Reply To: Week 1 Homework Assignment (Applications of MI)

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Erin Daigle

MI-Lesson 1 Homework

Q1-As I watched the first video (confrontational), I observed myself cringing and starting to feel uncomfortable with observing the confrontation. My reaction to the second video was mental and physical. I noticed my thoughts were not protective of the client, as he was being provided space to express his experience and perception of the identified issue. Also, I did notice my body begin to relax a bit, after being tense while watching the first interaction.
Sal’s reactions to confrontational style: defensive, irritated, defiant and angry.
Sal’s reactions to MI style: receptive, engaged, validated and decreased ambivalence.

Sal was more engaged and receptive to the MI interviewing style and could help him move closer toward changing behaviors to manage his asthma. Sal appeared to be heard and seen by the provider. Use of MI provided opportunity for him to examine the issue and share his insight on what he is able to change at this time. Ultimately, it was his idea and decision to make a change, not being ‘told’ what to do.

Q2-Behavior: Procrastination—
Statements of ambivalence:
A. “I work better under pressure.”
B. “I have always done it this way.”
C. “I do not know where to start to do things differently.”
Double-sided reflections:
A. You might perform better under pressure however you often feel more stressed out.
B. On one hand this is a behavior you have been doing for a very long time and decreasing your stress levels supports your desire to take better care of yourself.
C. On one hand it can be very overwhelming to determine what to do first and there is a part of you that is open to taking an action step.
Reactions to exercise: I was able to look at myself and the behavior of procrastinating with more compassion. I found it helpful to put into words the undue amount of stress I am under when I procrastinate, and how I would like to live my life differently.

Q3- Consumer-generated target behaviors-
1. Reset mind and body.
2. Learn healthier behaviors and make them habits.
3. Address PTSD symptoms impacting functioning.

Provider-generated agenda:
1. Diagnostic and medication evaluation to determine if symptoms are being targeted appropriately.
2. Address interpersonal issues.
3. Alternative tx options?

The ‘righting reflex’ came into play when I had a different train of thought of how the consumer might go about resetting nervous system. I asked the consumer to tell me more about their thoughts and then asked if I could provide feedback. They said yes, and I expressed concern that perhaps the reported symptoms are not changing due to mis-diagnosis/wrong meds? I wanted that option to be considered and it really wasn’t. The practice of summarizing more in session could be helpful for the client. So they have the opportunity to confirm or shift what it is I am hearing they say they need and want.