Contemplation
Define Contemplation
The point at which a person knows there is a problem and is ambivalent about making any changes.
What does OARS stand for?
Open ended questions
Affirmations
Reflective Listening
Summaries
True / False?
OARS can be a good method for reinforcing and eliciting change talk
TRUE
T / F?
Ambivalence is a form of denial
FALSE
According to the transtheoretical model: Contemplation occurs before which stage of change.
Preparation
What are the general principles of MI?
Express Empathy
Developing Discrepancy
ROLL with discord
Self Efficacy
True / False?
MI is a type of psychotherapy?
FALSE
What makes up the MI Spirit
partnership/collaboration
acceptance
evocation
compassion
List 3 behaviors a helper should not do to an ambivalent client
Righting reflex, directing, cautioning, giving advice, argue, disagree, agree, shaming, probe for information, change the topic (any of the 12 roadblocks)
What are the 5 types of reflections
simple, affective, complex, double sided, amplified
Resistance is a signal for the clinician to do what?
Respond differently
list four problem areas that could be addressed with MI
Dieting/weight loss, Smoking, Exercise, Treatment retention, dropout rates, etc.
Explain why the righting reflex is harmful for an ambivalent client
Deciding to change is the responsibility of the individual, not the helper. People are disinclined to be told what to do if it conflicts with their own judgement.
What does the acronym DARN-C stand for?
Desire
Ability
Reason
Need
Commitment
What are the strategies for handling sustain talk and/or discord?
Simple reflection, double sided reflection, clarification, emphasizing personal choice and control, shifting focus
List 6 of the 12 roadblocks described by Thomas Gordon
Ordering, directing, or commanding
Warning, cautioning, or threatening
Giving advice, making suggestions, or providing solutions
Persuading w/ logic, arguing, or lecturing
Telling people what to do, moralizing
Disagreeing, judging, criticizing, or blaming
Agreeing, approving, or praising
Shaming, ridiculing, or labeling
Interpreting or analyzing
Reassuring, sympathizing, or consoling
Questioning or probing
Withdrawing, distracting, humoring, or changing the subject
Why is Acceptance an important principle to have in the contemplation stage?
A helper needs to meet the client where they are at. Without judgment, work with what the client brings to the table.
What is the difference between praise and affirmation?
Affirmation is an acknowledgement of the action or the explanation of support. Praise is a reward system.
What are all the aspects of IC-QLEDGE
importance confidence rule
query extremes
looking ahead/back
evocative questions
decisional balance
goals/values
elaboration questions
Who developed Accurate Empathy and in what year
OR
Who developed Active Listening and in what year
Accurate Empathy: Carl Rogers, 1965
Active Listening: Thomas Gordon, 1970