Malta Something Totally Random

Saturday: Workshop 1

Motivational interviewing
Saturday, February 11 2023

Speaker: Eva Bos is an experienced trainer and graduate trainer-psychologist. After two bachelors in social psychology and clinical neuropsychology, she graduated with the master's degree in Training and Development where she specialized in providing and developing training in professional interviewing. In recent years, Eva has specialized in Motivational Interviewing and she has been a member of the MINT network since 2018. Eva in five words: touching, humorous, inspired, incisive and open and she also conveys these qualities in her trainings.

Content: Motivational Interviewing was developed in America from 1980 by Prof. W.R. Miller and Prof. S. Rollnick. As a new treatment method for problem drinkers, where change was hindered by a lack of motivation. Motivational Interviewing focused on eliciting and increasing intrinsic motivation. The attitude was also different: not authoritarian, but cooperative and supportive. With great results.
Motivational Interviewing is widely applicable. Since the 1990s, Motivational Interviewing has also been experimented with in other areas. Especially in situations where changing long-term habitual behavior and self-management were the goals, Motivational Interviewing proved to be effective. It is now widely used in health care due to the increasing importance of self-management.
Mainly because of its measurable results, Motivational Interviewing is rapidly gaining popularity in the Netherlands. The effectiveness of this method has been substantiated through various (inter)national scientific studies. Because of these results and the enthusiastic and positive experiences from the field, the method is rapidly being applied in more and more settings.

Basic attitude
MI starts from a basic attitude (spirit). Mastery of MI conversation techniques alone, does not in itself automatically lead to an MI conversation. The basic attitude is fundamental and consists of four elements:
I. Collaboration (partnership): The client and professional work together as partners. The professional brings content expertise, the client knowledge of himself, his circumstances and his previous attempts to change.
II. Eliciting: The change objective (focus), reasons for change, the change plan and hope are elicited from the client - not imposed.
III. Accept (acceptance): The client is accepted as he is, creating space in which he can become who he wants to be. His autonomy is respected and supported. When recognition is given that the client has the right not to change, space for change often arises.
IV. Compassion: The well-being of the other is consciously put first. When working from the basic attitude of MGV, a professional has more of a guiding role, rather than that of driver or silent co-driver.

MI consists of four sub-processes that can take place sequentially, repeatedly or simultaneously.
I. Building and maintaining relationships
II. Focusing - choosing direction
III. Eliciting
IV. Plan
The processes are like steps; each process rests on the previous step. Thus, processes are never finished: they carry the next step(s). In an MI conversation, you are dancing up (and sometimes down) the steps:
- without a good working relationship you won't make much progress
- eliciting change language is only possible if there is a focus - an intended change
- planning only makes sense if motivation and trust are sufficient - often these will have to be elicited
Sometimes you have to go down the stairs again because a process requires renewed attention.