Addiction Studies Essay
Content: During these lectures a number of different aspects of motivational interviewing came up. Initially the principles of motivational interviewing were looked at these include; avoid argumentation, express empathy, support self-efficacy, roll with resistance, develop discrepancies. We then discussed how this might be done with a client. To work with a client efficiently using motivational interviewing techniques it would be important to know where they are on Prochaska and DiClemente’s wheel of change. There are six stages to this wheel and these stages are; Pre-Contemplation, Contemplation, Preparation, Action, Maintenance and Relapse. Once the clients status on the wheel has been established, a variety of techniques would be used to implement the principles. Some of these techniques which are considered central to this kind of counselling are asking open-ended questions, making simple reflections on what the client says to show that you are listening, affirmation to show empathy and support for the client, elaboration so that you may explore some of the clients ambivalence and develop discrepancies, double-sided reflections can also be effective at this. Amplified reflections can sometimes be used to promote self efficacy as can summaries. During these lectures we also did a lot of role plays of all these different techniques to ensure that there were no misunderstanding of how these techniques would work in a counselling session with a client.
Whilst enjoying the majority of these lectures and finding them very informative and useful, I did find that some of the techniques used here would not be very useful in all counselling situations with a client who is abusing drugs. I do not think you could use this kind of counselling techniques in isolation, as I feel some clients would not appreciate having everything the discuss with you in a counselling session reflected back to