RATIONALE  AND  BASIC  
                      RATIONALE  AND  BASIC  
                                    PRINCIPLES
                                    PRINCIPLES
               Motivational  Interviewing
                 Motivational  Interviewing            FIVE  BASIC  PRINCIPLES
                                                       FIVE  BASIC  PRINCIPLES
                  •  Assumes  that  responsibility and 
                     Assumes  that  responsibility and 
                      capability  for change  lies  
                      capability  for change  lies        • Express  Empathy
                     within  the client                     Express  Empathy
                     within  the client
                                                          • Develop  Discrepancy
                  •  Therapist’s  task  is  to  create  a   Develop  Discrepancy
                     Therapist’s  task  is  to  create  a  
                     set  of  conditions  that  will 
                     set  of  conditions  that  will 
                     enhance  the  client’s  own  
                     enhance  the  client’s  own          • Avoid  Argumentation
                                                            Avoid  Argumentation
                     motivation  for  and  
                     motivation  for  and  
                     commitment  to  change
                     commitment  to  change
                                                          • Roll  with  Resistance
                                                            Roll  with  Resistance
                  •  Mobilize  the  clients  inner  
                     Mobilize  the  clients  inner  
                                                          • Support  Self-efficacy
                     resources,  helping  relationships,    Support  Self-efficacy
                     resources,  helping  relationships, 
                      support  intrinsic  motivation  
                      support  intrinsic  motivation  
                     for  change
                     for  change
                                                    
                     FIVE  GENERAL  PRINCIPLES  OF  
                     MOTIVATIONAL  INTERVIEWING
                 EXPRESS  EMPATHY                            DEVELOP  
                                                                 DISCREPANCY
                     by communicating 
                        acceptance  of  clients  as                to  help  clients  see and  feel  
                        they  are,  they  are  freed  to              how  their  current  behavior  
                        change.                                       threatens  important  
                                                                      personal  goals  or  is  
                     Seek  to  compliment  not                       inconsistent  with  more  
                        denigrate (build up)                          central  personal  values.
                     More  listening,  not  telling
                     Gentle  persuasion
                                                            
             FIVE  GENERAL  PRINCIPLES  OF  
              MOTIVATIONAL  INTERVIEWING
           AVOID                       ROLL  WITH  
             ARGUMENTATION                RESISTANCE
              counterproductive           use  resistance  to  
              makes  clients                help  build  
                defensive                    motivation
              resistance  may             reframe  statements
                indicate  a  need  to      acknowledge  
                change  strategies           ambivalence  as  
                                             natural
                                       
             FIVE  GENERAL  PRINCIPLES  OF  
             MOTIVATIONAL  INTERVIEWING
          SUPPORT  SELF - EFFICACY
             explore  past  successes  in  other  problem  
               areas  and  apply  to  present  situation.
             Client  is  responsible  for  choosing  and  
               carrying  out  personal  change.
                                      
              THOUGHTS  FROM  RESEARCH
               THOUGHTS  FROM  RESEARCH
              This  treatment  strategy  does      There  is  evidence  that  the  
                This  treatment  strategy  does        There  is  evidence  that  the  
                not  guide  a  client  step-by-
                not  guide  a  client  step-by-        therapeutic  “style”  forms  
                                                       therapeutic  “style”  forms  
                step  through  recovery
                step  through  recovery                the  core  of  Motivational  
                                                       the  core  of  Motivational  
                                                       Interviewing
                                                       Interviewing
                                                       • Accurate  empathy (Rogers)
                It  employs  motivational                 Accurate  empathy (Rogers)
                It  employs  motivational  
                strategies  to  mobilize  the      
                strategies  to  mobilize  the          There  are  six  elements  that  
                                                       There  are  six  elements  that  
                client’s  own  change  resources
                client’s  own  change  resources       have  been  described  as  
                                                       have  been  described  as  
                                                       active  ingredients  of  the  
                                                       active  ingredients  of  the  
                                                       relatively  brief  interventions  
               It  looks  at  motivating  clients     relatively  brief  interventions  
                It  looks  at  motivating  clients 
                                                       that  have  been  shown  to  
                 through  short/brief                  that  have  been  shown  to  
                 through  short/brief  
                                                       induce  change  in  problem  
                encounters                             induce  change  in  problem  
                encounters
                                                       behaviors:  F.R.A.M.E.S
                                                       behaviors:  F.R.A.M.E.S