2-06 Motivational Interviewing News--Premature Focus
MOTIVATION NEWS
Published by Cathy Cole, MSSW, LCSW Motivational Interviewing Network of Trainers
February 06 http://www.cathycoletraining.com \"What People Need is a Good Listening To\" Mary Lou Casey
NEWSLETTER FEATURE ARTICLE PREMATURE FOCUS I am reusing a feature from last year because I have broken my wrist and can do only limited typing! I hope you enjoy the refresher on this important topic.
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ADVANCED MOTIVATIONAL INTERVIEWING TRAINING SPRING 2006 Advanced Training in Motivational Interviewing--March 2006 A two-day workshop at the Friday Center, Chapel Hill, NC Monday and Tuesday March 20-21, 2006; limited to 15 participants $580, 13 hours CE; CE Provider * 886383517 For details, visit http://www.cathycoletraining.com under Onsite Training
ADVANCED MOTIVATIONAL INTERVIEWING TRAINING
September 2006
Advanced Training in Motivational Interviewing--September 2006
A two-day workshop in Little Switzerland, the Blue Ridge Mountains
North Carolina--at the lovely Switzerland Inn--enjoy late summer in
the mountains! http://www.switzerlandinn.com
Monday and Tuesday September 11-12, 2006; limited to 20 participants
$580: course fee: Lodging: $134/day Double; $94/day Single (includes
breakfast and dinner)
You must stay at the Inn if you are an overnight participant.
13 hours CE; CE Provider * 886383517
For details, visit http://www.cathycoletraining.com under
Onsite Training
INTRODUCTION TO MOTIVATIONAL INTERVIEWING Introduction to Motivational Interviewing--April 2006
A 2 1/2 day workshop at the Friday Center, Chapel Hill, NC Monday, Tuesday and am Wednesday, April 3-5, 2006 Limited to 15 participants $580, 16 hours CE; CE Provider * 886383517 For details, visit http://www.cathycoletraining.com under Onsite Training
INTRODUCTION TO MOTIVATIONAL INTERVIEWING Introduction to Motivational Interviewing--November 13-15, 2006
A 2 1/2 day workshop at the Friday Center, Chapel Hill, NC Monday, Tuesday and am Wednesday,November 13-15, 2006 Limited to 15 participants $580, 16 hours CE; CE Provider * 886383517 Please email for registration information cathy@cathycoletraining.com
DISTANCE LEARNING TRAINING
Join me and fellow classmates for the ease and convenience
of learning via telephone bridge line...no special equipment needed.
There are eight one hour sessions for this Basic MI training.
Course syllabus with readings from the MI text, plus weekly
practice.
Class begins January 23 and concludes April 17, 2006
Teleclass Schedule
Introduction to MI: 8 one hour teleclasses
Mondays 3-4pm Eastern Time on these Mondays:
Monday 1-23; 2-6,20,27; 3-6,13; 4-10,17 2006
Fee: $440 by 1-2-06; $490 after 1-2-06
8 hours CE approval via the National Association of Social Workers
CE Provider * 886383517
For full course description and registration click Distance Learning on my web site http://www.cathycoletraining.com or write to me at cathy@cathycoletraining.com
FALL TELECLASS DATES: 9-18; 10-2, 9, 16, 30; 11-6, 20, 27, 2006 For full course description and registration click Distance Learning on my web site http://www.cathycoletraining.com or write to me at cathy@cathycoletraining.com
MI COACHING For individuals and agencies with previous MI training either with me or another MI trainer, I offer ongoing coaching/supervision in the application of MI. Generally, this coaching takes place by phone. Please email me at cathy@cathycoletraining for more information.
ABOUT MY WORKSHOPS: I have provided MI training since 1995, following my training with Drs. Miller and Rollnick. My teaching approach is very pragmatic, focusing on the core concepts of MI and allowing the learning to progress from direct practice.
I have elected to limit the size of my workshops in order to maximize the opportunity to provide learning that can both address the concepts and practice of Motivational Interviewing while at the same time assist in the application of MI to each participants work setting.
I offer all participants the opportunity to submit a 15-minute audio-tape of an interview using the MI approach before and after each workshop. This will allow for you to have feedback on your progress in learning.
Onsite training is limited to 15 participants, both in Advanced and Introductory MI; Distance Learning classes are limited to 10.
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.
Miller and Rollnick discuss Premature Focus as one of the Early Traps to avoid in Motivational Interviewing (Chapter 6, p 62-63). So, just what does this mean or how would it come across in an interview with a client?
Essentially, this trap means we, as the counselor, can decide on the topic of importance for a client based on how the client begins the discussion on a problem/concern and completely miss the mark or not determine what the client deems the most pressing place to begin. If we are making the decision about the area of focus, what is important, we are certainly going to create resistance. A brief example can illustrate:
Jane Doe is discussing her overall health concerns with the health educator at her medical clinic. She begins by talking about upset she is about her weight gain of 20 pounds over the last year.
It may go like this: J is client; I is interviewer
J: 'I just can't stand myself with this extra weight!'
I: 'You are really upset about this weight; let's focus on how you can start to lose those extra pounds' (moves to this as the focus)
J: Oh, I don't know; it's not that big of a deal' (client resistance)
I: 'Well 20 pounds in a year is a lot; you need to do something.' (block to listening....lecturing, ordering)
J: 'I just can't focus on that right now!' (more resistance)
I: 'If not now, when?' (continues with blocks...pressing)
J: 'This isn't helping.' (more resistance)
I: 'I'm confused; you sound very upset about this and at the same time you are minimizing it.' (double sided reflection) Perhaps there are other things more concerning to you right now.' (Realizes the Premature Focus and reopens the conversation)
J: 'There is so much going on with me; I am losing my job with the company downsizing. That means my husband and I have to think about how to redo our finances....whether we need to take our kids out of the private school.\"
I: 'Of course you are focused on the job loss! And what else is happening? (reflection followed by an open question)
J: 'Well, my mother is getting more frail and I am considering a nursing home placement; I don't even know how to start that!'
I: 'A very stressing situation; and what else/'
J: 'I just can't sleep worrying about al this and I just eat more!'
I: 'Really big things disrupting your life now: job loss, financial worries, your mother's future, resulting in poor sleep and anxious eating. And what else?' (Summary reflection followed by an open question)
J: 'That's it and plenty enough!'
I: 'You are certainly right about that! Given all this, what WOULD be the most helpful to you right now?' (affirmation and open question, client defines the direction)
J: 'Well, it may seem too little to do, but I think if I could learn some better ways to handle my stress about all this, I could be more effective in handling things.' (client is setting the agenda, defining what is important and beginning to look at a solution)
I: 'By no means is that too little. It is true that managing stress can help in lots of ways. There are some different ways folks go about this; I can offer some ideas if you like.' (affirmation and adding information)
J: 'I would like that.' (client is likely to select a way since this is what she sees as the place to start)
For more information on MI training and Cathy Cole visit http://www.cathycoletraining.com
Additional Educational/Coaching Offerings: Use of the MITI (Motivational Interviewing Treatment Integrity Code) for feedback on taped interviews.
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.
Additional 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; feedback on tapes using the MITI.
MI Coaching: assessment of a taped client session with phone supervisory consultation; feedback on tapes using the MITI.
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 the use of Motivational Interviewing for 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 or visit http://www.cathycoletraining.com
For more information on Motivational Interviewing, visit the web site http://www.motivationalinterview.org
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