Coun - 405, Week 12 Notes
Coun - 405, Week 12 Notes Coun 405
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This 2 page Class Notes was uploaded by Joe Strano on Thursday September 29, 2016. The Class Notes belongs to Coun 405 at University of Wisconsin - Stout taught by Dr. Colleen Etzbach in Fall 2016. Since its upload, it has received 2 views. For similar materials see Intro to Counseling in Counseling at University of Wisconsin - Stout.
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Date Created: 09/29/16
Motivational Interviewing Tuesday, April 12, 2016 10:50 PM - Motivational Interviewing ○ Helping clients identify problems or challenges to work on Blaming others; resistance; identifying discrepancies - Asking Permission ○ Communicates respect for clients ○ Clients are more likely to discuss changing when asked, than when being lectured or being told to change - Eliciting/Evoking Change Talk ○ Change talk tends to be associated with successful outcomes ○ Change talk can be used to address discrepancies between clients' words and actions ○ Having difficulty changing Focus is on being supportive as the client wants to change but is struggling ○ Provoking Extremes For use when there is little expressed desire for change Have the client describe a possible extreme consequence ○ Looking Forward These questions are also examples of how to deploy discrepancies, but by comparing the current situation with what it would like to not have the problem in the future - Open‐Ended Questions ○ Encourage clients to do most of the talking ○ Therapist listens and responds with a reflection or summary statement ○ Goal is to promote further dialogue that can be reflected back to the client by the therapist ○ Allow clients to tell their stories - Reflective Listening ○ Primary way of responding to clients and of building empathy ○ Listening carefully to clients and then making a reasonable guess about what they are saying ○ Then paraphrase the clients' comments back to them - Readiness to Change ruler ○ Assessing readiness to change is a critical aspect of motivational interviewing ○ Motivation, which is considered a state not a trait, is not static and thus can change rapidly from day to day - Affirmations ○ Affirmations are statements made by therapists in response to what clients have said, and are used to recognize clients' strengths, successes, and efforts to change ○ Verify and acknowledge clients' behavior changes and attempts to change - Summaries ○ Summaries are used judiciously to relate or link what clients have already expressed ○ Especially in terms of reflecting ambivalen and to move them on to another topic or have them expand the current discussion further ○ Summaries require that therapists listen carefully to what clients have said throughout the session ○ Summaries are also a good way to either end a session, or to transition a talkative client to the next topic - Therapeutic Paradox ○ Paradoxical statements are used with clients in an effort to get them to argue for the importance of changing ○ Such statements are useful for clients who have been coming to treatment for some time but have made little progress ○ Paradoxical statements are intended to be perceived by clients asnexpected contradictions ○ It is hoped that after clients hear such statements that they will seek to correct by arguing for change