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- if you can't see it then you can't be it
- need to know what stage someone is at to know what MI skills to implement
- CHANGE TALK VS SUSTAIN TALK
CHANGE TALK: speech that favors movement towards change
discrepancy (incongruency) between goals/values and actual behavior
discrepancy - mind the gap! (gap= what they like to see vs what they are doing)
just because there is a gap/discrepancy doesn't mean they want our help
"snatch change talk from the jaws of ambivalence"
change talk is always about the desired outcome/goal
change talk is in present or future tense..
sometimes change talk will come from therapist via reflection. If the reflection hits/lands then it's still change talk
strength of change talk (+1 = i guess i'd like to... +5 i definitely want to) -- applies to sustain talk as well
SUSTAIN TALK:
if there isn't much change within 3-4 sessions, time to reevaluate
ways to elicit change talk:
problem recgonition, expressing concern, decisional balance, ruler questions, goals and values, elaboration
""7 challenges""
when you hear change talk , use your EARS:
Explore Affirm Reflect Summarize
Resistance blames the client -- DISCORD is more appropriate
types of discord: interrupting, denying, ignoring
repair: when there is a lot of discord BACK UP and JOIN
*if there is nothing for a client to push back on - things are easier
Do you want to work on a goal? Not that you'll have to do it...
FOCUS - "something you want to explore more?"
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