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Fundamentals of Motivational Interviewing

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Spirit of MI

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Describes the collaborative, respectful, and compassionate way of being that is the foundation of MI, emphasizing partnership and empowerment rather than a top-down approach.

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OARS

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An acronym for the core interviewing skills in MI: Open-ended questions, Affirmations, Reflective listening, and Summarizing. These skills facilitate understanding and encourage clients to express themselves.

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Change Talk

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Refers to the client's expressions of desire, ability, reasons, and need for change. It indicates movement toward behavior change and is reinforced in MI.

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Righting Reflex

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The tendency of healthcare professionals to correct clients' problems and behaviors, which can lead to resistance. MI encourages practitioners to avoid this reflex and support clients' autonomy.

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Resistance

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In MI, resistance is seen as a signal that the client perceives a lack of empathy or feels that their autonomy is being challenged. MI approaches suggest adjusting strategies to work with the client collaboratively.

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Discrepancy

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MI involves helping clients see the differences between their current behaviors and their broader life values and goals, increasing their motivation to change.

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Roll with Resistance

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A technique in MI where counselors avoid arguing or opposing resistance, instead using it as an opportunity to understand the client's perspective and invite further exploration of their views.

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Elicit-Provide-Elicit

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An MI technique for providing information or advice. The counselor first elicits the client's knowledge or preferences, provides new information, then elicits the client's response to this information.

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