A brief overview of the components of the mi spirit and how to think about how to operate from the spirit in our work. Motivational interviewing is a collaborative, goaloriented style of communication with particular attention to the language of change. Millers approach to motivational interviewing motivational interviewing mi refers to a counseling approach developed by clinical psychologists william r miller, phd, and stephen rollnick, phd. Motivational interviewing is a guided dialogue where the practitioner, embracing the components of the spirit of micompassion, acceptance, collaboration and evocationhas the overall goal of calling. These handouts provide easy reference to the components of the spirit of motivational interviewing along with a checklist reminder. The spirit of motivational interviewing veriti health. Motivational interviewing training new trainers manual. Useful for primary care physicians joji suzuki, md director, division of addiction psychiatry, brigham and womens hospital assistant professor of psychiatry, harvard medical school member, motivational interviewing network of trainers. The spirit of motivational interviewing one system one. The spirit is the essential foundation from which we practice. Initially defined in 1983 by william miller, motivational interviewing is used as a form of therapy to help treat people dealing with.
Describe the spirit of motivational interviewing mi and. The key difference is that motivational interviewing is more focussed and goaldirected than nondirective personcentred counselling. All of us know that motivation is the key to behaviour change. To work with a spirit of compassion is to have your heart in the right place so that the trust you engender will be deserved. Collaboration between the therapist and the client. This way of being is described as the spirit of mi. Motivational interviewing techniques facilitating behaviour change in the general practice setting stress management completion of recommended screening or diagnostic tests or specialistallied healthpsychologist referral. The spirit of motivational interviewing mi is more than the use of a set of technical interventions. One of the most difficult aspects of motivational interviewing is. Outline of learning objects learn the origin of mi define the spirit of mi describe the components of mi develop mi skills oars and beyond identify motivation for change. The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles that emphasise a collaborative therapeutic relationship in. Pdf the spirit of motivational interviewing as an apparatus of.
Motivational interviewing the tasks of mi are to engage, through having sensitive conversations with patients. Using the mi spirit creates the internal space for the student and their wisdom. It can be briefly integrated into patient encounters and is designed to promote clarity and open communication. Eight tasks in learning motivational interviewing this is content from miller and moyers 2006 that can be useful in conceptualizing training. Miller argues that 80% of motivational interviewing is about this presentation 18 july 2007, wellington. It is defined as a collaborative, goaloriented type of communication with particular attention to the language or change. The spirit of motivational interviewing mi the dance collaboration not confrontation evocation not educationadvice acceptanceautonomy not authority. The concept of motivational interviewing evolved from experience in the treatment of problem drinkers. Observe elements of motivational interviewing, including how motivational interviewing can be used to roll with resistance, resolve. Pdf abstract substance abuse clinicians working at the coal face with clients daily are confronted with client problems that are robust and. The spirit philosophy of motivational interviewing 1. Motivational interviewing is a collaborative conversation style for strengthening a persons own motivation and commitment to change.
A definition of motivational interviewing the definition of. Mi has clearly generated a substantial and increasing body of evidence. Strategies of motivational interviewing oars strategies description examples openended questions elicits descriptive information tell me about or describe. Motivational interviewing preparing people for change second edition, new york, ny. The spirit of motivational interviewing a deeper look at the four elements. Miller and rollnick 2002 define motivational interviewing as a clientcentered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. The spirit of motivational interviewing owes much to the rogerian personcentred counselling approach. The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles. The spirit of motivational interviewing pt continuing. Motivational interviewing is just being nice to a client. The basics of motivational interviewing educateria.
Motivational interviewing is practiced by licensed therapists and substanceabuse counselors. The spirit of motivational interviewing mi is more than the use of a set of technical. The spirit of motivational interviewing has several important elements. Confidential 2 the underlying spirit of motivational interviewing mi mi spirit collaboration. Counselor so far, youve adjusted your study habits, and youve been using selftalk to. Miller and rollnick 2012 comment on how they have, since the first publication of their book in motivational interviewing in 1991, placed less emphasis on techniques of motivational interviewing and ever greater emphasis on the fundamental spirit that underlies it. Acceptance and motivational interviewing acceptance has four aspects affirmation, accurate empathy, autonomy and absolute worth. Careful eliciting of the values, assumptions, fears, expectations and hopes of the patient.
An unresolved issue is whether the spirit of motivational interviewing can be captured in still briefer encounters of as little as 510 minutes. Psychological strategies motivational interviewing techniques. The spirit of motivational interviewing miller, william r. It is the clients job, not the counselors, to articulate and resolve his or her ambivalence. So, motivational interviewing, while a learnable set of techniques, is more importantly a style or approach to assisting clients in resolving ambivalence and. Numerous attempts to do this are underway, although only one method has been. It is designed to strengthen an individuals motivation for and movement toward a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance, collaboration, and. Spirit of motivational interviewing while there are as many variations in technique as there are clinical encounters, the spirit of the method, however, is more enduring and can be characterized in a few key points. Motivational interviewing is sometimes confused with other treatments and some of the elements of mi are easy to misunderstand. Pdf exploring the understanding and application of. Motivational interviewing mi is a patientcentered counseling approach used during a clinical visit. Focus on whats important to the patient regarding behavior, health, and welfare. Mi spirit helps people change by creating an atmosphere of acceptance, autonomy support, empathy, and compassion.
Motivation to change is elicited from the client, and is not imposed from outside forces. Retrieved from lecture notes at people incorporated training on july 2, 20. The therapeutic relationship in motivational interviewing is hypothesized to have both a direct impact on client outcomes as well as facilitating the emergence of client language in favor of change. The practitioner approaches ambivalence about change with. Fundamentals of motivational interviewing sofia georgoulias psy. Motivational interviewing is more than a technique. In that same spirit, this manual is offered as a free gift for potential trainers or supervisors of motivational interviewing.
The initial description of motivational interviewing mi, provided by william miller in 1983, has evolved through both clinical experience and empirical research into the evidencebased practice it is known as today. Motivation for change is elicited from the client, not imposed by the counselor. The nature of this relationship is characterized by empathy, partnership, and support of the clients autonomy commonly called the spirit of the. In this section are our favourite tools to support you in your work of building partnership, understanding the importance of empathy, and evoking as much change talk as possible while minimising sustain talk. You have already learned about the spirit of mi earlier in the resource section of mi on this web site. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance and compassion. Motivational interviewing is a personcentered counseling style for addressing the common problem of ambivalence about change. Requires more of a response than a simple yes or no encourages student to do most of the talking helps us avoid premature judgments. These processes help practitioners use oars skills in a strategic and purposeful way to have a conversation about change in a way that creates. Motivational interviewing basics the underlying spirit or philosophy of mi is even more important than the skills. Differing from more coercive methods for motivating change, motivational interviewing does not impose change, but supports it in a way which is congruent with the person. Integrating motivational interviewing into practice.
Motivating often means resolving conflicting and ambivalent feelings and thoughts. The counselor evokes the clients own intrinsic motivation and resources for change. Overall spirit of mi openness to a way of thinking and working that is collaborative rather than prescriptive, honors the clients autonomy and selfdirection, and is more about evoking than. The quote by stanley kubrick, a wellknown film director, offers another way of understanding the importance of the spirit of mi. The spirit of motivational interviewing is concerned with this relational aspect. Add it to programs including evidencebased interventions with approved adaptation request embrace the spirit of motivational interviewing increase use and proficiency of reds and oars. Exploring the understanding and application of motivational interviewing in applied sport psychology article pdf available in sport psychologist 314. Although empathy is an important component of mi, it is considered an insufficient condition for change.
Motivational interviewing an overview sciencedirect topics. Understanding the fundamental and overriding spirit of mi along with the basic principles and assumptions is essential to learning mi. The spirit of mi is the foundation of every mi conversation that takes place. Toward that goal, this manual provides a variety of training ideas, specific exercises, metaphors and activities all designed to help learners understand the spirit and practice of motivational interviewing.
Motivational interviewing might help addicts to recover. Oars and mi spirit scott glassman, psyd motivational. There were only 6 references from 1980 to 1989, which grew to 78 between 1990 and 1999, and then to 707 between 2000 and 2009. Mi is a skillful clinical method a set of integrated interviewing skills, not as simple as learning a set of techniques. Motivational interviewing a conversation of empathy and selfhealing. While you are an expert in health care, your client is an expert in his or her own life. Basic concepts of motivational interviewing for alcohol. The use of empathy promotes rapport and trust between client and helper. Tnt manual 2014 d10 20150205 motivational interviewing. The spirit of motivational interviewing affirms the clients strengths and efforts around change. One of the fundamental aims of motivational interviewing mi is to come alongside or engage with the person you are interacting with.
The spirit of motivational interviewing compassion, acceptance, partnership, evocation is even more important than the specific skills open questions, affirmations, reflective listening, summary statements oars. Most of these training ideas were originally designed for a. The definition of motivational interviewing mi has evolved and been refined since the original publications. Utilization and maintaining the spirit of motivational interviewing in.