Recently I read an article in Oprah’s Magazine, by Ann Lamotte, titled “Feeling Full” . (You can read the article here.) Lamotte writes about the home she grew up in, where her parents were smart, sophisticated, and accomplished, but cold, unemotional and hated each other. Her mother made gourmet meals, but the family table was […]
How People Make Decisions about Change
How can we understand when patients or clients don’t change a behavior that we think is critical for them to change? For example, the person whose diabetes is out of control, the smoker who has emphysema, the person with high blood pressure who won’t take their medication. To understand this, I encourage you to think […]
Powerful Techniques for Positive Behavior Change: Basic Concepts in Motivational Interviewing
One of my favorite parts of at least one of the definitions of MI talks about “intrinsic motivation”. This refers to the patient or client’s reason for talking with you about a proposed change in behavior. You may often deal with patients who seem very resistant to the idea of change, and most clinicians find […]
More Powerful, Positive Techniques for Change in Motivational Interviewing
In my last post, I discussed a technique used in Motivational Interviewing called “importance scaling”. The follow up questions are called “confidence scaling” and work in a similar fashion. Here’s how it works. Clinician: Thinking about ________________ change we’ve been discussing, how would you rate your confidence that you could make this change? Use a […]
Powerful, Positive Change Techniques in Motivational Interviewing
Motivational Interviewing has many very simple and useful techniques designed to help clients move forward in the direction of positive change. One of these is called “Importance Scaling”. Here’s how it works. Clinician: Think about _____________change we have been discussing. Now let me ask you on a scale from 0 to 10, in which 0 […]
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