D4 - Thread Response reponses
Reply to Mariah
In the instructional video “Motivational Interviewing: Core Clinician Skills- Introducing OARS” the following skills were demonstrated during the clinician and client sessions discussing change talk around exercising.
· Open ended questions
1. “What could you do, to do more more exercising in your choices?” (Pyschwire, 2016,4:08)
2. “If you were able to do more how would you go about it, to do more exercising in your lide?” (Psychwire, 2016, 4:36)
· Affirming
1.“Its sounds like you already know the facts around eating more healthy” (Psychwire, 2016, 10:36)
2.“So there’s a bit evoking in you there at birth” (Psychwire, 2016, 11:07)
· Reflections
1. “Exercise has been apart of who would’ve been in your life” (Psychwire, 2016, 15:12)
2. “ Sounds like exercising really fits sort of who you are and how you see yourself?” (Psychwire, 2016,15:08)
· Summarizing
1. “So finding something really enjoyable will be important to you?” (Psychwire, 2016, 4:45)
2. “One piece that stands out to me is that reaching 30 and stopping to think about about your life there was a lot feel good about your life as well” (Psychwire, 2016,11:53)
Now practice coming up with three reflections for each of the clients comments:
· Conflict makes me uncomfortable
1. Its sounds like you prefer to have conversation with where you and the other person share the same views or thoughts?
2. Its sounds like when you experience conflict it brings up a lot of emotions for you?
3. When you say that conflict make you uncomfortable does that mean it's safer to avoid conflict ?
· Im generally a happy person
1. When you say that you are generally a happy person, its sounds like you choose to focus on the positive aspects of your day?
2. To describe your self as a generally happy person, gratitude must be an important practice in your life?
3. When you say that you are a generally happy person it sounds like there are reasons to be sad, but you choose to be happy.
· I let people bother me more than I should
1. It sounds like in your life you have been hurt by others?
2. By “let people bother me more than I should” do you mean you internalize other people's thoughts, feelings, or behaviors in an interaction?
3. It sounds like there are relationships in your life that matter a lot to you.
In chapter two, the author mention 4 “traps” that we need to be aware of when using MI. Name each one, and in a few sentences each, briefly discuss how to avoid those traps when dealing with our client Marci.
Trap 1: The expert trap occurs when a helper’s knowledge or expertise becomes the driving force behind change talk with the client. When this happens, the client can feel misunderstood and unheard (Miller & Rollnick, 2023). To avoid this trap with Marci, it would be helpful not to jump into telling her why using alcohol and marijuana is harmful for her. She has already had the legal system and her parents tell her why she should not use substances. She may begin to see the helper in the same way, which could hinder collaboration.
Trap 2:The persuasion trap occurs when a helper tries to convince the client to move toward a direction of change (Miller & Rollnick, 2023). To avoid this trap with Marci, it would be helpful to refrain from convincing her to stop using alcohol or not resume marijuana use. Marci has already shared that these substances are pleasurable and relaxing for her. Trying to convince her otherwise may push her to provide more reasons that support and sustain her current use.
Trap 3: The time trap occurs when a helper underestimates or overestimates the time it takes for a client to move through change talk, especially when sessions are rushed toward action, solutions, or goals before the client is ready (Miller & Rollnick, 2023). With Marci, it is important to approach each interaction while keeping in mind the stage of change she is in and to tailor change talk to that stage to avoid this trap.
Trap 4: The wandering trap occurs when the client guides the conversation from topic to topic and the focal point or direction of the conversation becomes lost (Miller & Rollnick, 2023).With Marci, avoiding this trap could involve using summarizing when she shares why she wants to continue substance use. Reflecting her beliefs aloud may help her hear and process them more clearly.
Give an Example of how you were able to try reflective listening this week with a real person
As of right now, my husband has been taking care of most of the household chores and cooking, while also working overnight. He has taken on these tasks due to my current high-risk pregnancy and the physical limitations I am experiencing. This week, he even took time off work when I was in the hospital. When we returned home, he told me that whatever I needed, I should let him know so that there would be no reason for me to get out of bed, no matter the time of day or night. While I was resting in bed, I asked him multiple times within a short period to grab a few things from downstairs. He became frustrated and said, “Why didn’t you just tell me everything you needed at once?” I apologized and responded by saying, “It sounds like you would appreciate it if I took time to think through everything I need, since going back and forth is frustrating for you.”
Close out your post with a plan of action of how you can implement reflecting more into your day to day life when communicating with others.
Step 1. Ensuring I start with day consistently with prayer and reading my word, the holy spirt is essential to my daily life and when I’m connected and involving him he gives me wisdom and insight to with my own thoughts and behaviors and help to hear and see others hearts. Step 2. Showing down and practicing mindfulness so that Im able to stay in the present moment and not miss what others I saying.
References
Psychwire. (2016, May 10). Motivational interviewing: Core clinician skills – Introducing OARS [Video]. YouTube. https://youtu.be/-zEpwxJlRQI