The Spirit of Motivational Interviewing

The Spirit of Motivational Interviewing

The Spirit of Motivational Interviewing

There is an old adage that “practice makes perfect,” which is particularly relevant to learning a new set of skills like those associated with motivational interviewing. Over the next several weeks, the Assignments are designed to give you opportunities to practice specific motivational interviewing skills that are introduced in the Discussions.

In this week’s Discussion, you practiced applying the spirit of motivational interviewing to a service user in the case study to which you were assigned. As you may remember, the spirit of motivational interviewing is a heart-set and mindset that encompasses four elements that are crucial for building a relationship with a service user: partnership, acceptance, compassion, and evocation (Miller & Rollnick, 2013). In this Assignment, you will review a series of practitioner statements to determine whether the statements reflect the spirit of motivational interviewing.

Reference:
Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). The Guilford Press.

To Prepare

  • Review the Learning Resources on the spirit of motivational interviewing.
  • Review the document entitled, “Rating Samples for MI Spirit.” Consider whether each of the exchanges is consistent with the spirit of motivational interviewing. Why, or why not?
Submit a 2- to 3-page paper that addresses the following:
  • Explain whether each exchange in the “Rating Samples for MI Spirit” document is consistent with the spirit of motivational interviewing. Why, or why not? Be specific.
  • In instances where you do not believe that the exchange is consistent with the spirit of motivational interviewing, explain how the practitioner could have responded to be consistent with the spirit of motivational interviewing. Again, be specific.

From Building Motivational Interviewing Skills: A Practitioner Workbook by David B. Rosengren. Copyright 2009 by The Guilford Press. Permission to photocopy this exercise is granted to purchasers of this book for personal use only (see copyright page for details).

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ExErcisE 2.2 Rating Samples for MI Spirit

Here are examples of short client statements and prac ti tion er responses. Review these exchanges and then decide if the prac ti tion er’s response is consistent with the spirit of MI (thumbs up) or not (thumbs down). You might want to jot down a few notes as to why you rated each sample as you did. Then look at the discussion for each example at the end of this exercise.

1. Sarah’s husband (Richard) : I’m just furious that she lied to me and had this affair behind my back. I can’t believe I didn’t see it. I feel like such an idiot.

Prac ti tion er: In retrospect, what signs did you overlook?

Thumbs up Thumbs down

Why?

2. Arthur: I know my dad told you I’m depressed, but I’m not. Just because I don’t want to play football doesn’t mean I’m depressed.

Prac ti tion er: Your father is worrying needlessly. What do you think he’s seeing that makes him worry this way?

Thumbs up Thumbs down

Why?

3. Tanya : I need to come up with some sort of plan to help me get back on track now. This health crisis has thrown me for a loop. I can’t think about anything else. What do you think I should do?

Prac ti tion er: Well, I have some ideas about what might help, but first let me hear what you’ve already consid- ered.

Thumbs up Thumbs down

Why?

4. Arthur: I’m not going to keep that stupid thought journal. How does it help me to monitor my “loser” thinking? I’m coming here to feel better, and paying attention to all that makes me feel worse.

Prac ti tion er: OK, Arthur, you might be right. This works for many folks, but not everyone. Maybe we need to try a different way to approach this. We’ve talked about other ways to approach this issue. What makes sense to you to practice instead?

Thumbs up Thumbs down

Why?

5. Tanya : They told me I have to have this surgery right away. But I don’t trust them, so I haven’t scheduled it yet.

 

 

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Rating Samples for MI Spirit (p. 2 of 2)

Prac ti tion er: Why take the chance? They’re the experts, after all. Let’s call from this phone right now—maybe you can get in this week.

Thumbs up Thumbs down

Why?

6. Sarah: I’ve had it with Richard’s guilt mongering. Okay, so I had an affair. I’m ready to end it and start working on our marriage, but I don’t think he’s ever going to let me forget it. Maybe we should just get a divorce.

Prac ti tion er: Sarah, you are the only one who can decide if you should stay in this marriage or leave it. I wonder what signs you would need to feel more optimistic about working on things with Richard.

Thumbs up Thumbs down

Why?

7. Arthur’s mother (Peggy) : They had a little “surprise party” for me. Everyone showed up when I wasn’t looking and then spent the next 2 hours telling me how my drinking hurt them. They think I’m an alcoholic! I might have a drinking problem, but I’m damn sure not an alcoholic.

Prac ti tion er: (gently) Peggy, if it walks like a duck and quacks like a duck, it’s probably a duck. I think if all those people are telling you you’re an alcoholic, they’re probably right. You might be in denial, don’t you think?

Thumbs up Thumbs down

Why?

8. Arthur’s father (Lloyd) : I think Arthur is taking over too many of the household responsibilities. A boy his age ought to be playing sports and chasing girls. Instead, he’s worrying about his younger brother and how the house looks. He even does laundry. I can tell you I never did that at his age. But when I try to push him toward more normal things, like football, he just gets mad at me and says I don’t understand him. What am I supposed to do?

Prac ti tion er: In families where alcohol has been a problem, it often works like this. What if you tried the chess club or the school newspaper instead of pushing him toward football? I think he’d be more receptive to that. I don’t think you recognize how smart Arthur is. It could be that he will never be all that interested in football.

Thumbs up Thumbs down

Why?

9. Tanya : My doctor gave me a long list of all the things I have to do to manage my care. It’s overwhelming. I have to take medication three times a day. I can’t even remember to feed my dog every single day. I just can’t do it. But I’m afraid I’ll die if I don’t.

Prac ti tion er: (encouraging) You can do this. You have to.

Motivational Interviewing

Motivational Interviewing