Change Talk in Motivational Interviewing
In the sixth episode of Talking to Change: A Motivational Interviewing Podcast, Glenn Hinds and Sebastian Kaplan welcome Theresa Moyers, PhD, to explore change talk in Motivational Interviewing and why client language matters in conversations about change. Terri draws on her extensive experience as a clinician and researcher in the treatment of addictive behaviours.
Change talk refers to a person’s own language in favour of change. Rather than supplying arguments for change, an MI practitioner listens for and responds to the person’s own motivations, values, concerns and intentions. The episode explores why this language matters, how it may develop during a conversation and the practitioner’s role in creating conditions in which it can emerge.
The discussion also examines sustain talk, the language that favours maintaining the status quo. Terri considers the relationship between change talk, sustain talk and behaviour, as well as the importance of empathy and reflective listening when responding to client language.
The following episode index highlights the main topics discussed:
In this episode
0:00 – Opening/introduction
2:00 – What is change talk and why does it matter?
14:30 – Desire talk
16:30 – Sustain talk
19:00 – Other elements of change talking
23:30 – Is change talking all about behaviour?
27:00 – Change talking: Smoke or fire?
34:00 – Talking one’s self into change
37:00 – The clinician as influencer: “The waitress test”
45:00 – Client language within an empathic relationship and reflective listening
55:00 – Learning and developing Motivational Interviewing
59:00 – What’s on your mind lately? Dog training
Listen to Episode 6: Change Talk
For questions or suggestions about Talking to Change, contact Glenn Hinds and Sebastian Kaplan.
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