Compre o livro Motivational Interviewing: Helping People Change na site. portal7.info: confira as ofertas para livros em inglês e importados. Motivational Interviewing book. Read 78 reviews from the world's largest community for readers. This bestselling work has introduced hundreds of thousand. Providing tools to enhance treatment of any clinical problem, this book shows how integrating motivational interviewing (MI) and cognitive-behavioral therapy.
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Motivational Interviewing: Helping People Change, 3rd Edition (Applications of Motivational Interviewing): Medicine & Health Science Books. Editorial Reviews. Review. "A superb, readable guide to theory and practice. MI has portal7.info: Motivational Interviewing, Third Edition: Helping People. Voted one of the 10 Most Influential Books by Psychotherapy Networker readers! Sign up for e-alerts on upcoming titles on Motivational Approaches (with.
The examples and scripts very clearly illustrate the use of MI in counseling for dietary and physical activity behavior change. As a Registered Dietitian, I especially liked the chapter on nutrition counseling, with its many extended scripts and ideas. The basic philosophy of MI is woven throughout the book, and it is a delight! Professors and students will welcome its comprehensive and practical approach to the powerful process of MI. Even the most experienced professional will find useful ideas to apply in practice. Return again and again to gain skill and to boost confidence in guiding clients to make real changes.
A wealth of vignettes and interview examples illustrate the "dos and don'ts" of successful implementation in diverse contexts. Highly accessible, the book is infused with respect and compassion for clients.
The companion Web page provides additional helpful resources, including reflection questions, an extended bibliography, and annotated case material.
New to This Edition: Reflects major advances in understanding and teaching MI. Fully restructured around the new four-process model. Additional case examples and counseling situations. Reviews the growing evidence base and covers ways to assess MI fidelity.
Pedagogical Features Include: Online reflection questions and annotated cases, ideal for classroom discussion. Key points at the end of each chapter. This requires you to understand your client's perspective and proceed from there.
Resistance is a signal to you to change direction or listen more carefully. Resistance actually offers you an opportunity to respond in a new, perhaps surprising, way and to take advantage of the situation without being confrontational.
Adjusting to resistance is similar to avoiding argument in that it offers another chance to express empathy by remaining nonjudgmental and respectful, encouraging the client to talk and stay involved. Try to avoid evoking resistance whenever possible, and divert or deflect the energy the client is investing in resistance toward positive change.
How do you recognize resistance?
Figure depicts four common behaviors that indicate that a client is resisting treatment. How do you avoid arguing and, instead, adapt to resistance? Miller and colleagues have identified and provided examples of at least seven ways to react appropriately to client resistance Miller and Rollnick, ; Miller et al. These are described below. Figure Four Types of Client Resistance. Simple reflection The simplest approach to responding to resistance is with nonresistance, by repeating the client's statement in a neutral form.
This acknowledges and validates what the client has said and can elicit an opposite response. Client: I don't plan to quit drinking anytime soon. Clinician: You don't think that abstinence would work for you right now.
Amplified reflection Another strategy is to reflect the client's statement in an exaggerated form--to state it in a more extreme way but without sarcasm. This can move the client toward positive change rather than resistance. Client: I don't know why my wife is worried about this. I don't drink any more than any of my friends.
Clinician: So your wife is worrying needlessly. Double-sided reflection A third strategy entails acknowledging what the client has said but then also stating contrary things she has said in the past. This requires the use of information that the client has offered previously, although perhaps not in the same session.
Client: I know you want me to give up drinking completely, but I'm not going to do that! Clinician: You can see that there are some real problems here, but you're not willing to think about quitting altogether. Shifting focus You can defuse resistance by helping the client shift focus away from obstacles and barriers.
This method offers an opportunity to affirm your client's personal choice regarding the conduct of his own life. Client: I can't stop smoking reefer when all my friends are doing it. Clinician: You're way ahead of me. We're still exploring your concerns about whether you can get into college. We're not ready yet to decide how marijuana fits into your goals.
Agreement with a twist A subtle strategy is to agree with the client, but with a slight twist or change of direction that propels the discussion forward. Client: Why are you and my wife so stuck on my drinking? What about all her problems? You'd drink, too, if your family were nagging you all the time. Clinician: You've got a good point there, and that's important. There is a bigger picture here, and maybe I haven't been paying enough attention to that.
It's not as simple as one person's drinking. I agree with you that we shouldn't be trying to place blame here.
Drinking problems like these do involve the whole family. Reframing A good strategy to use when a client denies personal problems is reframing--offering a new and positive interpretation of negative information provided by the client.
Reframing "acknowledges the validity of the client's raw observations, but offers a new meaning Client: My husband is always nagging me about my drinking--always calling me an alcoholic. It really bugs me. Clinician: It sounds like he really cares about you and is concerned, although he expresses it in a way that makes you angry. Maybe we can help him learn how to tell you he loves you and is worried about you in a more positive and acceptable way.
In another example, the concept of relative tolerance to alcohol provides a good opportunity for reframing with problem drinkers Miller and Rollnick, Many heavy drinkers believe they are not alcoholics because they can "hold their liquor.
Thus, reframing is not only educational but sheds new light on the client's experience of alcohol. Rolling With Resistance Momentum can be used to good advantage.
Perceptions can be shifted. New perspectives are invited but not imposed. The client is a valuable resource in finding solutions to problems. Siding with the negative One more strategy for adapting to client resistance is to "side with the negative"--to take up the negative voice in the discussion.
This is not "reverse psychology," nor does it involve the ethical quandaries of prescribing more of the symptom, as in a "therapeutic paradox. If your client is ambivalent, your taking the negative side of the argument evokes a "Yes, but Be cautious, however, in using this too early in treatment or with depressed clients.
Client: Well, I know some people think I drink too much, and I may be damaging my liver, but I still don't believe I'm an alcoholic or in need of treatment. Clinician: We've spent considerable time now going over your positive feelings and concerns about your drinking, but you still don't think you are ready or want to change your drinking patterns.
Maybe changing would be too difficult for you, especially if you really want to stay the same. Anyway, I'm not sure you believe you could change even if you wanted to. Support Self-Efficacy Many clients do not have a well-developed sense of self-efficacy and find it difficult to believe that they can begin or maintain behavioral change.
Improving self-efficacy requires eliciting and supporting hope, optimism, and the feasibility of accomplishing change. This requires you to recognize the client's strengths and bring these to the forefront whenever possible.
New to This Edition: Reflects major advances in understanding and teaching MI. Fully restructured around the new four-process model. All chapters now authored by Miller and Rollnick.
Additional case examples and counseling situations. Reviews the growing evidence base and covers ways to assess MI fidelity. Pedagogical Features Include: Online reflection questions and annotated cases, ideal for classroom discussion. Bulleted key points at the end of each chapter.
Engaging boxes with special topics and personal reflections. Extended bibliography and quick-reference glossary.