"Dancing with Clients to the Music of Motivational Interviewing"

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At my WIC rotation, a dietitian gave me a handout from a conference she attended on motivational interviewing in 2008.  It was presented by KSU counseling students, and centered on the analogy of motivational interviewing to dancing: the steps are basic and fundamental, and may seem simple  - learning to use motivational interviewing is like dancing - you have to practice the steps!  I thought this article offered a new perspective on motivational interviewing - and also may help with our assignment!
Researchers have identified 7 "helper behaviors or dance steps" which the counselor can facilitate to increase client involvement and change talk (Moyers et al., 2005).  When counselors used steps 1-3, clients actually showed an immediate increase in their change talk (Moyers and Martin, 2006). The presenters use the acronym Autonomy/Support, Collaboration, Evocation, Direction and Empathy to summarize the motivational interviewing "music"
7 Dance Steps
1. Advise only with permission - wait for the client to ask
2. Affirming strengths - these should be specific to the client and based on their competencies, not on their deficits (the difference between an affirmation and a compliment)
3. Emphasize personal choice - "In a motivational interviewing approach...it is not your task to give a client a choice...You do not allow a client to choose because the choice already and always belongs with the client. The client chooses. Your task is to help clients make choices that are in their best interests," (Miller, 1999).   Remember, however that some clients may not be ready for the freedom to make the choice!
4. Ask open-ended questions
5. Reflect
6. Reframe
7. Support

I recognized some of these from our Molly Kellogg counseling tips, especially 4, 5 and 6.  The authors also listed 5 "foot fumbles," or things to try not to do with clients, because they will hinder progress and can lead to resistance and decreased change talk.

1. Confront
2. Direct
3. Warn
4. Advise without permission
5. Raise concern without permission

Hope you enjoy!
 CR

Osborn, C.J., Scherer, M. M. & Fuller, K. (2008). Dancing with clients to the music of motivational interviewing. All Ohio Counselors' Conference, Columbus, OH.

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