Posts tagged scaling questions

Issue 42: One Way to Build Confidence to Change from within your Client

Motivational Interviewing invites us as practitioners to have a deep belief in our client’s capacity to do well in their lives, if they so choose. In MI the therapist will put this belief into action and to go looking, with the client, for their resources and beliefs that would be an asset for the difficult task of behaviour change. This aspect of MI practice is highly relevant to our current exploration of the importance of confidence in our client’s ability to change and the role we play as practitioners in optimising its development. Last Issue 41 we took a look at skillful conversational options available to us when a client expresses low confidence in their ability to change. In this issue, I will be introducing a beautiful practice written by Bill Miller which you may find useful when helping your clients to develop confidence in their own ability to get some traction with important self-care behaviours.

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Issue 41: What if your Client is Not Confident about Change?

If you have been reading in sequence from Issue 39 you will be familiar with the skill of using scaling questions in MI to identify our clients’ own thoughts about the importance of change in their lives and confidence for making that change. In Issue 40 we focused particularly on working with low importance for change. The challenge this issue’s editorial will feature is: how do we work effectively with our client who believes strongly it is important to change but they are held back by a lack of confidence? Read on to explore some ideas of what MI might encourage us to do (and NOT do!) when this challenging scenario presents.

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