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Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
Iop part 4 motivation and goal setting
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Iop part 4 motivation and goal setting

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  • Please skim chapters 2-5 of the following text in Google Books: Case Conceptualization and Treatment Planning: Exercises for Integrating Theory with Clinical Practice
  • Transcript

    • 1. Motivation and Goal Setting Unit 1
    • 2. Review of Last Week <ul><li>You reviewed your Addicted vs. Sober worksheet and circled each characteristic you want to change </li></ul><ul><li>Pick one characteristic and identify the 3 things you can do to change it. </li></ul><ul><li>Have group members who identified the same characteristic share their ideas on how to change it </li></ul>
    • 3. Objectives <ul><li>Define motivation </li></ul><ul><li>Explain how motivation is related to goal setting and change </li></ul><ul><li>Learn how to identify goals </li></ul><ul><li>Understand the process for setting (and achieving) goals </li></ul><ul><li>List the different levels or stages of motivation </li></ul><ul><li>Discuss ways to increase motivation </li></ul><ul><li>Define the FRAMES approach </li></ul>
    • 4. What is Motivation <ul><li>Motivation is a key to change. </li></ul><ul><li>Motivation can be modified. </li></ul>
    • 5. Aspects of Motivation <ul><li>Commitment (Energy) </li></ul><ul><li>Control (Ability) </li></ul><ul><li>Challenge (Perception) </li></ul>
    • 6. Motivation is Multidimensional <ul><ul><li>Emotional expression of concern about the perceived problem (e.g., &quot;I'm really worried about what is happening to me.&quot;) </li></ul></ul><ul><ul><li>Cognitive (Thoughts and Beliefs: Recognition of the problem (e.g., &quot;I guess this is more serious than I thought.&quot;) </li></ul></ul><ul><ul><li>Physical (Energy/Control) Optimism about one's ability to change (e.g., &quot;I know that if I try, I can really do it.&quot;) </li></ul></ul><ul><ul><li>Social (Peer Pressure, Social Support) </li></ul></ul>
    • 7. Change Causes Crisis & Crisis Causes Change <ul><li>Emotional </li></ul><ul><ul><li>How you feel about the current behaviors </li></ul></ul><ul><ul><li>How excited/hopeful you are for change </li></ul></ul><ul><ul><li>Fear of failure, rejection and the unknown </li></ul></ul><ul><li>Mental </li></ul><ul><ul><li>Reasons for changing </li></ul></ul><ul><ul><li>Reasons for staying the same </li></ul></ul><ul><ul><li>Belief that you can change </li></ul></ul>
    • 8. <ul><li>Physical </li></ul><ul><ul><li>Amount of energy available for change </li></ul></ul><ul><ul><li>Plan for dealing with discomfort </li></ul></ul><ul><li>Social </li></ul><ul><ul><li>Peer pressure to change </li></ul></ul><ul><ul><li>Peer pressure to remain the same </li></ul></ul><ul><ul><li>Potential changes in peer group when you change </li></ul></ul><ul><ul><li>Desire to keep current friends </li></ul></ul><ul><ul><li>Influence of family </li></ul></ul>
    • 9. Activity <ul><li>For the following goals, identify the motivation </li></ul><ul><ul><ul><ul><li>Commitment </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Control </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Challenge </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Emotional Motivation (Feelings about the issue) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Mental Motivation (Thoughts/Rationales) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Social Motivation (Supporters, Peer pressure) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Physical Motivation </li></ul></ul></ul></ul><ul><ul><li>Weight loss or getting in shape </li></ul></ul><ul><ul><li>Depression </li></ul></ul><ul><ul><li>Addiction </li></ul></ul>
    • 10. Motivation is Dynamic & Fluctuating <ul><ul><li>Different issues can have different levels of motivation </li></ul></ul><ul><ul><li>Reasons (Motivations ) for behaviors can change </li></ul></ul><ul><ul><li>Motivation levels will wax and wane </li></ul></ul><ul><ul><li>Stages/Levels of Motivation </li></ul></ul><ul><ul><ul><li>Precontemplation </li></ul></ul></ul><ul><ul><ul><li>Contemplation </li></ul></ul></ul><ul><ul><ul><li>Preparation </li></ul></ul></ul><ul><ul><ul><li>Action </li></ul></ul></ul>
    • 11. Activity <ul><li>Review the list of changes you identified from the Addicted vs. Sober self activity. </li></ul><ul><li>Pick 3 that you feel most motivated to work on </li></ul><ul><li>Identify the following reasons for change </li></ul><ul><ul><li>Emotional </li></ul></ul><ul><ul><li>Mental </li></ul></ul><ul><ul><li>Physical </li></ul></ul><ul><ul><li>Social </li></ul></ul>
    • 12. FRAMES <ul><li>Feedback </li></ul><ul><li>Responsibility </li></ul><ul><li>Advice </li></ul><ul><li>Menu of options </li></ul><ul><li>Empathy/Support </li></ul><ul><li>Self-Efficacy (Can-Do Attitude) </li></ul>
    • 13. Decisional Balance Benefits of Changing Benefits of Staying the Same Drawbacks to Changing Drawbacks to Staying the Same
    • 14. Activity <ul><li>Using the answers from the previous activity, create a decisional balance chart </li></ul>For Change Staying the Same Benefits Emotional Mental Physical Social Emotional Mental Physical Social Drawbacks Emotional Mental Physical Social Emotional Mental Physical Social
    • 15. Behavior Basics <ul><li>Reinforcement </li></ul><ul><ul><li>Increases the chance of a behavior by either providing a reward or eliminating something unpleasant </li></ul></ul><ul><li>Punishment </li></ul><ul><ul><li>DEcreases the chance of a behavior by either adding something unpleasant (i.e. Antabuse  vomiting) or eliminating something pleasant (commitment to a residential facility) </li></ul></ul><ul><li>Extinction Burst (Cravings) </li></ul><ul><ul><li>Attempts to get a reward will increase until it is not worth the effort (Think temper tantrum or contraband) </li></ul></ul><ul><li>Shaping </li></ul><ul><ul><li>Rewarding “Successive approximations”/Good Tries </li></ul></ul>
    • 16. Activity <ul><li>For the three behaviors you want to change identify </li></ul><ul><ul><li>Rewards for doing the next right thing </li></ul></ul><ul><ul><li>Punishments/consequences of doing the wrong thing </li></ul></ul><ul><ul><li>How you are going to deal with cravings </li></ul></ul>
    • 17. Increasing Motivation <ul><li>Consciousness raising is increasing information about the problem. </li></ul><ul><li>Self-reevaluation involves assessing how one feels and thinks about oneself with respect to problem behaviors. </li></ul><ul><li>Hardiness means committing to act, believing that it is within your control and seeing it as a challenge. </li></ul>
    • 18. <ul><li>Competing Responses means developing alternative, healthy coping behaviors to deal with distress and discomfort. </li></ul><ul><li>Creating Safety means avoiding or addressing things that trigger problem behaviors. </li></ul><ul><li>Reinforcement means identifying and ensuring rewards for good choices. </li></ul><ul><li>Helping relationships are created by being open and trusting with people who care. </li></ul>
    • 19. Activity <ul><li>For each of the goals identify </li></ul><ul><ul><li>What information/knowledge you need about the causes/consequences and alternatives to the problem ( Consciousness raising) </li></ul></ul><ul><ul><li>How you feel and think about yourself with respect to problem behaviors. ( Self-reevaluation ) Review the decisional balance exercise to identify how change will affect you </li></ul></ul><ul><ul><li>What parts are within your control and worth the effort (Hardiness) </li></ul></ul><ul><ul><li>Alternative, healthy coping behaviors to deal with distress and discomfort. (Competing Responses) </li></ul></ul><ul><ul><li>Triggers and ways to avoid, eliminate or cope with them (Creating Safety) </li></ul></ul><ul><ul><li>Rewards to keep you motivated (Reinforcement) </li></ul></ul><ul><ul><li>Supportive people who can help you stay motivated (Helping Relationships) </li></ul></ul>
    • 20. <ul><li>Assess bio-psycho-social needs </li></ul><ul><ul><li>Biological </li></ul></ul><ul><ul><li>Emotional and Physical Safety </li></ul></ul><ul><ul><li>Supportive Relationships </li></ul></ul><ul><ul><li>Self-Esteem </li></ul></ul><ul><li>Identify areas in which you are motivated to work </li></ul><ul><li>Write the Goal Statement </li></ul><ul><ul><li>Answers the question “How will I know when I have accomplished this?” </li></ul></ul><ul><ul><li>States what new behaviors, feelings will be present </li></ul></ul>Review: Process and Format
    • 21. <ul><li>Knowledge </li></ul><ul><ul><li>Identify areas needing increased knowledge (i.e. causes of depression, treatments, personal triggers etc.) </li></ul></ul><ul><li>Skills </li></ul><ul><ul><li>Based on the on your SNAP (Strengths, Needs, Abilities and Preferences), identify skills or behaviors that will help him achieve his goal </li></ul></ul><ul><li>Abilities </li></ul><ul><ul><li>Abilities are merely skills that have been successfully used in the natural environment </li></ul></ul>Review cont…
    • 22. <ul><li>Characteristics </li></ul><ul><ul><li>Emotional </li></ul></ul><ul><ul><li>Cognitive </li></ul></ul><ul><ul><li>Physical </li></ul></ul><ul><ul><li>Social </li></ul></ul><ul><ul><li>Environmental </li></ul></ul><ul><li>Method </li></ul><ul><ul><li>Small goals  success and reward </li></ul></ul>Maintaining Motivation
    • 23. A Note About Motivation Changes <ul><li>Loss of motivation indicates </li></ul><ul><ul><li>You missed something---a reason for your behavior </li></ul></ul><ul><ul><li>You are trying to change for the wrong reasons---Replace CV joint to try and fix engine knock; change people without changing self first </li></ul></ul><ul><ul><li>The reward of change is not worth the effort </li></ul></ul><ul><ul><li>You chose the wrong rewards (expecting your spouse to immediately see change and forgive and forget) </li></ul></ul>
    • 24. <ul><li>Functional </li></ul><ul><li>Observable </li></ul><ul><li>Measurable </li></ul><ul><li>Time Limited </li></ul><ul><li>Achievable </li></ul>Characteristics of Good Goals
    • 25. <ul><li>The old behavior served a purpose </li></ul><ul><li>The new behavior must accomplish the same goal in a healthier way </li></ul><ul><li>Assess how the old behavior impacted the person emotionally, mentally, physically, socially, spiritually and environmentally. </li></ul><ul><li>Add three new behaviors for every one you are trying to eliminate </li></ul>Replace Chocolate with…
    • 26. <ul><li>Sights, sounds, smells, times of day, activities associated with the old behavior </li></ul><ul><li>Will trigger cravings/urges </li></ul><ul><li>Need to be </li></ul><ul><ul><li>Eliminated </li></ul></ul><ul><ul><li>Addressed </li></ul></ul><ul><ul><li>Changed to elicit a different behavior </li></ul></ul>A note about Triggers
    • 27. <ul><li>Develop and Enhance Coping Skills </li></ul><ul><ul><li>Objectives </li></ul></ul><ul><ul><ul><li>Knowledge: </li></ul></ul></ul><ul><ul><ul><ul><li>Identify 5 to 10 ways you deal with stress </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Learn about 3 different coping methods including Radical Acceptance, REBT and Reality Therapy/Choice Theory by reading handouts, participating in coping skills group and discussing with primary therapist </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Evaluate the effectiveness of your existing coping skills and eliminate those that do not work </li></ul></ul></ul></ul><ul><ul><ul><li>Skills </li></ul></ul></ul><ul><ul><ul><ul><li>Add at least 1 new coping skill to your list </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Practice using those skills in group and session with scenarios and as you discuss your current issues </li></ul></ul></ul></ul><ul><ul><ul><li>Abilities </li></ul></ul></ul><ul><ul><ul><ul><li>Keep a log each week of stressors, how you coped, how effective it was, anything you might need to do differently and discuss in group </li></ul></ul></ul></ul>Fundamental Goals
    • 28. <ul><li>Self-Esteem </li></ul><ul><ul><li>Knowledge </li></ul></ul><ul><ul><ul><li>Learn what self esteem is and how self esteem is created in children and maintained in adults by attending educational group </li></ul></ul></ul><ul><ul><ul><li>List the traits you envision in your ideal self, and list the traits in your real self. Discuss in group the differences and your goals for change </li></ul></ul></ul><ul><ul><li>Skills </li></ul></ul><ul><ul><ul><li>Use Cognitive Behavioral approaches to identify those “ideal traits” that help you achieve your goals </li></ul></ul></ul><ul><ul><ul><li>Use behavior modification and goal setting to develop 3 goals </li></ul></ul></ul><ul><ul><li>Abilities </li></ul></ul><ul><ul><ul><li>Report back to the group/therapist each week your progress in achieving your goals and the impact on your self esteem. </li></ul></ul></ul>Fundamental Goals Cont…
    • 29. <ul><li>Social Support </li></ul><ul><ul><li>Knowledge </li></ul></ul><ul><ul><ul><li>Learn about the characteristics of healthy relationships </li></ul></ul></ul><ul><ul><ul><li>Learn effective communication skills </li></ul></ul></ul><ul><ul><ul><li>Identify the traits in a friend that you find important </li></ul></ul></ul><ul><ul><ul><li>Identify places/ways you might meet such people </li></ul></ul></ul><ul><ul><li>Skills </li></ul></ul><ul><ul><ul><li>Practice effective communication skills in group </li></ul></ul></ul><ul><ul><ul><li>Create a plan to nurture current healthy relationships and create at least one new relationship </li></ul></ul></ul><ul><ul><li>Abilities </li></ul></ul><ul><ul><ul><li>Implement your plan and discuss its effectiveness </li></ul></ul></ul><ul><ul><ul><li>Discuss how your relationships and communication skills have improved </li></ul></ul></ul><ul><ul><ul><li>Modify your plan as needed </li></ul></ul></ul>Fundamental Goals Cont…
    • 30. <ul><li>Basic Needs </li></ul><ul><ul><li>Knowledge </li></ul></ul><ul><ul><ul><li>Learn about safety by doing a safety assessment </li></ul></ul></ul><ul><ul><ul><li>Learn about wellness by attending the wellness group and completing weekly worksheets </li></ul></ul></ul><ul><ul><ul><li>Learn about the mind-body connection </li></ul></ul></ul><ul><ul><li>Skills </li></ul></ul><ul><ul><ul><li>Develop a realistic plan for improving your health and wellness </li></ul></ul></ul><ul><ul><ul><li>Improve any areas of your environment that are unsafe </li></ul></ul></ul><ul><ul><li>Abilities </li></ul></ul><ul><ul><ul><li>Implement your plan and discuss the positive improvements </li></ul></ul></ul><ul><ul><ul><li>Modify your plan as needed to maintain motivation and ensure success </li></ul></ul></ul>Fundamental Goals Cont…
    • 31. <ul><li>Depression </li></ul><ul><ul><li>Knowledge </li></ul></ul><ul><ul><ul><li>Learn about the mental and physical causes of depression </li></ul></ul></ul><ul><ul><ul><li>List your triggers for depression </li></ul></ul></ul><ul><ul><ul><li>Of those triggers, identify which ones you can control and which ones you cannot. </li></ul></ul></ul><ul><ul><ul><li>Identify those things that make you feel less depressed </li></ul></ul></ul><ul><ul><ul><li>Identify exceptions. “What is different when you are not depressed </li></ul></ul></ul><ul><ul><li>Skills </li></ul></ul><ul><ul><ul><li>Develop a plan for increasing the exceptions and things that make you feel less depressed </li></ul></ul></ul><ul><ul><ul><li>Use behavioral and cognitive behavioral strategies to address those things you cannot control </li></ul></ul></ul><ul><ul><li>Abilities </li></ul></ul><ul><ul><ul><li>Discuss how effective your plan is, things that need to be altered in your plan </li></ul></ul></ul><ul><ul><ul><li>Discuss the different strategies you use to address those things you cannot control and how effective they are. </li></ul></ul></ul>Fundamental Goals Cont…
    • 32. <ul><li>Anxiety </li></ul><ul><ul><li>Knowledge </li></ul></ul><ul><ul><ul><li>Learn about the 6 basic fears </li></ul></ul></ul><ul><ul><ul><li>Learn about the fight or flight reaction and how anxiety is not necessarily bad </li></ul></ul></ul><ul><ul><ul><li>Learn about eustress and distress </li></ul></ul></ul><ul><ul><ul><li>Identify those things that make you anxious and why </li></ul></ul></ul><ul><ul><ul><li>Identify things that make your anxiety better or worse </li></ul></ul></ul><ul><ul><li>Skills </li></ul></ul><ul><ul><ul><li>Develop a list of positive self-statements to use when you are anxious </li></ul></ul></ul><ul><ul><ul><li>Identify ways to eliminate unnecessary stressors </li></ul></ul></ul><ul><ul><ul><li>Discuss ways to use the anxiety to your advantage </li></ul></ul></ul><ul><ul><li>Abilities </li></ul></ul><ul><ul><ul><li>Practice, Discuss and Modify and needed </li></ul></ul></ul>Fundamental Goals Cont…
    • 33. <ul><li>Goal Setting serves to </li></ul><ul><ul><li>Help you learn to problem solve </li></ul></ul><ul><ul><li>Develop a roadmap for treatment </li></ul></ul><ul><ul><li>Communicate with supportive others/team members </li></ul></ul><ul><li>Goal Setting needs to focus on KSAs—Learn, practice, rehearse/apply </li></ul><ul><li>Trying to change is most effective when </li></ul><ul><ul><li>the you only focus on a couple goals at once </li></ul></ul><ul><ul><li>You receive frequent rewards </li></ul></ul>Summary
    • 34. Homework <ul><li>Using the Addicted vs. Sober worksheet, pick one characteristic you want to change and </li></ul><ul><ul><li>Do a decisional balance exercise </li></ul></ul><ul><ul><li>Identify ways to keep your motivation up to do what you need to do </li></ul></ul>

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