What is motivational interviewing?
Motivation is defined as a probability that a person will enter into, continue and adhere to specific change strategy. It is the counselor’s responsibility not only to dispense advice but also to motivate – to increase likelihood that the client will follow a recommended course of action to change. A counselor is like a salesman and motivation is inherent and central part of the professional task.
Principles of Motivation Interviewing
- Some people need this, once unstuck, no longer immobilized by conflicting motivations, they have the skill and resources they need in order to make a lasting change
- Important to people who are reluctant to change and endure ambivalent in changing
- For others, motivational interviewing is a prelude to treatment
- It creates openness to change which paves way for further therapeutic work Responsibility for change relies on the individual
- This does not denote that therapists are powerless or helpless, they exert a lot of influence
- The strategies are more persuasive than coercive, more supportive than argumentative ( the therapist creates a conducive environment for change)
- The therapist is increasing client’s intrinsic motivation, so that change arises from within rather than being imposed from without
- Done properly, client presents the argument for change, rather than therapist.
- Motivation interviewing employs a variety of strategies especially derived from person centered therapy
- Counselor may appear relatively active
- But the motivational interviewing proceeds with a strong sense of purpose, clear strategies and skills for pursuing that purpose and a sense of timing to intervene in particular ways at particular moments.
Motivational Interviewing Approach
- Systematically directs the client towards motivation for change Offers the counselor’s own advice and feedback where appropriate Empathic reflection is used selectively to reinforce certain processes
- Seeks to create and amplify the client’s discrepancy in order to enhance motivation for change
- De-emphasis on basis of labels; acceptance of “alcoholism” or other labels seen an unnecessary for change
- Emphasize on personal choice and responsibility for deciding future behavior Therapists conduct the objective evaluation, but focuses on eliciting the client’s
- own concerns
- Resistance is seen as interpersonal behavior pattern influenced by therapists behavior
- Resistance is met with reflection
- Treatment goals and change strategies are negotiated between the client the therapist, based on data and acceptability. Client’s involvement in the process and acceptance of goals are vital
- Individual approaches
- In patient counseling
- Participation in AA (Alcohol Anonymous) support groups
- Change can be enhanced by Cognitive approaches, Behavioral modification, Person centered Therapy, Solution Focused Brief Therapy
- Counseling dysfunctional families and children – they suffer from shame, anger, distorted thinking
- The clients need to appreciated and accepted by the community to help them become productive members of the society
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