Health Sciences 2250A/B Study Guide - Final Guide: Motivational Interviewing
30 Apr 2018
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Motivational Interviewing – Exam Outcomes
How did motivational interviewing originate?
This definition has continued to evolve and was initially developed from R. Miller’s treatment of people who
had drinking problems in 1983.
What is the focus of motivational interviewing? How does it achieve this?
It focuses on resolving and exploring the feeling of having mixed feelings, through the motivational
processes within the individual that facilitates change.
It strays away from a coercive approach and does not impose change on the individual, but supports change
in the individual’s values and concerns.
What is a core concept of M.I.?
Heavily focuses on building rapport in the beginning stages of the counselling relationship.
A core concept is the examination, identification, and resolution of ambivalence regarding changing
behaviour.
What are the three essential elements of M.I.?
I. MI is a specific kind of conversation about change (therapy, consultation, method of communication,
counselling)
II. MI is collaborative (partnership honours autonomy, not expert-recipient, person-centred)
III. MI is evocative (seeks to call forth the person’s own commitment and motivation)
What are the three ways in which the core elements of MI can be defined?
I. Layman’s terms
II. Pragmatic practitioner’s definition
III. Technical therapeutic definition
What is the spirit of MI characterized by and based on?
The spirit of MI is based on collaboration b/w the client and therapist, drawing out or evoking the client’s
client’s own thoughts as opposed to imposing their own opinions because
while the therapists job is to evoke the individual’s skills and motivation for change
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This definition has continued to evolve and was initially developed from R. Miller’s treatment of people who
in the individual’s values and concerns
III. MI is evocative (seeks to call forth the person’s own commitment and motivation)
Layman’s terms
II. Pragmatic practitioner’s definition
What is the spirit of MI characterized by and based on?
It is characterized by a clinical way of being and spirit, which is in the context of a relationship within which
specific techniques are being employed.
The spirit of MI is based on collaboration b/w the client and therapist, drawing out or evoking the client’s
ideas regarding change, and emphasizing autonomy of the client.
Briefly describe collaboration. How does it contrast w/ confrontation?
It is rooted in the experiences and POV of the client.
Facilitates and builds trust/rapport while focusing on a mutual understanding b/w the client and therapist.
In contrast, other treatments involve the therapist taking on the expert role and confronting the client with
their perspective and a proposed appropriate treatment course.
Briefly describe evocation as opposed to imposing ideas. How does it relate to long-term change?
Involves drawing out the client’s own thoughts as opposed to imposing their own opinions because
motivation is often most effective when it comes from the client themselves.
Long-term change is more likely when the client discovers their own determination and reason for change,
while the therapists job is to evoke the individual’s skills and motivation for change.
Briefly describe autonomy. What is reinforced?
Recognizes that the true power to change comes from the client. It is up to the individual to follow through
w/ making changes, which empowers the individual and makes them take responsibility for their actions.
There is reinforcement that there is no right way to change, while clients are encouraged to lead in
developing an array of options as to how to achieve change.
What are the four principles of motivational interviewing?
I. Express Empathy
II. Support Self-Efficacy
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Document Summary
This definition has continued to evolve and was initially developed from r. miller"s treatment of people who had drinking problems in 1983. It focuses on resolving and exploring the feeling of having mixed feelings, through the motivational processes within the individual that facilitates change. It strays away from a coercive approach and does not impose change on the individual, but supports change in the individual"s values and concerns. Heavily focuses on building rapport in the beginning stages of the counselling relationship. A core concept is the examination, identification, and resolution of ambivalence regarding changing behaviour. What are the three essential elements of m. i: mi is a specific kind of conversation about change (therapy, consultation, method of communication, counselling) Mi is collaborative (partnership honours autonomy, not expert-recipient, person-centred) Mi is evocative (seeks to call forth the person"s own commitment and motivation) What are the three ways in which the core elements of mi can be defined: layman"s terms.
