because they empower some to want change by providing a neutral environment and supplying useful information to clients. Harm reduction may act as a gateway to sobriety which leads to recovery. 2. According to Miller, the spirit of motivational interviewing is based on four key elements which are partnership, acceptance, compassion, and evocation. Motivational interviewing is a collaborative process between the counselor or helper and the person who is an expert on his own life. Counselors believe the client is the expert on his own life; therefore, in motivational interviewing counselors have the client do the work for change to occur. In motivational interviewing counselors ask the client about past
experiences to explore future opinions. In motivational interviewing, the counselor uses techniques such as reflective listening, asking open ended questions, affirmation, and summarizing. Motivational interviewing allows the client to express his own desire for change. As Miller writes, clients will not do as they are told, but have a better chance of success if they voice the reasons for change. Having the client voice his own concern and desire to change is powerful. This may be the first time he has said his wish aloud without being told. The counselor listens to the client and takes his direction. a. The counselor’s goal when using motivational interviewing is to have the client show ambivalence. Ambivalence is the feeling of simultaneously wanting and not wanting something, such as change. Miller states that ambivalence is an important first step needed for change in motivational interviewing. Without ambivalence, change is less likely to occur. The ambivalence or change talk is a step in the direction of change, because without ambivalence there is no desire to change. Motivational Interviewing discusses recognizing and understanding change talk, while not feeding into sustain talk. Change talk is essential for the client who wishes to make a change such as getting sober. The counselor also hopes the client will be willing to participate in a harm reduction program to seek further help. b. The literature on motivational interviewing says that the client is the expert on his own life; therefore, change must come from within when the client is ready to commit to a lifestyle change. Since the beginning of class I believed motivational interviewing was useful in facilitating change within a client. I agree with Miller that the client is the expert on his life and will know what does not work for him. I also believe that the ideas for change must come from within the individual if he
hopes for success. It is best if the counselor offers no advice, because the client will either not take it or will resent the counselor for presenting him with something he had not yet thought. I believe most people have an aversion to someone telling them what to do.
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- Spring '14