1. Listening to Families Gayle MCKerracher
Consultant Clinical Psychologist

2. One of the most sincere forms of respect is actually listening to what another has to say
There is a big difference between listening and waiting for your turn to speak (Simon Sinek)

3. What has been the best thing about today so far?
2 minutes talking
Listeners:
No talking at all
At the end listener give ‘an appreciation’ …. “I really appreciated….”
Talkers – how did you know your partner was listening?
SWAP

8. Dealing with change, ambivalence and setbacks
Understanding ambivalence
Understanding where everyone is on the change cycle
What comes next
Understanding motivation – why do they do what they do?
Ideas for exploring, opening up and encouraging conversation
Rolling with resistance

9. To want and not want simultaneously
Ambivalence
To want and not want simultaneously
Want
Not want
Towards change (pros)
Away from change (cons)

10. Cycle of Change (Procheska & DiClemente, 1982)
Pre-contempla-tion
Contempla-tion
Decision
Active changes
Main-tenance
Relapse

11. Don’t want to change, not a problem
Alternative version
Don’t want to change, not a problem
I’m thinking about it
I will change
I have started to …
I am changing …
oops

12. Where does change happen?
Parents’s goal
Team’s goal
Young Person’s goal

13. How can we help? Understanding why people make the choices they make
Capturing opportunities to change & encouraging change
Building on & sustaining change

14. Why did you get drunk with your friend?
Critical
It’s your fault, you know you shouldn’t have
Why did you get drunk with your friend?
Why do ‘why’ questions often not work?

15. How can we ask for information in a way that:
opens and encourages conversation
gives insight into the person’s motivations for the choices they have made?

16. T E D what it was about your friends that made you choose to drink?
Tell me… T
Explain what it was like … E
Describe what was happening … D
What were you thinking about when the others started drinking?
Tell me exactly what was happening just before you opened that can of beer?

17. Thinking about change Advantages of changing Disadvantages of changing
Disadvantages of staying the same
Advantages of staying the same

18. Thinking about change Advantages of changing Disadvantages of changing
Disadvantages of staying the same
Advantages of staying the same

19. Disadvantages of staying the same
Kelly’s see saw
Advantages of changing
I might feel better
People will stop harassing me
I will get to do more stuff
Disadvantages of changing
Not sure
I’ll be left to manage it on my own
Advantages of staying the same
People help me
People look after me
I’m never on my own
Disadvantages of staying the same
I will keep getting ill
People keep nagging me
Long term problems

20. Roll with resistance

22. Top Tips Don’t tell people what to do LISTEN
Let them tell you they need to change
Cognitive dissonance (I smoke & I want to be healthy)
Helping people feel confident
Discrepancy between goals and beliefs

23. The Bus Metaphor

24. “MI is not a series of techniques, it’s a way of being with patients”
Bill Miller, 1991

25. “There is a reason mouths shut and ears don’t”