Motivational Interviewing: A Bad Example (Presenter: Alan Lyme)
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- เผยแพร่เมื่อ 10 ก.ค. 2013
- Scenario A
Alan Lyme, LISW, MAC, brings respected and innovative clinical and program management skills as the Director of Training for the Phoenix Center in Greenville, South Carolina. Alan has been an active member of MINT (Motivational Interviewing Network of Trainers) since 2004, is an Internationally Certified Clinical Supervisor, a Master Addictions Counselor, and a Leadership Challenge Workshop Certified Master in Training. He is concurrently the trainer for the University of South Carolina’s SBIRT grant, as he has been for several SBIRT grants since 2009. He can be contacted at alanlyme@gmail.com
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The woman is a damn good actor
😄, She is.
"You can tell him whatever you want."
"Okay, thanks."
Brilliant.
Instablaster.
"I imagine your glass is bigger at home" LOL
I’m in a substance-abuse counselor program right now, and we are going over motivational interviewing, although I am pretty familiar with it already from my past work in the mental health field, it is always good to see examples of what not to do. I can’t lie though, this was hilarious. I love TH-cam man Aha.
LOL "I'll tell him that you were reasonably compliant" lolol
These videos are really helpful. I realize this is a dramatized example, but the difference between approaches is clear. This looks more like a talk you would have with the pharmacy tech getting your prescription.
"most people have tumblers" >___<
this was funny but educational too. thanks guys
Thanks for watching, Zhanna!
This is a good example of bad interviewing great job
wow this gave me anxiety just watching him speak to her!
SAME
Nah cuz the way that this was literally how my first psychiatrist was- 😭
Wow, yep, definitely confrontational approach, check out her body language! She'll be going elsewhere, and probably drinking more after this! This is clearly the what not to do, and the other example showed much more promise! Thanks!
I love it! Mr. Lyme is actually my mentor!
I just had two workshops on MI and this is such a fantastic example of how the instructor told us what 'bad' MI would look like (and bad therapy and counseling in general). Thanks for uploading.
Glad it was helpful!
HAHA this is like role playing in class with other students
"a professional like me" Ha ha ha
Very interesting and it gives a good example of bad interviewing
wow these are so great!
I had a laugh out of this
Oh, ouch. "'l'll tell the doctor you came in and were reasonably compliant." I do love the patient's reaction here. ""You can tell him whatever you want." Unspoken clause at end, "because I sure in hell ain't going to see him or especially YOU again. And right now my anxiety is so high, I will splurge on one of those more expensive bottles of wine and down ost of it before dinner." Certainly a great example of how NOT to motivate.
How did those two act that with a straight face? LOL. "Most people have tumblers I imagine...."
Just watched the good and now the bad!! Bad!! thanks
+Rosie Kaplan Thanks for watching!
This actually made my laugh. When I was younger, I had bad social skills, but not his bad😅
This was used for my social work class. Hilarious.
I laughed through this entire video. Comedy and I learned what not to do with MI. Win-win.
It looked like she was about to start laughing at times. I had to laugh because of what he said. She's like, "No, I don't I have a problem, but whatever." LOL
Exactly lmao
This the typical approach by the doctors in Ontario. The only difference is that they would have prescribed her the medication anyway. After giving her the prescription, they would have said something like, “we strongly recommend that you don’t drink when you take these “ and then forget that they prescribed them.
This is a hilariously good example.
Lol. I was about to comment the same thing. It's completely hilarious.
Oh no haha no questions at all since I don't plan on coming back here!!
this -wrong- example had me chuckling and groaning. This demonstrates how most families do 'interventions' and wonder why "it doesn't work". Amazing how demonstrating how not-to-do something explains how much MI skills and practice are so needed in practices as well as personal settings. Thx
LOL I had a good laugh from this
Comedy gold!
I am hearing listening and thinking what is this man doing. Then I re read the heading 😅
Great example of how not to do it. Very useful to me
hahaha brutal....
Your therapist is fired lol!
It's just like interrogating the client.
"Bad" motivational interviewing can indeed come across that way! Ideally, motivational interviewing should be a conversation where the patient feels understood and learns more about their own motivations.
lol, reasonably complient. Let me guess she went home and drank the bottle after this session.
Hahahaha............. sorry .poor lady!! He imagines that if he opens her cupboard, he'd find tumblers ..LOL. Bad interview on the counselor's part.
It’s a mock session for educational purposes, thank goodness!
What a great performance, how to upset your client and lose your job in 3 minutes. You drink too much. Me?
LMFAO
LOL
Yikes.
lol arguing even...big no no in counselling
Ugh, who did 90% of the talking?... He talked 'at' her no less.... Sure was painful to watch but useful to witness awful examples.
cringe
MI:
1. Made patient feel safe and not judged, thus leading to increased trust and honesty between professional and patient
2. Professional showed concern for patient without making a huge deal out of it and scaring her, and gently spoke to her about her problematic behavior and potential solutions. He gently explains the sheet and what is wrong with her answers, and what she is doing wrong
3. He does not blame her, using words such as ‘stress’ instead of ‘alcoholic’ or ‘junky’ or ‘addict’.
4. He tries to understand her and make her understand herself by asking open ended questions that will create introspection in patient.
Not MI:
This video was funny.
1. He uses an abrupt, rushed and rude tone, as opposed to his calm, caring, patient demeanor in the MI video. He speaks to her and stares at her in a judgmental, condescending way.
2. He is condescending as a whole, judgmental and unhelpful, looking uninterested and saying “a professional like myself”.
3. He triggers immediate defensiveness in her by immediately pointing out her problems without getting to know her or understand her at all. He sees the worst case scenario, and instead of treating it as an ‘intervention’ as it is, which is a concerned interaction between two people, he treats her in ways professionals are taught not to behave, for example indirectly implying/referring to her as addict, problematic, alcoholic, etc. He is scaring her away from early intervention treatment. He is making assumptions about her.
4. Over and over he reminds her that she is going well over the limit. He says “I cannot promise you a prescription even if you stop.” Which is rude and dehumanizing. His only help is demeaning her and giving her a pamphlet, when in reality he should be doing more and encouraging her more.
5. This client will leave more defensive and in denial rather than seeking help or being honest again.