D6- Replies

Denise Mize

Feb 18 12:10am| Last reply Feb 26 9:13am

Reply from Denise Mize

· Give an example of Marci’s “change talk.”

Marci example of "change talk" includes where she does admit that her relationship between her parents have "soured" which she shared guilt and remorse for her actions since she has started to smoke marijuana and drink excessively to the point of getting a DWI. Marci does express that she has sadness and worry since her arrest as to how she got to this low. In the assessment I do not remember Marci ever stating that she had a desire to change as she saw nothing wrong in her drinking and smoking marijuana. Change talk would be one could express desire,  reasons, and abilities to change (Miller & Rollnick,2023).

· Give an example of Marci’s “sustain talk.”

· Marci did share with friends that she has been depressed and anxious but did not feel that there was a need to stop smoking marijuana or drinking. Marci stated that she is aware that marijuana does have an impact on her motivation but still has the desire to smoke marijuana as it gives her pleasure relaxes her. Sustain talk will be where one will lean to stay with the familiar even with a desire to change (Miller & Rollnick, 2023).

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· Where is her ambivalence coming from? Why do you think it is there?

I think that Marci's ambivalence comes from a pure place because she has no malicious desire to harm her relationship with parents or others. I think that Marci is in active addiction that she does know that harm she is doing to herself and others but she is not strong enough to fight against it. Marci also conflicted because she is failing in her studies which leads to self hatred as she is disappointing her parents and herself because she has been raised better than to let an addiction to take over and her self destructing. 

· Write one sentence for each letter of OARS that you could use with her.

· O-open ended question

· What has been your ah-ha moment to understand that you smoking marijuana and drinking excessively has caused everything that you work for in high school and college to slowly disappear?

· A-affirmation

· It is good that you have been able to understand how it has been your actions that has caused you to be at the current situation.

· R-reflection

· While you admit that marijuana has been able to help you relax and calm down but you also stated that marijuana increases your depression and causes paranoia. 

· S-summary

· You are feeling embarrassment and anger to attend counseling, however you do realize that drinking excessively and smoking marijuana has landed you in the current situation, you see no harm in doing the same actions of smoking and drinking. 

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· How could you use MI’s process of “evoking" to help her resolve any ambivalence and encourage her in a direction of change?

· Marci has not given me the impression that she was striving to change as she did not think that what she was doing was harmful to her. I think that if she had not gotten caught then she would not have been made to attend counseling. 

· I would try to appeal to the young lady that her parents raised and remind her of what her ultimate goal was of being an attorney.  Marci was once very involved in church activities then I could help her remember her morals, values and faith that she was raised with. With evoking, one is to elicite a person's own motivation for change. I do not believe Marci was looking to change her behavior. 

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· Try to find two Scriptural references that could apply to the process of evoking, and how you would seek to use them in working with Marci.

· Romans 12:2Links to an external site.  (NIV): "Do not conform to the pattern of this world, but be transformed by the renewing of your mind..."

· I would remind Marci that smoking marijuana and drinking alcohol are evil of this world as it causes many complicated issues, such as with  legal and relationships but she could be more mindful of her values and morals of her upbringing. 

· Proverbs 27:17Links to an external site.  (NIV): "As iron sharpens iron, so one person sharpens another"

· Evoking is eliciting a person's own motivation for change. So with this I would see exactly what Marci could list as a motivation for her change. I think that I could get her siblings involved in a way because they are not using and it says one person sharpens another so I would say that her brother and sister would  be  motivators to get clean and be a better role model for them. 

References

Miller, W. R., & Rollnick, S. (2023). Motivational interviewing: Helping people change and grow (4th ed.). Guilford Press.