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Motivational Interviewing - REFLECTIONS

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Different types of Reflections you can use in Motivational Interviewing (MI) - for more see www.miinlondon.org

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Motivational Interviewing - REFLECTIONS

  1. 1. 1 www.miinlondon.org / miclub@miinlondon.org / Tweet @miinlondon How to use reflections in Motivational Interviewing
  2. 2. 2 Using Reflections in MI
  3. 3. 3 Welcome to MI Clubwith John Russell (Member of the Motivational Interviewing Network of Trainers) www.miinlondon.org / miclub@miinlondon.org / Tweet @miinlondon Using Reflections in Motivational Interviewing
  4. 4. 4 Reflections Let’s go!
  5. 5. 5 Aims 1.  Be curious, adopt a learning mind-set. 2.  To learn about what a reflection is. 3.  To learn about the different types of reflections 4.  To start using, or improve your current use of reflections.
  6. 6. 6 Objectives 1.  Presentation 2.  Individual practise (on your own) 3.  Partner practise (with one other person) 4.  Questions
  7. 7. - John Russell 7 “A reflec'on is a statement that holds up a mirror to your conversa'on… It lets the person you’re talking to hear what they’ve said… It might be the first 'me that’s ever happened to them”.
  8. 8. 8 Why reflect?
  9. 9. 9 Why reflect? •  Reflective Listening deepens our understanding of the person •  Demonstrates active listening, empathy and MI Spirit •  Keeps the person focused on change which results in a higher likelihood of change occurring
  10. 10. 10 What is a reflection in MI?
  11. 11. 11 What is a reflection? Well, there are two types of reflection, these are split into: 1.  Simple Reflections 2.  Complex reflections
  12. 12. 12 What is a simple reflection?
  13. 13. 13 Simple reflections Used when: •  You want to keep the conversation going as it is, but not guide it.
  14. 14. 14 Simple reflections A simple reflection would be when you: •  Repeat what a person has said •  Slightly Rephrase what the person has said
  15. 15. 15 Simple reflections For example, if someone said: “I really want to lose weight” •  Repeat –  “You want to lose weight” •  Slightly Rephrase –  “You want to some weight to come off”
  16. 16. 16 Simple reflections Simple reflections repeat or rephrase the conversation that is above water.
  17. 17. 17 That’s this bit
  18. 18. 18 What is a complex reflection?
  19. 19. 19 Complex reflections Are great for taking the conversation deeper.
  20. 20. 20 That’s this bit!
  21. 21. 21 Complex reflections Used when: •  You want to prevent conversations going round in circles •  You want to add meaning to the clients words, or take a guess as to what they really meant to say or are trying to say •  You want to guide the conversation towards change
  22. 22. 22 Complex reflections A complex reflection would be when you: •  Paraphrase what a person has said •  Use metaphor, meaning or describe feeling •  Lay out change talk and sustain talk (double- sided) or Continue the sentence where the person left off
  23. 23. 23 Complex reflections It’s worth noting that not every type of complex reflection can and should be used, pick which ever one you think will work best in the situation. Here’s some examples…
  24. 24. 24 Complex reflections For example, if someone said: “I really want to lose weight” •  Paraphrase –  “It’s time to drop some lbs” •  Continue the sentence –  “it’s going to help you achieve what you want to achieve”
  25. 25. 25 Complex reflections For example, if someone said: “I’m tired, Ive got so many things I have to do before I exercise” •  Metaphor –  “You’ve got a lot of hurdles to jump over” •  Feeling –  “It seems draining to do, but it’s something you’re interested in doing”
  26. 26. 26 Complex reflections For example, if someone said: “I’m worried about my health with drinking but it’s so much fun to do” •  Double-sided –  “You want to have a good time, and yet it’s going to be better for you cut it out for good” •  Meaning –  “You want to live a long and healthy life”
  27. 27. Individual Practise 27 Think about the following statement: “I want to lose weight, but I just love to eat, especially sugary treats, I can’t stop myself when they’re in the house, I know it’s not good for me” See if you can come up with some reflections to this statement. We’ll come back in 5 mins. Give it a go!
  28. 28. “I want to lose weight, but I just love to eat, especially sugary treats, I can’t stop myself when they’re in the house, I know it’s not good for me” 28 Simple reflec+ons: Repeat •  Simple Rephrase •  Complex Reflec+ons: Paraphrase Double-sided Amplified Metaphor Feeling Meaning Con+nue the sentence… For a reminder of each reflecBon go to: miinlondon.org/exercise
  29. 29. “I want to lose weight, but I just love to eat, especially sugary treats, I can’t stop myself when they’re in the house, I know it’s not good for me” 29 Simple reflec+ons: Repeat •  You want to lose weight Simple Rephrase •  It’s hard to not eat treats and you find it hard to stop yourself Complex Reflec+ons: Paraphrase It’s tough to stay away from the sweet treats but deep down you know you’re beOer of without them Double-sided You love to eat sugary foods and lose weight is a priority for you Metaphor You want to show others you can tame this lion Feeling You’re upset you can’t control your eaBng Meaning Controlling your eaBng is important for you to feel good about yourself Con+nue the sentence… And now might be the Bme to make your first steps towards change
  30. 30. 30 How did you do? •  The key to these is to practise, here are some examples that you could’ve used… •  Some people ask how many reflections should they be using in a conversations. •  There’s no hard-and-fast rule, however you want to be using at least one reflection for every one question used. Try and increase the number of reflections to questions as you get better with practice.
  31. 31. Practise in pairs 31 OK. Let’s give this a go. Please go to the chat function, you’ll see your name there along with a link that will take you straight to your discussion room. I’ll ask you to come back in 10 minutes time.
  32. 32. Practise in pairs 32 Please introduce yourself (if you’ve checked that you’re happy to appear on webcam remember to enable it when you get into the room) Discuss what you like in the room, but you might want to try and practice one type of reflection with each other.
  33. 33. Practise in pairs 33 See you in 10 minutes! I’ll mute myself so you can talk without hearing me. I’ll still be in the join.me chat room if you want to ask questions. I’ll unmute after 10 minutes to bring you back
  34. 34. 34 Send us a Tweet: @MIinlondon Ques%ons Q: Can you give any more examples of double-sided reflec%ons? A: Let’s use an example someone might say if you were talking about cuDng down on alcohol. “I want to drink less but all of my friend’s do it” Double-sided reflec%ons use a person’s change talk ”(a statement that is pro-change) , such as “I want to drink less and a person’s sustain talk (a statement that keeps the status quo) which might follow, such as “but all of my friends do it”. A Double-sided reflec%on switches the change talk and sustain talk, and replaces the central word ‘but’ with the word ‘and’. Therefore a reflec%on to “I want to drink less but all of my friend’s do it” might be: 1.  “It’s a social thing and yet you’re not sure if it’s working for you” 2.  “Your friend’s all drink and yet you don’t want to” (maybe a bit much, 3.  “You don’t want to lose your friends and you want to be healthier”
  35. 35. 35 See you for online MI Club SOON! Thanks for coming! Sign up to our newsletter for updates on MI Club online! Visit www.miinlondon.org