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Rosengren   fuzzy thinking or fuzzy logic
 

Rosengren fuzzy thinking or fuzzy logic

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    Rosengren   fuzzy thinking or fuzzy logic Rosengren fuzzy thinking or fuzzy logic Presentation Transcript

    • Splitting hairs or parsing concepts, fuzzy thinking or fuzzy categories: where does MI end and client-centered therapy begin? David B. Rosengren, Ph.D. Director, Research & Evaluation Services Prevention Research institute ICMI – 2 Stockholm, SE June 7, 2010
    • How did we get here?
      • MI grew from empirical observations and..
      • Self observations by W.R. Miller
      • A set of concepts & precepts followed
      • Data, revision, data, revision & a beginning theory
      • MI extended beyond addictive behaviors
      • Along the way, interest exploded
    • Where do the tent pegs go?
    • Definitions
      • Current
        • MI is a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.
      • Evolving
        • MI is a person-centered, guiding method of communication to elicit and strengthen motivation for change.
      • Person-centered therapy/approach
        • Three conditions: genuineness, acceptance & unconditional positive regard
        • Assists the person in moving towards self-actualization
    • The Trouble With Definitions
      • A creationist can embarrass an evolutionist by asking for a definition of species.
      • Walter Lang
      • As a rule we disbelieve all the facts and theories for which we have no use.
      • Gustave Flaubert
    • And then there was equipoise…
    • Back to the Trouble with Definitions
      • Definition of Equipoise
        • Equality of distribution in weight, relationship or emotional forces
      • Synonyms
        • Calmness, balance, equilibrium, poise, composure, equanimity, etc...
      • Dr. Dunn’s conclusions – it refers to two states
        • Counselor demeanor/inner state
        • Counselor behavior
      • Dr. Miller’s response
        • “… never…thought of equipoise in relation to general demeanor.”
        • “… exists in relationship to a specific behavior.”
    • So, equipoise… about what?
    • Fuzzy thinking or Fuzzy categories?
    • Boolean Logic vs. Fuzzy Logic…
      • Or why I didn’t become a computer scientist…
      • Boolean Logic
        • Typically is a binary logic system
        • It takes into account two possible states: 0 and 1.
      • Fuzzy Logic
        • Fuzzy logic is a form of multi-valued logic
        • Derived from fuzzy set theory
        • Deals with approximate rather than precise reasoning
        • Values between 0 and 1
      • Huh? Examples
    • What in the world does this have to do with MI?
      • It seemed like a good idea at the time
      • Maybe we’ve been using the wrong logic
      • Do we need a new metaphor?
      • Four concepts:
        • Engaging
        • Guiding
        • Evoking
        • Planning
    • Remind me… why does this matter?
      • Clinicians?
        • It probably doesn’t
      • Research on EBPs
        • We need to define what it is
        • When it is done well
      • Implementation
        • Done with fidelity
        • Systems to implement, coach and assess
      • It will help Allan sleep at night