Effective Strategies for Overcoming Resistance in Motivational Interviewing Sessions
Explore practical methods to address resistance in motivational interviewing, including the DARN CAT approach, stages of change, and the Ruler Method. Learn how to navigate sustain talk, cultivate kind curiosity, and use amplified reflection to facilitate positive outcomes in client interactions.
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Motivational Interviewing RESULTS Webinar Session 4 Presented 12-11-2024 By David Christian, Ph.D.
Session 4: Dealing With Resistance I: Five Methods Review Define Demo Do Discuss
Change Talk: DARN CAT Change talk is self- expressed language that argues for change (DARN CAT) Desire Ability Reasons Need Commitment Activation (Willingness) Taking Steps
Hows Your Practice Going?
Stages of Change: 1-2 Use Darn 3-5 Use CAT 5. Maintenance Consistent, Zealous 4. Action Moving, Engaged, Acting. 3. Preparation Open, Looking, Interested 2. Contemplation Maybe, Ambivalent 1. Precontemplation Angry, In Denial, Defensive
Resistance is sustain talk- It indicates resistance to change D- I have no desire to do X. A- We can t do X. R- X is bad because N- X is unnecessary. C- I m committed to Y, not X. A- I m unwilling to X. T- We are doing Y not X.
Ruler Method: On a 1-10 scale, how much do you support X? Why not one number lower?
Acknowledge Truth in what they are saying, even if it is small.
Kind Curiosity: Ask them to help you understand how they came to their view. This helps them see knowledge gaps.
Reflect and Affirm the values underlying their resistance, which you share.
Amplified Reflection: Magnify their objection to encourage moderating their view.
1. Ruler Method: 1-10, how much do you support X? Why not one number lower? Acknowledge Truth in what they are saying, even if it is small. Kind Curiosity: Ask them to explain their view, revealing their knowledge gaps. Reflect and Affirm valuesunderlying their resistance, which you share. Amplified Reflection- encourages them to moderate their view. Five Methods for Dealing with Resistance 2. 3. 4. 5.
Role Play 1. Ruler Method: 1-10, how much do you support X? Why not one number lower? Acknowledge Truth in what they are saying, even if it is small. Kind Curiosity: Ask them to explain their view, revealing their knowledge gaps. Reflect and Affirm valuesunderlying their resistance, which you share. Amplified Reflection- encourages them to moderate their view. Advocate: Introduce the topic. Try some methods. 2. 3. MOC: Moderate resistance. 4. Observers: Note what happens. 5.
Discuss What did you notice?
Role Play 1. Ruler Method: 1-10, how much do you support X? Why not one number lower? Acknowledge Truth in what they are saying, even if it is small. Kind Curiosity: Ask them to explain their view, revealing their knowledge gaps. Reflect and Affirm valuesunderlying their resistance, which you share. Amplified Reflection- encourages them to moderate their view. Advocate: Introduce the topic. Try some methods. 2. 3. MOC: Moderate resistance. 4. Observers: Note what happens. 5.
Discuss Advocates- MOCs- Observers- Everyone- Observations Questions
