I periodically get the question, “Do you use Motivational Interviewing all of the time?”
Yes, and no.
Let’s break it down.
The simplest definition of MI, as cited in the Miller & Rollnick 3rd Edition book:
Then here is a more thorough definition from the same book:
Whew! That one second one is a mouthful!
So what does that look like operationally?
It means “being” with clients in the foundational spirit of Motivational Interviewing, while using OARS skills to ‘row’ toward a specific desired change.
So can you use it all of the time?
Yes, and no.
Yes: We can ALWAYS strive for the spirit of MI. Compassion. Unconditional positive regard. Acceptance. Partnership. Evocation. Curiosity.
Yes: The OARS skills can be used in just about every single human interaction. Simply put, they are great communication skills. Open Ended questions invite others to share more. Affirmations help others recognize their inherent strengths, skills, efforts, intentions, abilities. Reflections help others feel deeply listened to, and can guide conversation in new directions. Summaries help others feel we are listening, track conversation, focus topics and guide conversation.
Here’s where the “No” comes in.
Motivational Interviewing is a guiding conversation. We use MI when there is a specific change goal in mind. We use MI to guide the conversation in a particular direction to help someone resolve ambivalence and begin moving toward change.
We aren’t always doing this when we are talking with someone! Think about it! There are times when the following style of communication is called for. Times where directing is appropriate.
Motivational Interviewing is a guiding style of communication.
Motivational Interviewing Tip of The Week: Consider what element of MI you are engaging with. Is it the Spirit of MI: Compassion, acceptance, partnership, evocation? Are you utilizing the OARS skills? Are you honed in on a specific change goal with someone and eliciting their motivation for change around it? You are using MI if it is all of the above!
Sincerely,
Hillary Bolter, MSW, LCSW, LCAS
Member, Motivational Interviewing Network of Trainers
P. S. I also turn most of these blog posts into YouTube videos as well! I also have a free private Facebook group where I post regular tips and resources, and you can ask questions and make comments. I invite you to join! You are welcome to share any of my posts on your own social media pages or with colleagues. I’m also on Instagram!
