Your SlideShare is downloading. ×
Miller june7-plenary
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Introducing the official SlideShare app

Stunning, full-screen experience for iPhone and Android

Text the download link to your phone

Standard text messaging rates apply

Miller june7-plenary

357,347
views

Published on

Published in: Business, Technology

0 Comments
13 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
357,347
On Slideshare
0
From Embeds
0
Number of Embeds
29
Actions
Shares
0
Downloads
0
Comments
0
Likes
13
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Bill Miller and Steve Rollnick ICMI, Stockholm, June 2010
  • 2.
    • In Behavioural and Cognitive Psychotherapy, 2009, 37 : 129-140 .
  • 3.
    • A ramble in the forest
    • This presentation represents an evolution in our thinking, well past MI-2, anticipating MI-3
    • It presents our thinking, and is meant as what Carl Rogers called a “discussion paper”
  • 4.
    • 1. We propose that these are necessary and defining components of MI
    • 2. None of them is sufficient to make it MI
    • 3. Most are not unique to MI. It is their confluence that defines MI.
  • 5.
    • Usually but not necessarily about behavior change
    • Change can be broadly defined
  • 6.  
  • 7.
    • Person-centered partnership
  • 8.
    • People make their own choices
  • 9.
    • MI evokes the person’s own motivations for change
  • 10.
    • MI applies specific helping skills in particular prescribed ways e.g., differential use of OARS
  • 11.
    • Not merely exploring ambivalence
    • MI seeks to resolve ambivalence in the direction of change
    • Sometimes MI involves creating ambivalence
  • 12.
    • Elicits and strengthens client change talk
    • This is rather unique to MI
    • DARN-CAT and beyond
  • 13.  
  • 14.
    • Nonconfrontational – avoids argument
    • Does not resist resistance
  • 15.
    • Engaging – The Relational Foundation
    • Person-centered style
    • Listen – understand dilemma and values
    • OARS core skills
    • Learn this first
    • Is it MI yet?
  • 16.
    • Engaging – The Relational Foundation
    • Guiding – The Strategic Focus
    • Agenda setting
    • Finding a focus
    • Information and advice
    • Is it MI yet?
  • 17.
    • Engaging – The Relational Foundation
    • Guiding – The Strategic Focus
    • Evoking – The Transition to MI
    • Selective eliciting
    • Selective responding
    • Selective summaries
    • Is it MI yet?
  • 18. 1. Engaging – The Relational Foundation 2. Guiding – The Strategic Focus 3. Evoking – The Transition to MI 4. Planning – The Bridge to Change Replacing prior Phase I and Phase II Negotiating a change plan Consolidating commitment
  • 19. Is it MI Yet?
  • 20. Engaging ? Guiding ? Evoking ? Planning ? No No No Yes
  • 21. 1. The communication style and spirit involve person-centered, empathic listening (Engage) AND 2. There is a particular identified target for change that is the topic of conversation (Guide) AND 3. The interviewer is evoking the person’s own motivations for change (Evoke)
  • 22.
    • MI is a particular kind of conversation about change (counseling, therapy, consultation, method of communication)
    • MI is collaborative (person-centered, partnership, honors autonomy, not expert-recipient)
    • MI is evocative , seeks to call forth the person’s own motivation and commitment
  • 23.
    • Three levels of definition (of increasing specificity)
    • 1. A layperson’s definition
    • (What’s it for?)
    • 2. A pragmatic practitioner’s definition (Why would I use it?)
    • 3. A technical therapeutic definition
    • (How does it work?)
  • 24. Motivational interviewing is a collaborative conversation to strengthen a person’s own motivation for and commitment to change
  • 25. Motivational interviewing is a person-centered counseling method for addressing the common problem of ambivalence about behavior change
  • 26. Motivational interviewing is a collaborative, goal-oriented method of communication with particular attention to the language of change. It is intended to strengthen personal motivation for and commitment to a target behavior change by eliciting and exploring an individual’s own arguments for change