How can we accept our patient/client’s decisions not to change behavior when we think those changes are crucial? A very important idea in MI is that we must accept our client’s decisions about if, when and how they will change. This might include not making any changes, or not the ones we feel they must […]
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 […]
The Convert
She had a well established private practice and was highly trained with a PhD in psychology and had completed psychoanalytic training. Yet, she was coming to me to be both tutored and supervised in Motivational Interviewing (MI). I was surprised. Here was a therapist who had a well developed theoretical orientation and, from her initial […]
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