Earlier iterations of MI made heavy use of the concept of resistance. What is the ideal ratio of questions to reflections during MI? (OARS), with Reflective listening being the most important of these skills. a) On the one hand you want to protect your health, on the other hand you also want to make sure your family does not become infected. Found inside – Page 113Double-sided Reflection “You're overwhelmed by the amount of work it will take to make your home safe. At the same time, you're worried that ... Summaries in motivational interviewing are more than repeating what the client has said. The two-sided tape is coated with multipurpose adhesive on both sides and made resistant to hot, cold, and cycling temperatures. Shifting focus (going back to something else or changing the direction) 7. Discord is a normal human response to feeling pressured or challenged to do something about which a person is ambivalent. Clinician: You can't imagine how you could not smoke with your friends, and at the same time you're worried about how it's affecting you. William R. Miller & Stephen Rollnick . Found inside – Page 67Reflection statements are therapeutic but are sometimes difficult to incorporate into a conversation. There are three forms of reflection: simple, amplified, and double-sided. Tone of voice can change the effect of these statements. Confrontation. A double-sided reflection is a great way of expressing ambivalence to your client. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way. Three types of reflective listening can be particularly helpful ways to respond to discord and ride the wave of sustain talk. Start studying Motivational Interviewing. Reflections. Found inside – Page 962You are more likely to be using a motivational interviewing style if you have at least twice as many reflections as questions and you have at least ... How might an amplified reflection sound or a double-sided reflection or a reframe? The "Righting Reflex" in Motivational Interviewing. This means changing the subject when talking about an issue becomes counterproductive. •Rosengren, David: Building Motivational Interviewing Skills. On one hand you feel_____and on the other hand you feel_____". True or False: If a client is not motivated to change, Motivational Interviewing is a way to persuade them to change. Double-sided reflection (client's words + note ambivalence - and point out discrepancy) 6. Listen for suggestions that the client feels "twoways"about the same topic 2. Found inside – Page 87Sample Tactics of Motivational Interviewing. 1. Simple reflection: mirroring what the client has said with little change. 2. Double-sided reflection: “on the one hand . . . on the other hand . . .” 3. Amplified reflection: mirroring ... It's a short summary of both sides of the ambivalence. What is a double sided reflection in motivational interviewing? Reflect both sides of the ambivalence. Found inside – Page 102SAD stands for simple reflections, amplified reflections, and double-sided reflections. Let's take a look at these methods for rolling with resistance first. Resistance in an interaction can feel like a large sailboat that is moving in ... Found inside – Page 156Now use a double-sided (DS) or amplified (A) reflection. Remember, double-sided reflections include both sides of the ambivalence, whereas amplified reflections add some zing to the resistant part of the statement.
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