Agenda for Motivational Interviewing: Preparing People to Change (Addictive) Behavior
Clients with diagnoses of personality disorders can be the most interesting of the DSM IV diagnostic categories. It is impossible to work with these clients without having countertransference issues elicited. The presenting issue, which is often presented in a personable and seemingly-treatable manner, is almost never the real issue.
Therapists are usually interested in bringing about characterological change. These clients, however, do not desire basic change and often want the therapist to minimize the clients' responsibilities for their self-defeating behaviors.
This two-day intermediate-advanced workshop focuses on identifying the client's belief system, the unique impairment in each disorder's reality-testing, the false-self of each disorder, and treatment plan strategies matched to the client's stage-of-readiness for change. Treatment goals for brief versus longer-term interventions are identified.
Day 1
| 8:30-10:00 | Theoretical framework for Motivational Interviewing The nature and dynamics of ambivalence The role of the clinician |
| 10:15-noon | The six stages of readiness-for-change Matching interventions to the client's stage-of-readiness |
| 1:00-2:45 | Operationalizing the model The six levels of intimacy in a clinical interview Case study and practice |
| 3:00-4:30 | The Phase I interview: Evaluating the client's motivation for change Practice interviews |
| 4:30-5:00 | Homework assignment for the next day |
Day 2
| 8:30-9:00 | Debrief from Day 1 How this applies in our own clinical practice |
| 9:00-10:00 | What creates motivation for change: The gap between the ideal and the real |
| 10:15-Noon | The Phase II Interview: Exploring ambivalence about change Finding the carrots Removing the obstacles Practice interviews |
| 1:00-2:30 | Treatment planning that integrates information obtained in Phase I and Phase II |
| 2:45-3:30 | The Phase III interview: Putting it all together and getting an agreement for the next step The FRAMES model of brief intervention |
| 3:30-4:30 | Practice the FRAMES model of brief interviews |
| 4:30-5:00 | Debrief: What are you taking away that you can implement immediately in your work? |
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