48 In addition to this technique is used to align with the customer. An example of how to get to the site is the customer: I know I made a mistake, but the tires they up are getting ridiculous. “You may be at your limit and you can`t keep up with all of this.” Module IV 71 While this runs counter to the belief of some clinicians that clients should be persuaded to self-identify, the approach adopted in the “Big Book of Alcoholics Anonymous” (AA) is that there is no marking to be imposed (AA, 1976). Rather, it is a personal decision of each. 39 Summary A Style… a type of interaction with customers. The goal is to resolve the customer`s ambivalence and lead them in the direction of positive change. Target and solution-oriented. Contains techniques to obtain “Change Talk” and “Sustain Talk.” Module IV 72 A way I feel with African-American clients is first of all to be a real person (not just a consultant or clinician). The client can start the relationship and ask questions about you, the person, not the professional, trying to find you in the world. It is as if the client`s internal dialogue said: “When you try to understand me, what paths, perspectives, life experiences and values do you come to this understanding of me?” The typical questions that my African-American clients have asked me are those who have drug abuse disorders, who are generally aware of the dangers of their substance use behaviour, but who continue to use substances. They may want to stop using substances, but at the same time, they do not want them. They go into treatment programs, but say their problems are not as serious.
These different feelings can be characterized as ambivalence, and they are natural, regardless of the customer`s availability. It is important to understand and accept your client`s ambivalence, as ambivalence is often the central problem – and lack of motivation can be a manifestation of that ambivalence (Miller and Rollnick, 1991). If you interpret ambivalence as a refusal or resistance, there is a tendency to have friction between you and your client. The clinician practices a motivating interview with five general principles in mind: motivational interviews are a way to be with a client, not just a series of consulting techniques. Miller and Rollnick, 1991 Figure 3-4 shows how a self-motivating statement can be distinguished from a countermotive statement. You can reinforce your client`s self-motivated statements by reflecting them, nodding or making expressions of agreement and making confirming statements. Encourage customers to explore the possibility of change. This can be done through a development request, explicit examples or other details of the remaining concerns. Questions that start with “what else” are effective ways to invite another reinforcement. Sometimes it helps to ask clients to identify the extremes of the problem (z.B.
“What are you most worried about?”) helps to increase their motivation. Another effective approach is to ask customers to imagine what they want for the future. From there, customers may be able to begin to set specific goals. 52 Agreement with a Twist customer: I know I made a mistake, but the tires they up are getting ridiculous. Adviser: “You are frustrated by all these expectations. Are you also concerned about success? Module IV 71 For many traditional Indian groups, empathy begins with introduction.