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 intentional in w hich conversational paths we choose.The second idea builds on this first one. and also extends it. Again, it is no surprise dial conv

ersations arc mill daily influencing. We are traveling together, and what each ol IIS does affects the other, what might be less immediately evident i Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

s that clients influence our use of MI and in ways we might not predict. Zach Imel has done some very interesting research that suggests there is sign

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

ificant variation in our UM’ ol Ml liased on clients. Of particular interest is that we tend to lie less proficient in our use of MI when clients are

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 ly to use evoking. Thus, as the client begins moving toward change, we need lo lie mindful of slaying within that Ml spirit and using those OARS+I to

evoke within the client the processes that will sustain the change effort.Third, much as the narrative therapists have taught US. we help clients to o Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

rganize their experiences in a manner they can use. This idea Irccomcs especially important as we think about our task as practitioners. If we simply

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

return to clients what they’ve told US—in the manner they’ve told US—we haven’t helped them organize this experience. This might lx? why surface-level

PART IVEvokingPreparation for ChangeMerriam-Wehxters definition of er.oke includes:•lb bring (a lecling, memory. image, cle... .) into llic mind•To ca

Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2 lients see and understand their situation in a new light. They see a possible way forward.Fourth and finally, the conversations between clients and pr

actitioners might not just describe the experiences, but also create them. I lere we slip into metacognition or thinking258 Evokingabout thinking. An Ebook Building motivational interviewing skills: A practitioner workbook (Second edition) - Part 2

example is helpful in describing this concept. Read these two statements aloud:

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