Response to Addiction Counseling

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PCN 501: Introduction to Addictions and Substance Use Disorders Josephine Oxendine-Brice
Grand Canyon University: PCN 501
November 21, 2012

Motivational Interviewing: How It Works With Native Americans

The Motivational Interviewing and Stages of Change approach is complementary to the cultural values of Native American people and emphasizes listening, learning, and respect. Addictions in this day and time can be contributed to many factors and effect every ethnicity of people. Substance addiction has even affected the smallest ethnicity of people, Native Americans since their encounter with white people. Motivational Interviewing (MI) has even helped Native Americans through counselors learning and implementing the techniques. Even though clients are naturally resistant to change, utilizing the three pillars are very effective in helping even Native American people because expressing empathy shows that you care and developing discrepancy between client’s present behaviors and values & beliefs. Counselors today need to be trained in MI and cross culturally trained also to better serve individuals. I would through MI be empathic and express it through reflective listening, paraphrase what I hear from the client, ask them let me see if I am hearing you correctly, You are saying….., I would communicate respectfully with the client, be supportive and establish a non-judgmental therapeutic relationship with the client. There are some great CBT techniques alone with homework assignments to help deal with the shame and embarrassment that a client is feeling about their substance use or other problems that are going on. CBT can be self talk with positive statements to themselves, daily mood and thought record and etc. There are so many techniques that can be utilized with MI to help a client even through shame. As a counselor, I will utilize the following principles known also as pillars with MI to help motivate my clients: expressing empathy...
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