Re: Lack of Change

[Guest guest]

, are you using " motivational interviewing " techniques in the

process, and if so, how successful has that been? ( et al).

If you know MI, it's been derived for and applied mostly as a tool by

MDs to get patient behavioural change, but I don't how successful it

has been.

Looks something like this:

(1) asking open-ended questions, (2) listening attentively, (3)

summarizing and reflecting to patient, and (4) supporting patient

achievement and / or confidence to change.

Can be used in conjunction with five stage change model (Zimmerman):

1. A pre-contemplation stage in which the person is not aware of the

need to change;

2. A contemplation stage in which the person reflects on the

advantages and disadvantages of change

3. A preparation stage in which concrete plans for change are made;

4. An action stage in which behaviour starts to change;

5. Finally, a maintenance stage in which the person decides whether

to continue the new behaviour or to relapse to the former behaviour.

Gympie, Australia

> >

> > > . The

> > > question is - what are we missing?

> > >

> > > To me its a huge issue. People intend to be more active - they

try -

> > > they understand the benefit - and yet they are unable to change

> > > behaviour. Why?

> >

> > Hi ,

> >

> > You say, " they understand the benefit " . In fact they don't or they

> > would gave changed. In western thought we " think " that if others

> > " think " of the pos and neg outcomes they realize the situation --

not.

> > Not until they experience, in a deep way, the outcomes they seek

to

> > depart from and arrive at will they begin to make the switch.

> >

> > Solution: (re)create both pos and neg experience outcomes of

related

> > behaviors to salient goals.

> >

> > Create virtual experiences: role playing (alone and with someone),

> > movie watching (vicarious acquisition of behaviors and emotions)

and

> > guided imagery. Enlist, coerce, insidiously recruit head of social

> > hierarchies and immediate confederates. Proactive-- not reactive

> > support groups. Structure concerns, causes, goals and strategies;

> > journal actions, immediate and long range outcomes. Journal

> > ANTICIPATED options, actions, immediate and long range outcomes as

> > they happen. THIS IS THE MAIN KEY TO EVERYTHING, PROJECTION OF:

> > CIRCUMSTANCE, OPTIONS ETC.

> >

> > Set reasonable goals as SCIENTIFIC AMERICAN MIND says December

2008 -

> > January 2009 vol. 19 #6, page 49 -------------- " attempts to much

to

> > fast is doomed "

> >

> > SIMPLE!!! ;-)

> >

> > Jerry Telle

> > Lakewood CO USA

> >

> >

> >

>