Social Work Principles and Motivational Interview Practices - Term Paper Example

Interview Analysis Report Name: Unit: Course: Professor name: Submission Date: Social Work Principles and MI Practices In a motivational interview, the entire plan is to create a continuous progress assisting in changing the behavior and communicating the acceptance of the client. The whole preparation includes laying down techniques which would develop to corrective actions and counseling forms that guide in resolving trouble situations a client is a party (Heckman et al., 2012 p.432). However, the main aim of the process would be general self-actualization from the client. Hettema et al. states (2005 p.94) execution of a better plan in such a process is ensuring that OAR is applied accordingly with an objective of self-motivation assertions and a positive behavioral change. Contrary there are extreme situations where personal transformation might not be enough or rather more support, and treatment during motivational interview towards the road to recovery would be necessary. Before taking up any motivational interview, it is appropriate to determine the assumptions of counseling techniques. The techniques are in different forms whereby they go in hand after application of OARS is completed. For a full motivational interviewing method, the OARS involve open questions, affirmation, reflective listening and summary reflections are the first approaches applied for counseling in the interview (Miller et al., 2012 p.8). All these are factors determining the basic interaction skills as far as a motivational interview is concerned. The strategies before involving a client in the interview are to establish the uncertainties that may come as a motivational obstacle during the behavioral change process. According to research done by Van et al. (2009 p.9), original ideas of the client should first get considered before working on the interview. In the case of the client, family values and crucial motivation issues remain necessary for resolving any ambivalence. Family values are part of plans for giving appropriate motivational statements used to relate with clients. Going against the morals may become other additional uncertainties and therefore, instead of moving towards the road of recovery and increasing chances of behavioral change turn to be as minimal as expected. For example, when the client is from a family with strong social foundation, then the interview workings or rather the motivational statements will correlate with the entire behavior. According to Miller et al. (2012 p.7), acknowledging client’s human strength and accepting client behavior may lead to a direction of positive change no matter how major or minor the problem remains. In the recent years, motivational interviews have become familiar in social works. It is still needed whenever there is the need for understanding various challenges. The process of the motivational interview focuses on guiding the worker and the client on resolving difficult conversations. And as a result, changes experienced in problematic behaviors are the evidence of its effectiveness. Van et al. claims (2009 p.1) motivation on a social set up is based on teamwork and more suggestions on the best path to follow when dealing with the particular issue. However, confrontations on the matter of troublesome sister would demoralize the client and lead to unexpected reactions (Miller et al., 2012 p.5). The worker’s agenda should, therefore, be ready and with an immediate response without even asking any more details about the client. Reasons for Choosing Particular Questions During the Interview First, the reason why I selected the question such as “What made you think that you are the parent?”. As an open-ended question like this in a motivational interview, I had an intention of getting more clarification and desire of the client becoming a parent in such a case. The question will provide me with the ability to develop empathy that I would apply to understand the client's experience and feeling. Such empathy has a significant influence on the behavioral changes of the client. I felt the sensitivity of the client wanting to take the role of a parent towards her sisters demonstrated their concern of viewing and experiencing their world as they experience it. Therefore, the final assistance that I would probably give to the client on the matter is, demonstrating and having such a feeling, creates minimal resistance on the side of the sisters, therefore, developing closer and parental engagement. On the other hand, “What three things would you like to change the situation?”. I intended to come up with the question to determine the possible options the client would use to develop discrepancies that may lead to better outcome. It saves a lot of time giving me the evaluation of the best option the client would use to change the situation. Evaluating the option gives the client a goal to pursue. On this, the advice I am supposed to give should relate to the ambivalence that needs to resolve. Resolution of ambivalence instigates behavior change in a straightforward manner. I prefer such question because it will give the client a freedom of choice on dealing with the sister’s situation. If at all of any resistance then the question works as a technique of eliciting discussion and interaction between the client and me. My assessment of client’s ability through the questions remain seen on the affirmation statements. The questions determine client’s capability of paying attention so that I can develop necessary evaluations about the cause of such experience. As per Hettema et al. (2005 p.94) view, affirmation entails the worker’s final rapport on the client’s behavior. It may involve the perception of the interviewer towards client’s self-efficacy. On the hard, this becomes challenging when it comes to fully developing an affirmation of whether the clients can be capable of making positive decisions and being responsible for their life. During a motivational interview in this scenario of handling a problematic sister, a lot of reflective listening need to stay utilized. A worker needs to listen to his client reflectively. However, an overall perception about a client is discovered after the interviewer has looked carefully, observed client’s behavior, and also noted clients body language. After such an assessment from the worker, the client may make deliberate decisions and then later decide to change behavior. The primary purpose of affirmation in the case of this client is to offer the client a wider opportunity so that they can reflect on themselves and to listen and understand the client’s situation (Van et al., 2009 p.1). Therefore, after the whole thing, the worker will remain with summarizing on the case which involves taking the client through the transitional process and the next plan of action. Promotion of Self-efficacy and Ambivalence The success of self-efficacy is possible only when there exists resolution of ambivalence. During the promotion of self-efficacy, I ensured the persistent client behaviors to some point made several attempts of changing. I engaged the client in developing the desire of gaining internal motivation of dismissing ambivalence and establishing a change in behavior from bad to good. Therefore, as an interviewer, my competency of improving on action plans that would assist the client, motivates the client and can predict if he is ready to accept her wellbeing. The impacts are seen when the client believes on self-change and can start behaving in another manner. Such compliance from the client has made me believe in their ability to change and also establish high confidence on their side. In the sister case, I am on a big task of ensuring that the client installs self-acceptance. The success I accomplished in promoting self-acceptance changed the mixed feelings of the client. The therapy I provided allowed the reduction of the worst behavior to giving sufficient respect to the guardian. Accepting that the trustee acts like a parent place their feeling and experience to remain the same. Self-efficacy is more of a decision and right choice made by the client after an interview. The conversations and interactions I had with the clients were supportive since it challenges the affected on the selection. The road to the discovery made the client discover her guardian as the parent in charge. Self-efficacy proves to remain purposeful when there is the clear change of behavior on the interviewee's side. The desire to change should remain contributed by action plans of avoiding ambivalence. The path I chose for the client to prevent uncertainty due to the conflicting feelings of moving to the next phase of behavioral change it causes, promoted self-efficacy (Heckman et al., 2012 p.413). The decision I made of not exempting ambivalence as part of the motivational interview could have resulted in insufficient information during a therapeutic process for positive influence. I made the progress of confirming that ambivalence does not conflict the entire process of client’s behavioral change experience. Contrary, resistance from the client may lead to the unfortunate outcome as far as behavior change is concerned. The only resolution I could offer to the client when they show resistance which has also provided upsides of eliminating ambivalence is to promote motivational facts that may lead to self-efficacy. Ambivalence can remain determined by working with what motivates the client. Consequently, the desires of the workers should match the values of the client. For instance, in the case of the sisters, the rebellion of getting extra life control is experienced in the entire situation. Individual values may not correspond with the values that the worker is installing on to the client. Therefore, the change should determine the progress by own willingness or rather the attitude towards change. Miller et al. states (2012 p.3) the struggle for the desire to embark on change becomes prevalent due to ambivalence, and so, the decision of whether or not to change will depend on the client’s motivational interview drive. The principal motivators of our life, honesty should be the main drawback worked on, and workers should also make free decisions that favor their clients. Effectiveness of Motivational Interviewing Techniques Motivational interviewing techniques exposes the obstacles that come along with the resistance of a client from accepting any therapy towards change. On the other hand, the methods determine for the client the right motivational therapy to attend. Choosing the correct method of treatment determines the future progress of behavioral change. According to Hettema et al. (2005 p.94), the course of action from the beginning moves on till the benefit get felt in the entire life changes. Despite clients choosing the separate motivational route to life changes, they still come to be altered. Therefore, it is significantly correct for the workers to use common motivational elements to apply across every client. The techniques of asking the questions should directly relate to the answers provided by the clients. The clear evidence from the interview of sisters’ scenario, is when the interviewer is using the questions that are used to relate the experience is going on. Also, from the interview, the worker uses an open-end question to affirm on the statements made by the client. The affirmation is just after asking questions that relate to the answers expected from the clients (Van et al., 2009 p.1). However, the expected outcome was when the client experienced the given time to do some summary on oneself and accept changes progressively and halt the disturbing behavior. The use of self in establishing an effective therapeutic relationship creates the personality developing awareness to aid in ensuring that there exists a progressive change in behavior. The consciousness of believing in motivation for action growth makes the client stay aware and understand themselves. Whereby in general this leads to a greater promotion to self-efficacy. On the other hand, directive questions offer a personal interaction influence resulting to a therapeutical evidence as far as motivation is concerned. Conclusion The report introduced motivational interview as a technique that goes beyond just giving advice but rather either discovering correct resolutions or corrective actions for behavioral problems. The motivational interview is the attention paid to clients towards a goal of living a positive life. MI is a product of interpersonal interaction which relies upon mobilizing and identifying client’s basic morals and goals refreshing behavior change and growth. And most of the factors that determine the success of behavioral change through motivational interview include a long-term self-efficacy and elimination of ambivalence. References Heckman, C.J., Egleston, B.L. and Hofmann, M.T., 2010. Efficacy of motivational interviewing for smoking cessation: a systematic review and meta-analysis. Tobacco control, 19(5), pp.410-416[Online]. http://tobaccocontrol.bmj.com/content/19/5/410.short, Accessed 4/7/2017. Hettema, J., Steele, J. and Miller, W.R., 2005. Motivational interviewing. Annu. Rev. Clin. Psychol., 1, pp.91-111 [Online]. http://annualreviews.org/doi/abs/10.1146/annurev.clinpsy.1.102803.143833, Accessed 4/7/2017. Miller, W.R. and Rollnick, S., 2012. Motivational interviewing: Helping people change. Guilford press. Van Voorhees, B.W., Fogel, J., Pomper, B.E., Marko, M., Reid, N., Watson, N., Larson, J., Bradford, N., Fagan, B., Zuckerman, S. and Wiedmann, P., 2009. Adolescent dose and ratings of an Internet-based depression prevention program: A randomized trial of primary care physician brief advice versus a motivational interview. Journal of cognitive and behavioral psychotherapies: the official journal of the International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, 9(1), p.1. Read More