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Behavioural Case Study Examples

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Behavioral Problem The behavioral problem presented is a refusal for a colposcopy following an abnormal PAP smear from a 22-year-old woman. After missing two appointments, she has expressed that she no longer wants to proceed with the procedure as she fears experiencing pain and the test results. The purpose of using motivational interviewing techniques with this patient is fueled by the importance of follow up from abnormal PAP smear results. High-grade squamous intraepithelial lesion (HSIL) depicts changes to the cervical cells with a high association to precancerous or cancer cells (American Congress of Obstetrics and Gynecology, 2016a). Further, the patient has a potential cervical intraepithelial lesion (CIN) that may be a precancerous lesion and requires diagnosis by colposcopy (ACOG, 2016a). Cervical changes, …show more content…
I found myself holding back my initial responses to the patient statements and carefully choosing my replies. Strengths in my motivational interviewing skills include asking for permission to discuss the topic, asking primarily open ended questions, and using reflection to encourage the patient to elaborate on her statements. These techniques are basic skills in the motivational interviewing process and reflect the spirit of motivational interviewing as described by its founders (Miller & Rollnick, 2013). Improvements to my motivational interviewing technique may be made by including summary statements, focusing the conversation, and improving my ability to evoke. A summary statement toward the end of the conversation would have been a useful transition to the planning stages of change and a therapeutic way to reflect listening as well as the patient’s own change talk (Miller & Rollnick, 2013). I feel that we had an agreed focus for the topic, but I felt the conversation drifted at times. My ability to refocus and capture more detailed information about her ambivalence and reasoning felt

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