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Motivational Interviewing Application
Post a reflection on the clinician’s integration of motivational interviewing processes and core skills into his conversation with the client.
- Watch the Using Motivational Interviewing Approaches video (RNAO Communications, 2015). Pay close attention to the clinician’s use of motivational interviewing processes and core skills as he talks with Nathan about his substance use and misuse.
- Describe two examples from the video where you saw evidence of a motivational interviewing process (engaging, focusing, evoking or planning) and explain how they impacted the conversation with the client.
- Describe two examples from the video where you saw evidence of a motivational interviewing core skill (open questions, affirmation, reflecting, or summarizing) and explain how they impacted the conversation with the client.
- Explain how the clinician’s use of motivational interviewing might impact the next steps in the treatment process.
- RNAO Communications. (2015). Using motivational interviewing approachesLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=PQzrx7JmUkM
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Motivational Interviewing Application
Reflection on Clinician’s Integration of Motivational Interviewing
Reflecting on the “Using Motivational Interviewing Approaches” video (RNAO Communications, 2015), I observed the clinician’s adept integration of MI processes and core skills during his conversation with Nathan about substance use. The clinician’s approach fostered a collaborative environment, aligning with MI’s emphasis on empowering the client to explore their own motivations for change. This reflection highlights two examples of MI processes, two examples of core skills, and the potential impact on Nathan’s treatment progression, challenging the notion that directive advice alone drives recovery.
Two notable examples of MI processes emerged. First, during the engaging phase, the clinician began by asking Nathan about his daily routine, creating a warm, nonjudgmental space that encouraged openness. This initial connection set a foundation of trust, allowing Nathan to share his substance use context without fear, shifting the conversation from defensive to reflective. Second, in the evoking phase, the clinician prompted Nathan to consider the benefits of reducing use by asking, “What might be different if you cut back?” This question elicited Nathan’s own reasons for change, such as improved family relationships, deepening his investment in the process and moving him toward action. These processes impacted the conversation by centering Nathan’s autonomy, countering the traditional narrative that clinicians must impose solutions.
Regarding core skills, the clinician demonstrated open questions effectively when he inquired, “How do you feel your drinking affects your work?” This encouraged Nathan to articulate his struggles, revealing work-related stress as a trigger, which enriched the