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    This document provides an overview of motivational enhancement therapy (MET) and motivational interviewing (MI). MET is a directive, client-centered approach that focuses on improving motivation for change. MI is a similar method that enhances intrinsic motivation through exploring and resolving ambivalence. Key principles of MI include expressing empathy, developing discrepancy, avoiding argument, rolling with resistance, and supporting self-efficacy. Specific MI skills involve open-ended questions, affirmation, and reflective listening. The process focuses on engaging the client through attunement, understanding, and empathy rather than assessment, telling, power differentials, or labeling. MI elicits the client's own motivation for change through change talk and develops specific change plans agreed to

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    This document provides an overview of motivational enhancement therapy (MET) and motivational interviewing (MI). MET is a directive, client-centered approach that focuses on improving motivation for change. MI is a similar method that enhances intrinsic motivation through exploring and resolving ambivalence. Key principles of MI include expressing empathy, developing discrepancy, avoiding argument, rolling with resistance, and supporting self-efficacy. Specific MI skills involve open-ended questions, affirmation, and reflective listening. The process focuses on engaging the client through attunement, understanding, and empathy rather than assessment, telling, power differentials, or labeling. MI elicits the client's own motivation for change through change talk and develops specific change plans agreed to

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    107 views20 pages

    Motivational Enhancement Therapy (MET)

    Uploaded by

    Nasir
    This document provides an overview of motivational enhancement therapy (MET) and motivational interviewing (MI). MET is a directive, client-centered approach that focuses on improving motivation for change. MI is a similar method that enhances intrinsic motivation through exploring and resolving ambivalence. Key principles of MI include expressing empathy, developing discrepancy, avoiding argument, rolling with resistance, and supporting self-efficacy. Specific MI skills involve open-ended questions, affirmation, and reflective listening. The process focuses on engaging the client through attunement, understanding, and empathy rather than assessment, telling, power differentials, or labeling. MI elicits the client's own motivation for change through change talk and develops specific change plans agreed to

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    of 20

    MOTIVATIONAL ENHANCEMENT

    THERAPY (MET)/MOTIVATIONAL
    INTERVIEWING

    Nasir Geelani
    Clinical Psychologist

    “ Where did all the sages get the idea that a man’s desires
    must be normal and virtuous? Why did they imagine that
    he must inevitably will what is reasonable and
    profitable?”
    Fyodor Dostoyevsky , notes from the underground
    MOTIVATIONAL ENHANCEMENT THERAPY (MET)/ MI

    Motivational enhancement therapy (MET) is a directive, person-centered


    approach to therapy that focuses on improving an individual's motivation to
    change.

    What is MI?
    Motivational interviewing is a client-centered , directive method for enhancing
    intrinsic motivation to change by exploring and resolving ambivalence
    SO WHAT IS CHANGE TALK

    “Why don’t u want to change?


    Oh come on, how can you tell me you don’t have a problem?
    What on earth makes u think you are not at risk?

    The Literal answer to these questions is a defense of STATUS QUO

    These statements evoke confrontation and argumentation and the client or


    person defends it,hence stands against change.

    The position we hold in our arguments , we stand to defend it and hence


    live by it.
    SO, WHERE DO WE USE MI
    A STAGE MODEL OF CHANGE (DICLEMENTE & PROCHASKA,1991)

    MET

    Precontemplation
    Contemplation
    Determination
    Action
    Maintenance
    SPIRIT OF MI
     Spirit guides the practice of MI
    SPIRIT OF MI
     Acronym PACE
    1. Partnership
    2. Acceptance
    3. Compassion
    4. Evocation
    BASIC PRINCIPLES

     Express empathy
     Develop discrepancy

     Avoid argument

     Roll with resistance

     Support self-efficacy
    MOTIVATIONAL INTERVIEWING SKILLS

     Open ended questions


     Affirming ( his achievements, awards, attempts, social
    roles)
     Reflective listening (it’s all about him vs about me,
    understand what client is thinking and feeling then
    saying it back in your own words.
     Summarizing
    MOTIVATIONAL INTERVIEWING PROCESSES
     Engaging :
     A: Attune
     TT: Turn Towards

     U: Understanding

     N: Nonjudgmental Listening

     E: Empathetic
    • VS

     Dis- Engaging:
     Assessing…. Bombardment of questions

     Telling: avoid instinct of fix and solution giving

     Power differential

     Labelling like addict, alcoholic.


    Focusing
     An ongoing process of seeking and maintain direction

     Like Setting an agenda


     Goals and priorities

     Clear direction
    EVOKING , WHAT?

     Eliciting client’s own motivation for change. Intrinsic


    Motivation.

     Eliciting as we know change Talk…………


    PLANNING FOR……

     “ Developing a specific change plan that the client


    agrees to and is willing to implement”
    DIFFERENCES FROM OTHER TREATMENT APPROACHES

    Confrontation Of Denial Motivational Interviewing

     Impose a diagnostic label on  De-emphasis on labels


    the client  Emphasis on personal choice
     Reduces personal choice & on substance use
    control  Conducts objective evaluation
     Uses perceived evidence of but focuses on eliciting client
    addiction in order to convince concerns
    the diagnosis  Resistance is met with
     Resistance is dealt with direct reflection
    confrontation
    THANK YOU……..

    SO WE REMEMBER, TO KILL THE ADVICE


    GIVING, FIX UP INSTINCT IN MET

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