COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Motivational Interviewing & The
Transtheoretical Model of Change
(Prochaska and DiClemente, 1984)
In Motivational Interviewing,
movement from Contemplation to
Preparation is most likely to occur
when the individual:
1. Identifies a desired goal that
cannot be met if current behavior
continues (Readiness)
2. Sees the possibility of attaining it
(Self-efficacy)
The Goal of Motivational
Interviewing
To help the individual arrive at
a decision to change based on
his or her own reasons
Motivational Interviewing
• A person-centered, strength-based
approach
• Originally developed to reduce
“resistance to treatment” among
individuals with substance use
disorders
• Successfully being applied to other
issues which involve behavioral
change:
– Mental Illness
– Medical Disorders
We found that…drinkers would
not take pressure in any form,
excepting from John Barleycorn
himself. They always had to be
led, not pushed…We found we
had to make hast slowly.
- Bill Wilson, 1955, quoted in Ernest Kurtz,
Not-God: A History of Alcoholics
Anonymous
Resistance According to
Motivational Interviewing
“A mismatch
between the
individual’s
readiness and
willingness to do
something and the
staff’s expectations
& approach.”
Resistance According to
Motivational Interviewing (MI)
(Miller & Rollnick, 1991)
Is normal and to be expected during
counseling but must be kept at lowlevels
for change to occur
Is a state that can fluctuate according
to the interpersonal interaction of
counselor and consumer
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