Advanced Reflections
This advanced reflection is when you say the same idea but in different words.
What is Paraphrase?
The acronym we use for Change Talk.
What is DARN CAT?
Sustain Talk is when the client focuses on the ________ of not changing.
What are the reasons/advantages/benefits
The advanced reflection that addresses emotions stated or the emotions implied.
What is Feeling?
The example "What will you do?" elicits this component of DARN CAT.
What is Commitment?
When hearing Sustain Talk, the best response is to ________.
What is reflect and or validate
Example reflection:
"On one hand, smoking helps you manage stress, and on the other hand, you’re concerned about its impact on your health."
What is a double-sided reflection?
To elicit Need to change.
What is "How important is it for you to___?"
True or False: Sustain Talk means the client is resistant and unwilling to change.
What is False? (It shows ambivalence, not refusal).
Scenario
Client states: "I've been having a lot of fun going out and partying lately, but something has got to give. I just can't go on like this much longer."
Identify a reflection that emphasize a 2 different aspect of their statements.
What is:
"It sounds like you've enjoyed yourself lately, but you're wanting to take a break."
"You're extremely worried something might happen to you if you continue."
The 4 components of the acronym DARN.
What is Desire, Ability, Reasons and Need?
True or False: It’s impossible for the same client to express both Change Talk and Sustain Talk in the same conversation.
False
Scenario
Client states: "My family says I have a problem with drinking, but I only have one beer when I get home from work. I don't know why they make me feel bad when I used to have a beer before going into work every day and then enjoy the rest of the 6-pack when I got home. Have one when I get home helps me relax. I want them to be happy but I also want to do something that makes me happy too."
Identify complex reflections that could be used.
Double-sided, Feeling, Amplified
Scenario:
Client states: "I really don't want to stop drinking, but I know that I should. I've tried before and it's really hard especially when all my friends do it."
Your response that reflects change talk could be:
What is
"It's pretty clear to you that you want to quit"
Scenario:
“I know I should look for a job, but every time I apply, I just get turned down. This is my 20th application! Part of me feels like maybe it’s not even worth trying anymore, I mean, who wants to hire a felon anyways?"
What could be a sustain talk response here?
What is “It sounds like you’re feeling discouraged and thinking that applying might not be worth the effort since it hasn’t worked out before.”