Motivational Enhancement Therapy (MET) – Flashcards
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MET is
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label, resistant, oppositional, non-compliant (don't pressure), non-adherent
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Blaise Pascal
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people are generally better persuaded by the reasons which they have themselves discovered than by those which have come in to the mind of others
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Rollnick, miller & butler
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ironically, it is acknowledging the client's right & freedom not to change that sometimes makes change possible
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MI (motivational interviewing)
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interpersonal counseling/communication style rather than specific therapy/set of techniques; avoids lecturing & reduces resistance (collaboration & honours autonomy); ambivalence is expected
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MET
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evidence-based treatment (w/several applications); evolved client-centered therapy
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goals of MET
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work through ambivalence; consider advantages & disadvantages of making a change
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MET contrasted w/trad. client-centered approaches
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direct client towards motivation for change; use empathic responses to reinforce self-motivational statements; enhance motivation for change by encouraging consideration of discrepancy between current behaviours & more adaptive goals
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both - & + reinforcement model
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escaping from aversive state; ambivalence; envision better future & gain confidence in one's abilities
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stages of motivation
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precontemplation, contemplation, preparation, action, maintenance & termination
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overarching goals are to ...
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increase importance placed on ability to change & confidence in that ability
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5 basic motivational principles
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expressing empathy, developing a discrepancy, avoiding argumentation, roll w/resistance & supporting self-efficacy
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expressing empathy (5 basic motivational principles)
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listen carefully & respect client's choices
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developing a discrepancy (5 basic motivational principles)
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reflect on where you are currently & where you want to be; "what makes you think you need to change?"
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avoiding argumentation (5 basic motivational principles)
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no direct confrontation --> only increases defensiveness
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roll w/resistance (5 basic motivational principles)
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try to understand what client is thinking & feeling
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supporting self-efficacy (5 basic motivational principles)
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elicit change strategies & problem-solving from client
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MET program phases
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building motivation for change, strengthening commitment to change, follow through strategies
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building motivation for change (MET program phase 1)
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reframe as partner concerned & worried
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strengthening commitment to change (MET program phase 2)
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developing plan; consequences of action & inaction; change plan work sheet; emphasizing abstinence
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follow through strategies (MET program phase 3)
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review progress; renew motivation; redo commitment
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evaluation: scientific basis
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effective w/alcohol abuse & other disorders; meta-analysis showed equal effect on physiological & psych conditions
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strengths
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stages of change; cost-effective; readily adaptable & effective for variety of settings, physical & mental health problems & types of practitioners; MI could be helpful as pretreatment
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weaknesses
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stages of change (stage-based interventions not always + results; 2 phases fit data better; effectiveness affected by whether client is ambivalent about change & which change methods are proposed; not enough longitudinal studies)
