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Discrepancy is the difference between the present state, how things are, and the desired state, how we would like things to be. Developing Discrepancy is when we shift the focus of the conversation when there is little or no change talk, to evoke any difference between the status-quo and the way the client would like things to be.
- Express Empathy. In motivational interviewing, clinicians express empathy through careful listening and nonjudgmental curiosity about the client’s presenting problem.
- Develop Discrepancy. People are more likely to change when they can see that their actions are not in line with their values. To help clients see this, clinicians “develop discrepancy” between what the client says they want and what they are doing.
- Roll With Resistance. Clinicians love to help people. This is part of why they have answered the call to service in their life’s work. Can you think of an experience when you saw someone you cared about doing something harmful or dangerous?
- Support Self-Efficacy and Optimism. Empowerment is a major principle in motivational interviewing (Rollnick et al., 2008). Clinicians are experts on many things – mental health, physical health, the benefits of exercise, and consistent sleep, to name a few – but clients are the experts on themselves.
Jan 30, 2024 · This strengths-based approach enhances self-efficacy and confidence in the ability to make positive changes. 6. Flexibility and Adaptability: MI is not a rigid set of techniques; it is a flexible and adaptable approach. Practitioners tailor their strategies to the unique needs, values, and goals of each individual. 7.
Feb 12, 2022 · How do I Develop Discrepancy in Movitational Interviewing? Use Scaling Questions. – Confidence. – Importance. Talk about decisional balance. – What is good/enjoyed about the behaviour. – What is bad/not enjoyable about the behaviour. Refer to values. – Keep the person’s values at the forefront, what to they believe.
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Jan 12, 2015 · Develop discrepancy John Galbraith once said that, given a choice between changing and proving that it is not necessary most people get busy with the proof (Latchford, 2010). The client comes (or is mandated to come) to see you because of needing to either change from unhealthy behaviour (such as drinking, smoking, or gambling) or to more ...
Importance of focusing – clarifying one or more goals. Balancing of expertise – client’s and clinician’s. Developing shared goals Negotiating the focus. Three scenarios: Clear focus (proceed to evoking) Menu of options (agenda mapping) [Living with diabetes] Unclear focus (formulation) [The confused artist] 4-Process coding sheet.
May 1, 2024 · Some MI strategies can be useful for preparing people learn to embrace change and see it as a challenge rather than an obstacle. Interviewing techniques can help the patient address concerns and develop a stronger ability to change. Preparing people to process the upcoming change can help them build confidence.
