Given a choice between changing and proving that it is not necessary most people get busy...
Fantastic news! We've Found the answer you've been seeking!
Question:
Transcribed Image Text:
Given a choice between changing and proving that it is not necessary most people get busy with the proof (Latchford, 2010). Change tends to occur when a person perceives a significant discrepancy between important goals or values and the status quo. In order to be motivating, a discrepancy needs to be large enough to encourage change but not so large as to be demoralizing. A variety of MI strategies can be used to instill (infuse slowly) discrepancy with the bounds of the person's own values. As you begin to establish a therapeutic alliance, the client will begin to acknowledge that something is not right in their environment, but may spend more time and energy in session disavowing that they really need to change. Therefore, your role is to encourage client's to think about change, evoke and strengthen the client's existing argument (ambivalence) for change through an honest discussion about the consequences of not changing as well as changing. But what about clients who do not seem to be ambivalent? In the pre-contemplation stage, there is no change talk to evoke. Consider these examples of "unmotivated" clients. Provide commentary for each example regarding the process of how to instill discrepancy collaboratively with the client. Be specific with your chosen strategy for developing discrepancy and highlight the what, how and why. Provide a narrative reflecting your general approach to what, how and why. 1. A patient being treated at a trauma center for injuries sustained in an alcohol-related crash, who blames the other driver and has no apparent personal concerns about drinking. 2. A teenager was brought to treatment by concerned parents who discovered marijuana and drug paraphernalia during a room check. The teen is incensed about being check up on and regards cannabis as harmless. 3. A pregnant woman who expresses no intention to quit smoking or using methamphetamine. Given a choice between changing and proving that it is not necessary most people get busy with the proof (Latchford, 2010). Change tends to occur when a person perceives a significant discrepancy between important goals or values and the status quo. In order to be motivating, a discrepancy needs to be large enough to encourage change but not so large as to be demoralizing. A variety of MI strategies can be used to instill (infuse slowly) discrepancy with the bounds of the person's own values. As you begin to establish a therapeutic alliance, the client will begin to acknowledge that something is not right in their environment, but may spend more time and energy in session disavowing that they really need to change. Therefore, your role is to encourage client's to think about change, evoke and strengthen the client's existing argument (ambivalence) for change through an honest discussion about the consequences of not changing as well as changing. But what about clients who do not seem to be ambivalent? In the pre-contemplation stage, there is no change talk to evoke. Consider these examples of "unmotivated" clients. Provide commentary for each example regarding the process of how to instill discrepancy collaboratively with the client. Be specific with your chosen strategy for developing discrepancy and highlight the what, how and why. Provide a narrative reflecting your general approach to what, how and why. 1. A patient being treated at a trauma center for injuries sustained in an alcohol-related crash, who blames the other driver and has no apparent personal concerns about drinking. 2. A teenager was brought to treatment by concerned parents who discovered marijuana and drug paraphernalia during a room check. The teen is incensed about being check up on and regards cannabis as harmless. 3. A pregnant woman who expresses no intention to quit smoking or using methamphetamine.
Expert Answer:
Answer rating: 100% (QA)
Narrative on Motivational Interviewing MI Approach to Instill Discrepancy in Unmotivated Clients My general approach to working with unmotivated clients in MI involves collaboratively exploring the wh... View the full answer
Related Book For
Posted Date:
Students also viewed these organizational behavior questions
-
importance of workalike balance for women as a leader in healthcare. 1. The purpose of the research; 2. Research question/s; 3. Findings and relevant data; 4. Any recommendations and; 5. The...
-
Hyten Corporation On June 5, 1998, a meeting was held at Hyten Corporation, between Bill Knapp, Director of Marketing/Sales, and John Rich, director of engineering. The purpose of the meeting was to...
-
Describe several features of the ACA that are designed to minimize adverse selection. Why might some of those measures not end up working very well?
-
After watching the video, Modern Disaster Recovery Workshop: Developing an IT Disaster Recovery Plan, create a thread discussing at least three concepts presented in or that you learned from the...
-
Delta Air Lines adopted the provisions of ASC Topic 842 using the optional alternative transition method in which a company makes a cumulative adjustment to the opening balance of retained earnings...
-
According to Equation 14.4, if expectations about the future exchange rate suddenly fall, all other things constant, what should happen to E? E = exp(E++1) i-+1
-
The Mystic Coffee Shop blends coffee on the premises for its customers. It sells three basic blends in one-pound bags: Special, Mountain Dark, and Mill Regular. It uses four different types of coffee...
-
Compare U.S. government and private sector financing models in the table and include a minimum of four sentences for each criterion: Cost - What the patient pays: premiums, copays, and deductibles....
-
The shareholders of X Ltd. are unhappy about the top manager's performance. While the manager's effort in running the firm cannot be observed, it is felt that he or she puts in effort amounting to...
-
To sort an entire array A, the initial call is QUICKSORT (A, 1, A.length). QUICKSORT(A, p,r) 1 if p
-
How much will Caleb have left over this month if he goes to Six Flags? $71.64 . How much do you think Caleb will need to put into savings every month to reach his long-term goal? $
-
Consider the TIME fixed effects model (a) What are the INTERCEPT and the SLOPE for: (i) entity 1 in time period 1; (ii) entity 1 in time period 2; (iii) entity 2 in time period 1; (iv) entity 2 in...
-
Will-Advertise is a business that is seeking to expand its market share and sales and its management is in the process of developing the planned advertising programme. Previous research has indicated...
-
Use matlab6. Numerical differentiation: (1) avec = [1 2 3 3 6 8] , diff(avec,2) computes the second difference by applying diff(avec) recursively 2 times, and write the answer of diff(avec,2). (2)...
-
Expected return on security X is 2 0 % , expected return on security Y is 3 0 % , risk ( % ) of security X is 1 0 % and that of Y is 1 6 % . If coefficient of correlation between the returns of X and...
-
1. Find the range of values for "p" and "q" that will render the entry "5" a saddle point in the following two-person zero-sum game. q6 5 10 6 2 3 Julius Malema A = p 2. Presidency Incumbent...
-
Activator rod AB exerts on crank BCD a force P directed along line AB. Knowing that P must have a 100-N component perpendicular to arm BC of the crank, determine (a) The magnitude of the force P, (b)...
-
Say that you infect your computer with the virus du jour after downloading a YouTube video that had been trending on your favorite social media site. What do you do? Many low-tech mouse potatoes...
-
Caterpillar traces its roots to the early 1900s when Benjamin Holt invented a slowmoving but functional tractor-previous efforts at developing tractors for agricultural use had produced bulky...
-
By 2010, Ernst & Young (EY; E&Y) had served as the independent audit firm for Universal American Corporation for 15 years. Universal, a large healthcare services company headquartered in affluent...
-
The rotor of Figure P1.6 consists of a disk mounted on a shaft. Unfortunately, the disk is unbalanced, and the center of mass is a distance \(e\) from the center of the shaft. As the disk rotates,...
-
The machine of Figure P1.5 has a vertical displacement \(x(t)\). The machine has a component which rotates with a constant angular speed \(\omega\). The center of mass of the rotating component is a...
-
The velocity of the block of the system of Figure P1.11 is \(\dot{y}=0.02 \sin 20 t \mathrm{~m} / \mathrm{s}\) downward. (a) What is the clockwise angular displacement of the pulley? (b) What is the...
Study smarter with the SolutionInn App