"Motivational Interviewing: Facilitating Change Across Boundaries" Dr. William Miller Date: March 6, 2009 Fourth Annual Health Disparities Conference Teachers College, Columbia University
I took a class on Motivational Interviewing, and read the Motivational interviewing, preparing people for change by Miller and Rollnick. It was amazing and very helpful, I truly believe that it is essential in chemical dependency counseling. This video is worth the hour of listening.
Big fan - long time reader, first time commenting! Many thanks, Dr. Miller, an amazing story that has resulted in changing the face of addiction treatment the world over. And it makes my work kinder and more effective and that helps me sleep better!
We watched this in counseling techniques class at Yakima Valley Community College tonight. My teacher has been going on and on about this technique for the last two quarters; I see why. Smart man.
Important points: MI is brief, 1 to 2 sessions, according to Miller. It is not a course of treatment. This point doesn't lessen its importance, it just spotlights when and how the tool should be used.
While 59 minutes is long to follow, he lays the foundations of Motivational Interviewing and the languaging people who are ready to commit to change use vs. the language of those not intending to change their addictive behaviors.
I wonder if the same applies for mental health. I know people who have had to wait months to get in to see a therapist. Now I am wondering if their treatment would have been more successful had they got in sooner rather than later.
It would be important to recognize MI in more areas than addictions, such as sexual abusers and domestic abusers. That may be more related to other theories and therapies, but you are adding to the stigma when only incorporating chemical addictions.
Is it morally responsible to experiment on those seeking aid with their alcohol dependence by placing them on a 'wait list' purely for research purposes?
Considering that "wait list" happen in real world situations, I fail to see an issue there. That and those placed on wait lists were still checked up on and later offered treatment, as Dr. Miller stated. That and human research studies are subject to ethic board reviews.
It is done among consenting individuals, and research proposals pass through reviews by ethical board. Thanks to the patients who participate in the experimental studies, we can treat our patients better. Not only in psychology but in all fields of medicine.
People dont seem to realize there are variations in addiction/abuse. MI might work fore some clients but others need more of a confrontive style or some other method. You dont treat all cancers with the same treatment. This is an answer to the minnestota modell as i see but we dont need more answers we need a system that sees and threats the varitaions in the indivuduall. Addiction/abuse is also a social sickness that need different methods.
Did you watch the entire tape or have you read any other book on Motivational Interviewing? There is a confrontation period (to change or not to change) so at this stage of the therapy you as the therapist will demonstrate the need for change. I did a entire semester in MI and it is a fantastic theory.
