Motivational Enhancement Therapy (MET) for Pain Management – Flashcards

An approach to modulate and improve a client's volition to change. It assumes that people know how to engage in adaptive behaviors - the aim of the therapy is to provide a client an environment that will lead to a greater probability that will more likely yield adaptive behaviors.

A construct in which five stages of change are outlined as people move through each stage, changing from mal-adaptive to adaptive behaviors.

Process of change stage in which a person is not contemplating any change; they do not feel the need to change. They show active resistance to change, and see it problematic when they feel coerced by others to change. These people tend to be miserable, but a self-flagellating misery not suited for change.

A stage in which a person sees the need to change and is seriously considering making a change in the near future, but has yet to commit to the change. Characterized by internally weighing pros vs. cons.

A stage that both involves the intention to make changes and initial behavioral stages in the direction of change.

A stage characterized by concrete actions that lead to a desired change (such as modification of behaviors or environments).

A stage characterized by active efforts to sustain the changes made in the action stage.

A stage characterized by a failure of the Maintenance Stage in which the effort to sustain a change has failed. People then re-enter the cycle from any given point, depending on their behaviors.

Is modulated generally by the stage in which someone is in - that is, those in certain stages tend to be more responsive to treatment. For smoking and weight control, reaching or starting in the action stage tends to be more fruitful than those starting in pre-contemplation.

Raise doubt - increase the client's perception of the risk and problems associated with the current behavior.

Tip the balance - evoke reasons to change, risks of not changing.

Help the client to determine the best course of action to take in seeking change.

Help the client take the steps towards changing.

Review progress and renew motivation and commitment as needed.

Help the client review the processes of contemplation, determination, and action without becoming stuck or demoralized because of relapse.