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The first of these purposes is to establish the theoretical framework for Motivational Interviewing MI. Another purpose is to examine the relevant evidence base of MI in relation to the authors practise setting.
MI is an approach to counselling, which was developed in the early s. The approaches and fundamental concepts were described in thes. This approach to counselling involves a semi-directive interview which helps clients discover their ambivalence to change and take action to improve their situation.
The initial use of the approach was with individuals suffering from addictions, but it has since been used for a wide variety of other problems. The approach works by helping clients come into touch with their intrinsic motivations to change.
In this respect, the approach has an underlying theory of cognitive dissonance, which will be described later in this paper. According to MI, clients may seek out treatment when they are at different levels of discomfort.
This leads to people having various levels of being ready to change. Despite the differences in stages of addiction, the therapist using MI will need to do reflective listening, provide affirmations, and ask questions, which are open-ended.
The remainder of this document will explore the theoretical framework of MI. There will then be a discussion of the evidence base for this approach when treating addictions.
The final section is composed of the conclusions and recommendations regarding the use of MI for individuals suffering from addictions. Theoretical Framework MI was not originally founded on theory. Miller trained counselors in the use of accurate empathy and behavioural self-control training.
Following the certification process, the counselors were observed by supervisors. They were rated on their ability to exhibit empathy when delivering the behaviour therapy.
It was further discovered that the empathy of the counselors accounted for significantly more variance in outcomes than the type of treatment they delivered. With the client-centred approach to treatment, the therapist provides an environment in which the client can become aware of how their feelings, attitudes, and behaviours are negatively affecting their lives.
This environment is created when the essential conditions for change are present. These conditions are accurate empathy, unconditional positive regard by the therapist for the client, genuineness of the therapist, the client feeling as though the therapist is sincere, client vulnerability to anxiety, and a trusting relationship between the therapist and client.
In general, these conditions must also be present for MI. Another basis for MI is cognitive dissonance theory Festinger, According to this theory, it is uncomfortable for individuals to hold cognitions, which are conflicting. These cognitions can be emotional reactions, values, beliefs, or ideas.
Individuals who are experiencing dissonance may suffer from anxiety, embarrassment, anger, guilt, or dread. A therapist using MI may take advantage of cognitive dissonance by helping a client realise that their life is not now how they wish to be. Self-perception theory Bern, is also part of MI.
According to this theory, people have attitudes, which have been developed through observations of their own behaviour. The person then makes conclusions regarding the attitudes which caused the behaviour.
With MI, the therapist helps the client embrace their behaviour and move toward a more desired goal. Part of this involves the client observing their own behaviour.
This can be aided by the therapist asking the client to interpret the behaviour which they have reported.Motivational Interviewing The purpose of this study by Kazemi, Levine, Dmochowski, Niles, & Sun (), was to see if Motivational Interviewing would have an impact on .
Introduction Motivational interviewing may be defined as “a collaborative, goal-oriented style of communication with 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.
Motivational Interviewing as a Treatment for Substance Abuse Words | 7 Pages. Motivational Interviewing as a Treatment for Substance Abuse Introduction "Motivational interviewing is an evidenced-based counseling approach that health care providers can use to help patients adhere to treatment recommendations.
Critically analyse your practice of the Motivational Interviewing approach with specific reference to your classroom learning and work placement On reflection I have learnt a great deal about the MI approach, putting the classroom learning into practice, then reviewing my performance on the DVD has been a fundamental part of my learning process.
Motivational Interviewing It is one of the most carefully defined and rigorous treatment for substance abuse (Miller, ). It was developed my William Miller, . The Motivational Interviewing and Stages of Change approach is complementary to the cultural values of Native American people and emphasizes listening, learning, and respect.