The Art of Reflective Listening In Motivational Interviewing
Reflections • Reflections are at the core of Motivational Interviewing • Clients have the opportunity to figure things out for themselves. • Skillfully used they impetus for change talk • Gain clarity and understand where your client is in the change process • Reflections help improve clinical rapport
Reflections • Reflective statement are used more often than questions in eliciting change talk • For every one questions two reflections should follow • Pre-contemplation to contemplation to preparation to action • Ambivalence -sustain to change talk • Helps your client self reflect • Helps with your personal life
Simple Reflections Building rapport-clinical attunement short statements that reflect/mirror back the emotion or content Repeating back, or staying close to content Reflect back their body language of what they have said. (do one with body language) They are also good when feel flustered by the client and stuck for a response( a jolting statement) buys you some time
Complex Reflections • Goes beyond what is said • Offers a new perspective/adds meaning • Moves the conversation forward • Reflects a deeper meaning
Five Complex Reflections • Amplified • Double Sided • Agreement with Twist • Siding with the Negative • Metaphor
Amplified • A statement in a more extreme fashion. • takes what the client said and increases the intensity of the “sustain-talk. ”When hearing an amplification of what was communicated, a client will often reconsider what he/she said and clarify • a statement in an exaggerated form.
Double Sided • Reflecting the pros and the cons- reflect area of ambivalence • Reflect back what is good and what is not so good • Reflect back both sides of the ambivalence
Agreeing with a Twist • Zinger approach- can land the client in a totally other direction) • Simple reflection followed by a reframe • subtle strategy to agree with the clientbut with a slight twist of change/reframe to move the discussion forward or to look at something differently • begin with a simple reflection of the clients comment • twist at the end.
Sidingwith the negatives • Therapeutic paradox • Rolling with Resistance • siding with the counter perspective often elicits change talk • raise only one side, the person is inclined to explore the other
Metaphors • Paints a picture that can clarify the client’s position • Restating what is said to create a • visual • Often helps the client to see their situation in new way