1. Chapter 5 Allie Lyman

2.  Goal: To encourage change talk and discourage resistance talk  Both coaches and clients need to make the case for change.  Expressing Empathy  Developing Discrepancy  Rolling with Resistance  Supporting Self-Efficacy

3.  Through empathy we help expand client awareness, create openness and facilitate change.  MI starting premise: Change Talk  Empathy and Change Talk combo helps to get the client past a point where they feel “stuck”  Make sure to avoid pity and sympathy when trying to be empathetic  “I feel sorry for you”  “I feel your pain”  “I respect your pain”

4.  Making observations, not evaluations  “I failed to exercise last week”  “I went to the gym one time last week”  Express feelings, not thoughts  “I feel that my boss is controlling”  Identify needs, not strategies  “I need to stop at the store”  “I need to work out everyday”  Make requests, not demands  “Would you be willing to tell me what you heard me say”  “What agreements would you be willing to make with regard to exercise in the coming week?”

5.  Refer to page 66 and 67 for good lists of feeling and universal needs words.

6.  Open Ended Questions (OEQs)  50% of your question in an MI should be open ended  Reflective Listening Statements  Simple Reflections – flat mirror  Amplified Reflections – concave mirror  Double-Sided Reflections – trifold mirror  Shifted-Focus Reflections – periscope  Decisional Balance  Page 69: Quantitative Rating System  Rulers  On a scale from 1 to 10…

7.  “People do not resist change, they resist being changed”  Communication patterns that interfere with empathy  Shifts that may assist in coaches to roll with resistance  From correction to connection  From competence to confidence  From causes to capacities  From counter-force to counterbalance.

8.  Self-efficacy is just as important as lasting change and helping clients become their best selves.  Empathy begins the process of supporting self- efficacy  Quiets judgmental and nay-saying internal voices  Developing discrepancy and rolling with resistance follow  Continue process without getting bogged down by their own thinking and feeling process  Belief in goals will create movements to action