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Motivational Interviewing Analysis

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Motivational Interviewing (MI) is a positive, powerful, and effective approach to therapy that I would be interested in using as a Marriage and Family Therapist. I like that it isn’t shame based nor does it assume that the client has a flawed character. I learned a lot from the motivational interviews we watched in class and I’m glad we are studying this type of therapy.
The definition of MI is, “a goal directed, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence” (Lewis, Dana, & Blevins, 2015, p. 62). It is based on the client-centered therapy of Carl Roger’s, but it also includes specific goals which reduce the ambivalence to change and increases self-motivation. MI therapists …show more content…
It’s easier to stay in this familiar state rather than face the “unknown” that change will bring. MI seeks to create a safe environment where clients can move past the barriers that keep the status quo.
Three tenets of the MI spirit are collaboration in which the therapist recognizes that it is best for the clients to plan and manage their own lives through a give and take relationship between the client and therapist. The second tenant is evocation in which the therapist strives to bring forth the client’s own ideas and motivation for change to move from ambivalence toward resolution. The third tenant is autonomy where the client hold the ideas, power, and responsibility for change.
The MI principles are to, “express empathy, develop discrepancy, roll with resistance, and support self-efficacy” (Lewis et al. 2015. p 65). By showing empathy rather than judgement of the client’s situation the therapist can help the client come up with their own solutions. Other authors also include the principal of avoiding argument and direct …show more content…
The therapist demonstrates acceptance and understanding for the patient while at the same time continually seeking clarification from the client. The therapist acts like she cannot come up with a solution which encourages the client to come up with the one. Developing discrepancy also includes helping clients see the discrepancy between their current behavior and their hopes and goals for the future (Center for Substance. 2016).
Arguments with the client should be avoided because they do nothing to help the therapeutic relationship or recovery. In fact, trying to persuade the client that a problem exists or that his behavior needs to change can cause even more resistance and can deteriorate into a power struggle. Arguments, therefore, should be avoided (Center for Substance. 2016).
Resistance can help a therapist understand the client’s point of view and can be done by siding with the client’s negative comments. “Siding with the negative is stating what the client has already said while arguing against change, perhaps as an amplified reflection. If your client is ambivalent, you taking the negative side of the argument evokes a ‘Yes, but. . .’ from the client” (Center for Substance.

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