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MBS Week 5 Spring 2015
MBS Week 5 Spring 2015
MBS Week 5 Spring 2015
Sobriety
PSYCHOLOGICAL
TREATMENT
FOR
SUBSTANCE
USE
DISORDERS
SPRING
2015
Acceptance
and
Commitment
Therapy
(ACT)
* Mindful
practice
* Self-‐reflection
Psychological
Rigidity:
6
core
processes
* Experiential
avoidance
* Inflexible
attention
* Attachment
to
a
conceptualized
self
* Cognitive
fusion
* Disruption
of
chosen
values
* Inaction
or
impulsivity
Main
Goal
of
ACT:
Psychological
Flexibility
* Acceptance
* Mindfulness:
flexible
attention
to
the
present
moment
* Self
as
context
* Defusion
* Chosen
values
* Committed
action
Motivational
Interviewing
URL:
Motivationalinterview.org
Components of MI Spirit
Source: Rollnick, Miller & Butler (2008). Motivational Interviewing in Health Care.
Motivational Interviewing: General
Principles
* Express empathy.
* Support self-efficacy.
* Roll with resistance.
* Develop discrepancy.
What
is
Resistance?
* 4 types of behavior:
* Arguing
* Denying
* Ignoring
* Interrupting
* Represents movement away from change.
* Interpersonal process
* May mean the therapist is ahead of the person in the change
process.
* Signal for the therapist to change approach.
Motivational Interviewing: Skills
and Strategies
* Open-‐Ended
Questions
* Affirmations
* Reflections
* Summaries
Reflective
Listening
* Allows individual to feel heard.
* Allows therapist to confirm perceptions.
* Simple declarative statement:
”It wasn’t your idea to come to see me today.”
”You feel pretty discouraged right now.”
”You have mixed feelings about your drug use.”
Examples
of
Reflective
Listening
* “It
sounds
like
.
.
.”
* “It
seems
as
if
.
.
.”
* “What
I
hear
you
saying
.
.
.”
* “I
get
a
sense
that
.
.
.”
* “It
feels
as
though
.
.
.”
* “Help
me
to
understand.
On
the
one
hand
you
.
.
.
and
on
the
other
hand
.
.
.”
Change
Talk
Relapse
Prevention
Therapy
* Lifestyle
changes
* Avoidance
of
risk
situations
* Skill
building
* Urge
surfing
* Lapse
management
Mindfulness-‐Based
Sobriety