Reply To: Week 2 Homework Assignment (Applications of MI)

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#24416
Nichole Proulx-King
Participant

Question 1
What are your general impressions of and reactions to the MI interview of Terry Moyers and the “Rounder?
In general, Terry does a great job assessing Rounder’s readiness for change as well as understanding what is maintaining his resistance to change. Rounder is ambivalent about changing and somewhat angry when he first arrives. Terry responds calmly and really meets Rounder where he is at. She effectively reflects what he is stating in a way that helps Rounder consider whether or not he even wants to change.

Question 2
Give two or three examples of Rounder’s sustain talk and two or three examples of Rounder’s change talk, and identify whether each is a Desire, Ability, Reason, Need, or Commitment, Activation, or Taking Steps type of change talk.
Sustain Talk:
Example 1: “People keep saying that you need to stop drinking and I ain’t never done that either. I think I could. I’ve tried a couple of times and I wasn’t very… I think one time I quit for a week or two just to show people I could stop drinking. I wasn’t too happy. Really I didn’t know why in the hell I stopped anyway.” This is an example of Ability.
Example 2: “When I get really angry. I don’t have to go slap somebody around. I used to, now. When I was younger I’d go over to somebody that upset me or irritate me and I’d take it to ‘em but since I’ve gotten older I kinda have a couple or 3 or 4 beers, kinda cool down a little bit.” This is an example of Reason.
Change Talk:
Example 1: “I wouldn’t mind coming here to live, but I wouldn’t want to be in one of them places where you sit around in pajamas a bunch of longhaired hippie types crying and bitching and stuff like that. That ain’t my style you know.” This is an example of Activation.
Example 2: “Yeah. Cause, if I get out of this, if I can save my house and my job I’d better do something that’s gonna keep me from doing this again, don’t you think?” This is an example of Need.
Example 3: “You know there was another thing I was thinking about. If I don’t stop drinking I’m probably going to be right back in this mess again.” This is an example of Reason.

Question 3
Give two or three examples of the interviewer’s use of complex reflective listening and strategic responses to Rounder’s sustain talk. What impact does the interviewer’s use of complex reflective listening and strategic responses have on Rounder’s sustain talk and change talk? Be specific and elaborate.
Example 1: “This accident is what caused you to have to come in here and got you in all that trouble at work and now they’re thinking about taking your driver’s license away and that’s why you gotta come here.”
Example 2: “ It sounds like if you look ahead take look at your drinking and see where you’re going to go with that, you’re kind of worried about that.”
Each of these examples have a significant impact on Rounder’s sustain and change talk. The way she frames these make it sound like Rounder is the one suggesting he has the problem and that he is choosing do something about it. In the first example, Terri puts the blame on the accident causing him to have to come in and she never tells Rounder that the accident was his fault. She validates his statements about the accident and how he is feeling and this helps to move him further into change talk. In the second example, she inserts a feeling into her reflection to help him understand that his his response is worry about what may happen and that this is normal.

Question 4
Give two or three examples of Rounder’s signs of readiness to change. If you were interviewing Rounder and you noticed these signs of readiness to change, what would your next step be in this interview? Be specific and elaborate.
Rounder begins to ask questions about what it would be like to live at the facility. He is showing signs of contemplation in asking these questions. Rounder also begins to identify that he does not want any further consequences from his drinking. Again he is starting to contemplate what it may be like to change these behaviors. The next step in this interview would be to continue to highlight Rounder’s ambivalence and then start asking questions that may move Rounder into the Preparation phase of change.