This is a good clip to show if you want to demonstrate 'roadblocks to listening', especially jumping in with suggestions prematurely. There are some basic reflections, but it does not show good MI.

@hannahtj1940

5 жыл бұрын

Definitely not a good example of MI. The client keeps pushing back against suggestions; because it's obviously not client-directed, and thus I have a hard time believing that even if the client is keen to change, these strategies will not help her or give her the confidence she needs to stop (as she does not come up with these strategies herself, and they do not fit well with her life).

Just constructive criticism here... watch your posture as the therapist. Crossing your arms and leaning back gives you a look of judgement rather than engagement and care. Other than that thank you for the role play example.

I agree with some of the feedback that the therapist was trying to offer suggestions/interventions when the patient was pre-contemplative, which is premature. She needed the therapist to help her explore her ambivalence and identify reasons why she wants to change this behavior, which would increase her motivation to change. Once she has solidified her reasons for changing she will be more likely to come up with her own effective interventions.

His body language is stressing me out.

This looks more like the contemplation stage to me, the client sees there is a problem, and is looking at options, just not willing to comit to anything. I've always thought that offering solutions as a counsellor is a big no no... Let her do the work and find solutions that will work for her would be more appropriate?

The way this practitioner engages is absolutely inconsistent with the MI spirit. If you are here to study the skills of MI, please bear in mind, that reading few chapters from MI workbooks will help you get there better, than this clip.