PARTNERSHIP
Reply with an open ended question:
My dad always makes me scrape the grill, I don't know why he always makes me scrape the grill, but.. I do love the thrill of the grill.
:)
In DARN-CATS, if a participant is using the language "I wish" "I hope" "I'd like" "If only", or "I want to", they are exhibiting..
What is Desire
Is a partnership between the practitioner and the client, grounded in the point of view and experiences of the client.
Collaboration
“People are the undisputed _______ on themselves. No one has been with them longer, or knows them better than they do themselves. In MI, the helper is a companion who typically does less than half of the talking.”
Participant: "I know my dad told you I'm depressed, but I'm not. Just because I don't want to play football doesn't mean I'm depressed."
You: "Your father is worrying needlessly. What do you think he's seeing that makes him worry this way?"
1 - YUP
2 - Offers reflection, followed by open ended questions.
Reply with a reflection:
"I really want to work, working would help me pay bills, and make life a lot easier. Plus I could afford to buy more things like comic books".
:)
In DARN-CATS, if a participant is using the language "If I don't do it, then..", "I'd be able to...", or "It would help me out because..", they are exhibiting..
What is Reason
This is what we describe as the practitioner "drawing out" the person's own motivations and skills for change, not to tell them what to do or why they should do it.
This is that strong urge to tell them the solution to their problem, because we feel we know what would work.
Righting Reflex
You "Well, I have some ideas about what might help, but first let me hear what you've already considered."
1 - Yup!
2 - Avoids expert role, and seeks partnership.
Reply with a complex reflection:
"I can't take too much more of this anxiety."
:)
In DARN-CATS, if a participant is using the language "I could try...", "One thing I can do is..", or "I'm pretty good at..", they are exhibiting..
In Motivational Interviewing, this is recognizing that the true power for change rests within the client.
Autonomy
The core of Motivational Interviewing spirit.
What is:
Partnership
Compassion
Acceptance
Evocation
Client: "They told me I have to have this surgery right away. But i don't trust them, so I haven't scheduled it yet.
You: "Why take the chance? They're experts, after all. Let's call from this phone right now - maybe you can get in this week".
Missed opportunity for clients autonomy, by pushing hard for change, even for compelling reasons, you may get the "yes, but.." response.
Reply with an Affirmation:
I really don't know If I should go to my social club tonight, I find it helps with my mood, and I have been able to help the group leader set up the electronics successfully, but I just don't know If can manage my being around other people tonight.
This is the ability to actively promote the other’s welfare and give priority to the other’s needs.
Compassion
What is Engaging! Focusing! Evoking! Planning!
Client: Richard (Sarah's Husband) "I don't know what to do here. I feel stuck. I don't want to live this way anymore. What should we do, Doc?"
You: "Well, how about if you invest in a couples workshop? I'm offering one this weekend. It's expensive, but it may help you two rediscover why you wanted to be with each other in the first place."
1 - Thumbs down
2 - Argues for approach, undermines evocation, autonomy, and most importantly - compassion.
“___________ is simultaneously wanting and not wanting something, or wanting both of two incompatible things. It has been human nature since the dawn of time.”
Ambivilance
Paul Burke matched his watch and glasses with this colour.
What is..
White?
Orange?