Motivational Interviewing: The Interplay of Importance, Confidence and Commitment
MOTIVATION NEWS
Published by Cathy Cole, MSSW, LCSW Motivational Interviewing Network of Trainers October 2004 http://www.cathycoletrainging.com \"What People Need is a Good Listening To\" Mary Lou Casey
MOTIVATION NEWS TOPICS The Rich Interplay of Importance, Confidence and Commitment-- A Summer Softball Story------with this newsletter I will reintroduce various methods of eliciting change talk.
TRAINING
Winter 05 Teleclass Schedule
Join me and fellow classmates for the ease and convenience
of learning via telephone brigde line...no special equipment needed
There are eight one hour sessions for this Basic MI training.
Class begins February 7, 2005 and concludes May 2, 2005
Wiinter Teleclass Schedule
Introduction to MI: 8 one hour teleclasses
Mondays 3-4pm Eastern Time on these Mondays:
2-7, 2-21, 2-28, 3-7, 3-21, 4-4, 4-18 and 5-2, 2005
Fee: $400; CE approval via the National Association of Social Workers
CE Provider * 886383517
For full course description and registration click Class Schedule on my web site http://www.cathycoletraining.com
THE FALL TWO DAY ONSITE WORKSHOP in Chapel Hill, NC was very successful. The anticipated dates for the next ONSITE training are Monday and Tuesday May 16/17/18,2005. This training is expanded to 2 1/2 days for increased practice by participants.
The full course announcement will be available shortly.
ADVANCED MOTIVATIONAL INTERVIEWING TRAINING This new training will involve two days of application of MI skills with the use of practice via demonstration and participant live interviewing with active coaching. Anticipated dates are June 6/7, 2005.
Both trainings will be held in Chapel Hill, NC. This beautiful town is home to the University of NC and is within a short drive to Durham, NC, home of Duke University.
This letter may be forwarded to anyone you feel could benefit as long as it is forwarded in its entirety. Past newsletters available via web site http://www.cathycoletraining.com
Welcome to Motivation News, a newsletter devoted to clinical information on the use of a Motivational Interviewing (MI) approach to change. The authors of this approach, William Miller, PhD and Stephen Rollnick, PhD define MI as a 'client centered, directive method for enhancing an intrinsic motivation for change by exploring and resolving ambivalence\". This collaborative approach to working with clients has wide application in coaching, mental health, addictions, health care and health education. Information in this newsletter is taken from various source material from the Motivational Interviewing Network of Trainers and specifically from the book Motivational Interviewing, Preparing People for Change; Miller and Rollnick, 2nd edition, 2002, Guilford Press.
The Rich Interplay of Importance, Confidence and Commitment-- A Summer Softball Story
The 'ruler' exercise is widely used in Motivational Interviewing to better understand ambivalence and elicit change talk. Essentially, the interviewer asks the client three staging questions and then uses the answers to facilitate a discussion on the topic at hand.
Taking eating in a more healthy way, the questions are: How important is it to you to eat more healthy? How confident are you in your ability to eat foods that are more healthy? How ready/committed are you to eating more healthy? Have the client rate each one on a scale of 1-5 with 1 standing for not at all and 5 as very, then return and discuss each one.
For the purposes of this newsletter I won't illustrate the discussion; we'll save that for the next newsletter. I will instead discuss the rich interplay of importance, confidence, commitment.
My husband and I have played softball for our church team for four seasons. Starting to play softball as an adult with no prior organized team experience has bee a challenge for me; however I wanted the exercise, the fun of doing an activity with my husband, and hanging out with the other players. Those were the basic importance factors and my rating of this had stayed rather high until the end of last season, where I was seriously considering quitting the team. Had you asked me at the end of summer 03, I would have said that my importance number had slipped to at least a 3 (down from 5) and my commitment number had dipped maybe to a 2 (again down from a 5).
So, what had happened? During the 03 season, suddenly our 'happy go lucky, we'll win if we can but we are here for the fun' team attitude changed and now folks were more serious! I was clearly a weak link on the team and could tell my teammates were less supportive of my not so great playing. My fledgling confidence plummeted to maybe a 1.
So, now let's go to the end of the 04 season and check in with me: my importance is back at 5, my confidence is at 3 and my commitment is at 5 (except on those 100 degree, muggy summer days!)
What happened? I could have easily rationalized this away....it is too hot to play ball; I have better ways to spend my time on Sunday afternoons, etc. However, I started to practice! I bought my own bat and began going to the batting cage. I got some idea about running harder to the bases and actually beat out some throws! I practiced catching and became less afraid of the ball. My teammates noticed and supported me. That very important self efficacy piece was addressed and enhanced.
I'm by far not the best player, but already I am driving my family a little crazy with my enthusiasm for next year, committed to increasing my skills.
So, my small story is a good reminder of how our clients struggle with this interplay of importance, confidence, and commitment. They may be going along, doing well, and suddenly some shift occurs and enthusiasm for change shifts. Remembering that ambivalence creeps in when we least expect and for a myriad of reasons helps us remain in MI mode and one more time explore and help resolve.
Happy practice and PLAY BALL!!!
For more information on MI training and Cathy Cole visit http://www.cathycoletraining.com
Additional Educational Offerings: Onsite workshops: one to three day training in MI for agencies or educational consortiums
Onsite consultation: Preparing your agency for MI. Combining this with specific training for agency staff increases the effectiveness of implementing MI.
Advanced MI training: 8 one hour teleclasses for active case supervision and focus on MI skills or on site training for staff groups already trained in MI
MI Coaching: assessment of a taped client session with phone supervisory consultation.
For information on any of these MI trainings, send email to cathy@cathycoletraining.com
Cathy Cole, MSSW, LCSW is an educator and clinician.
She received her Masters of Science in Social Work from
the University of Tennessee and has maintained a varied clinical and
education practice throughout her career. Since her training in
Motivational Interviewing in 1995, she has provided extensive training.
For more information on Cathy visit http://www.cathycoletraining.com
To contact Cathy, use cathy@cathycoletraining.com
cathycoletraining Mission: to provide excellent education and coaching with a specific focus on exploring and resolving the natural ambivalence for change. Training in the use of Motivational Interviewing is offered on site or via teleconference. Contact Cathy at cathy@cathycoletraining.com for more information.
For more information on Motivational Interviewing, visit the web site http://www.motivationalinterview.org
(919) 967-9653 — 
cathy@cathycoletraining.com© 2009 Cathy Cole Training, Inc.