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Definition
A form of client preparatory change talk that reflects perceived personal capability of making a change; typical words include
can, could, and able |
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One of four aspects of acceptance
as a component of MI spirit prizing the inherent value and potential of every human being. |
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| One of four central components of the underlying spirit of MI by which the interviewer communicatesabsolute worth, accurate empathy, affirmation, and autonomy support. |
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A form of client mobilizing change talk
that expresses disposition toward action, but falls short of commitment language; typical words include ready, willing, considering. |
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| One of four aspects of acceptance as a component of MI spirit, by which the counselor accentuates the positive, seeking and acknowledging a person's strengths and efforts. |
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| An interviewer statement valuing a positive client attribute or behavior. |
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| A short focusing metaconversation in which you step back with the client to choose a direction from among several options. |
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| A reflection, affirmation, or accord followed by a reframe |
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The simultaneous presence of competing motivations for and against change.
i.e. I need to change x... but I can't x,y,z. |
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| A response in which the interviewer reflects back the client's content with greater intensity than the client had expressed; one form of response to client sustain talk or discord. |
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| A way of responding to discord by taking partial responsibility. |
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| Providing a client with personal feedback of findings from an evaluation, often in relation to normative ranges; see Motivational Enhancement Therapy. |
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The clinical error of beginning consultation with expert information gathering at the cost of not listening to the client's concerns.
See also Question-Answer Trap |
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| One of four aspects of acceptance as a component of MI spirit, by which the interviewer accepts and confirms the client's irrevocable right to self-determination and choice. |
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| The clinical error of focusing on blame or fault-finding rather than change. |
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| A particular kind of summary that collects and emphasizes the client's change talk. |
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| Generating options without initially critiquing them. |
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An acronym for three subtypes of client mobilizing change talk;
Commitment, Activation, and Taking Steps. |
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| A specific target for change in motivational interviewing; typically a particular behavior change, although it may also be a broader goal (e.g., glycemic control) toward which there are multiple avenues of approach. |
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| A specific scheme to implement a change goal. |
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| A rating scale, usually 0-10, used to assess a client's motivation for a particular change; see Confidence Ruler and Importance Ruler. |
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| Any client speech that favors movement toward a particular change goal. |
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| The clinical error of engaging in excessive small talk and informal chat that does not further the processes of engaging, focusing, evoking, and planning. |
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| The clinical error of engaging in excessive small talk and informal chat that does not further the processes of engaging, focusing, evoking, and planning. |
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| A question that asks for yes/no, a short answer, or specific information. |
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| The process of helping someone to acquire skill. |
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| A special form of reflection that pulls together a series of interrelated items that the person has offered. |
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| A response to persistent sustain talk or discord in which the interviewer accepts and reflects the client's theme. |
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| A form of client mobilizing change talk that reflects intention or disposition to carry out change; common verbs include will, do, going to. |
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| One of four central components of the underlying spirit of MI by which the interviewer acts benevolently to promote the client's welfare giving priority to the client's needs. |
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| An interviewer reflection that adds additional or different meaning beyond what the client has just said; a guess as to what the client may have meant. |
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| A scale (typically 0-10) on which clients are asked to rate their level of confidence in their ability to make a particular change. |
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| Change talk that particularly bespeaks ability to change. |
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Definition
| (1) as a goal: to come face to face with one's current situation and experience; (2) as a practice: an MI-inconsistent interviewer response such as warning, disagreeing, or arguing. |
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| A method of reflective listening in which the counselor offers what might be the next (as yet unspoken) sentence in the client's paragraph. |
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Definition
An acronym for four subtypes of client preparatory change talk;
Desire, Ability, Reason, and Need |
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| A choice-focused technique that can be used when counseling with neutrality, devoting equal exploration to the pros and cons of change or of a specific plan. |
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The extent to which a reflection contains more than the literal content of what a person has already said.
a.k.a. Complex Reflection
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Definition
A form of client preparatory change talk that reflects a preference for change; typical verbs include want, wish, and like.
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| A natural communication style that involves telling, leading, providing advice, information, or instruction. |
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| The extent to which an interviewer maintain in-session momentum toward a change goal. |
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| Interpersonal behavior that reflects dissonance in the working relationship; sustain talk does not in itself constitute discord; examples include arguing, interrupting, discounting, or ignoring. |
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| The distance between the status quo and one or more client change goals. |
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| (Latin verb infinitive) To inform, in the sense of installing knowledge, wisdom, insight; etymologic root of doctrine, indoctrinate, docent, and doctor. |
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Definition
An interviewer reflection that includes both client sustain talk and change talk, usually with the conjunction "and".
example: "You enjoy doing x,y,z and you know that you need to stop x,y,x." |
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Term
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Definition
| (Latin verb infinitive) To elicit or draw out; a Socratic approach; etymologic root of education(e ducere); compare with Docere. |
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| An interviewer response to client change talk, asking for additional detail, clarification, or example. |
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| An information exchange process that begins and ends with exploring the client's own experience to frame whatever information is being provided to the client. |
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| The extent to which an interviewer communicates accurate understanding of the client's perspectives and experience; most commonly manifested as reflection. |
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Emphasizing Personal Control |
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| An interviewer statement directly expressing autonomy support, acknowledging the client's ability for choice and self-determination. |
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Definition
| The first of four fundamental processes in MI, the process of establishing a mutually trusting and respectful helping relationship. |
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| Client speech that reflects the client imagining having made a change. |
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| The clinician's decision to counsel with neutrality in a way that consciously avoids guiding a client toward one particular choice or change and instead explores the available options equally. |
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Definition
One of four central components of the underlying spirit of MI by which the interviewer elicits the client's own perspectives and motivation.
See also Ducere. |
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| Strategic open questions the natural answer to which is change talk. |
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Definition
| The third of four fundamental processes of MI, which involves eliciting the person's own motivation for a particular change. |
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Definition
| The clinical error of assuming and communicating that the counselor has the best answers to the client's problems. |
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Exploring Goals and Values |
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Definition
| A strategy for evoking change talk by having people describe their most important life goals or values. |
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Definition
| The second of four fundamental processes of MI, which involves clarifying a particular goal or direction for change. |
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| A natural communication style that involves listening to and following along with the other's experience without inserting one's own material. |
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Definition
| Developing a shared picture or hypothesis regarding the client's situation and how it might be addressed. |
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Definition
Anacronym summarizing six components commonly found in effective brief interventions for alcohol problems:
Feedback,Responsibility, Advice,
Menu of options, Empathy, and Self-efficacy |
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Definition
| A method originally developed by Thomas Kiresuk for evaluating treatment outcomes across a range of problem areas. |
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Definition
| In order to be motivating, a discrepancy should be not too large or too small. |
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Definition
| A natural communication style for helping others find their way, combining some elements of both directing and following. |
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Definition
| A stated intention or commitment to take a specific action. |
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Definition
| A scale (typically 0-10) on which clients are asked to rate the importance of making a particular change. |
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Definition
| To behave in a manner that is consistent with and fulfills one's core values. |
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Definition
| The disposition and enactment of behavior for its consistency with personal goals and values. |
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Definition
| A particular form of question offered after a recapitulation at the transition from evoking to planning, that seeks to elicit mobilizing change talk. |
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Definition
| The clinical error of engaging in unproductive struggles to persuade clients to accept a label or diagnosis. |
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Definition
(Swedish) Just right; not too large, not too small.
See also Goldilocks Principle |
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Definition
A special form of reflection that connects what the person has just said with something you remember from prior conversation.
See also Summary. |
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| A strategy for evoking client change talk, exploring a better time in the past. |
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| A strategy for evoking client change talk, exploring a possible better future that the client hopes for or imagines, or anticipating the future consequences of not changing. |
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| One's fundamental view of human nature. |
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Definition
An acronym for
Motivational Enhancement Therapy |
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Definition
| A package of training materials for MI supervisors, produced by the U.S. Center for Substance Abuse Treatment. |
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Definition
| A package of training materials for MI supervisors, produced by the U.S. Center for Substance Abuse Treatment. |
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Definition
| The Motivational Interviewing Network of Trainers, founded in 1997 and incorporated in 2008 (www.motivationalinterviewing.org) |
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| The Motivational Interviewing Skill Code, introduced by Miller and Mount as the first system for coding client and interviewer utterances within motivational interviewing. |
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Definition
| The Motivational Interviewing Treatment Integrity coding system, simplified from the M.I.S.C. and focusing only on interviewer responses, to document fidelity in MI delivery. |
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