Mastering Complex Reflections in Motivational Interviewing
Bill Miller, co-creator of Motivational Interviewing, emphasizes the importance of reflections in MI, highlighting Simple Reflections and Complex Reflections. Complex Reflections, such as CARVED HAM and VERDACHAM, offer deeper insights by going beyond what is said to provide new perspectives and enhance understanding. Practice statements are recommended to improve staff skills in using Complex Reflections effectively.
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Presentation Transcript
FEBRUARY 2020 EBP TIP OF THE MONTH: CARVEDHAM According to Bill Miller, the co-creator of Motivational Interviewing, Reflections are the skills that best represent what Motivational Interviewing is about. There are two types of Reflections: Simple Reflections and Complex Reflections. Complex reflections is a higher skill. Simple Reflections reflect back content or emotion. Complex Reflections go beyond what is said and can offer a new perspective and may shift a person's understanding or feeling about the situation. There are 9 types of Complex Reflections that can be referred to as CAREVED HAM
Complex Reflections VERDACHAM
COMPLEX REFLECTIONS Verbalizing Unspoken Emotion Continuing the Paragraph Double Sided Metaphor or Simile Hypothesize or Guess What They Mean Emphasizing One Side Amplification +/- in meaning or emphasis VERDACHAM Adding Content Reframing in a Different Light
TO DO: send pdf copy of the CARVED HAM examples and include new practice statements for staff to practice using all RC.
