1. What’s New in MI3…?
…LOTS!
Miller, W. R., & Rollnick, S. (2012). Motivational Interviewing, 3rd Edition. New York: Guilford Press
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2. What’s New?
1. Definitions
2. Spirit
3. Four Processes
4. Discord
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3. 3 Definitions …
1. Layperson’s definition:
“MI is a collaborative conversation style for strengthening a person’s own motivation and commitment to change”.
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4. 3 Definitions …
2. Practitioner’s definition: “MI is a person-centered counseling style for addressing the common problem of ambivalence about change.”
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5. 3 Definitions …
3. Technical definition: MI is a collaborative, goal-oriented style of communication with a particular attention to the language of change. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion.
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6. MI Spirit…
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7. MI Spirit…
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8. Planning
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9. Sustain Talk & Discord Resistance is now conceptualized as Discord
Resistance focuses on client pathology
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10. Sustain Talk & Discord Desire for status quo Inability to change
Reasons for sustaining status quo
Need for status quo
Commitment to status quo
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11. Sustain Talk & Discord Behavior Interpersonal (It takes two to resist)
A signal of relationship deterioration
Highly responsive to helper style
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12. Sustain Talk & Discord Both are predictive of non-change
How we respond to sustain talk can cause discord!
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13. Signs of Discord Defending Arguing/Squaring Off/Power Struggle
Interrupting
Disengagement
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14. Where It Comes From… Discord in Engaging:
The client’s prior experiences, expectations; counselor use of labeling or blaming
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15. Where It Comes From …
Discord in Focusing: Premature focus trap; counselor focus on a particular issue
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16. Where It Comes From…
Discord in Evoking: Pushing in a particular direction; using the righting reflex
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17. Where It Comes From…
Discord in Planning:
Not being collaborative
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18. Responding To Sustain Talk
Emphasizing autonomy
Reframing
Agreeing with a twist
Running head start (pros and cons)
Coming alongside
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19. Responding To Discord Reflective listening Apologizing Affirming
Shifting Focus
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