Motivational interviewing is non-judgmental, non-confrontational and non-adversarial.
The approach attempts to increase the client's awareness of the potential problems caused,
consequences experienced, and risks faced as a result of the behavior in question. Alternately,
therapists help clients envisage a better future, and become increasingly motivated to achieve it.
Either way, the strategy seeks to help clients think differently about their behavior and ultimately
to consider what might be gained through change.
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Conversation about change
Purpose is to evoke and strengthen motivation for change
Responds to change talk: Elaboration, Affirmation, Reflection and Summary
Remains a collaborative and a person centered process throughout (not expert vs. recipient)
First Engage and Listen; 2nd Guide - Agenda setting and finding a focus; 3rd Evoke – selective
eliciting, responding and summaries; 4th Planning a bridge to change, negotiate the change
Stages of Change Model
Stage in transtheoretical model of change
Patient stage
Precontemplation
Not thinking about change
May be resigned
Feeling of no control
Denial: does not believe it applies to self
Believes consequences are not serious
Weighing benefits and costs of behavior,
proposed change
Experimenting with small changes
Taking a definitive action to change
Maintaining new behavior over time
Experiencing normal part of process of
change
Usually feels demoralized
Contemplation
Preparation
Action
Maintenance
Relapse