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Why focus .pptx

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Sabir Abdulrahman

The document discusses different approaches to focusing in motivational interviewing. There are three potential sources of focus: the client, the setting or context, and the clinician's expertise. There are also three styles of focusing - directing, where the clinician determines focus; following, where the focus follows the client's agenda; and guiding, a collaborative approach between client and clinician. Focusing is a process that involves finding achievable goals to provide direction, and can take different forms depending on the various agendas involved.

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Motivational interviewing Why focus? Prepared by :Sabir Abdulrahman
Focusing The focusing process within MI is about finding that direction and within it more specific achievable goals. This naturally blends into evoking and planning to explore specific ways for moving in that direction. It involves navigating these often tricky waters to find and maintain a clear direction. If you don¡¯t know where you are going, any road will get you there. ¡ªLEWIS CARROLL
Three source of focus With varying agenda present, there are different possible sources from which to derive focus and direction.
The client The most common source of direction is from the client him- or herself,If the provider is comfortable and competent to provide the help requested then there is a natural match of guide and traveler. This does not mean that the journey is necessarily easy, only that there is a shared beginning agreement about direction.
The setting The direction of service can also be focused by the setting itself. The agency is funded to address specific issues and provide certain services.
Clinical expertise A third potential source of focus is the clinician. Quite commonly, people will seek services with one goal in mind, and in the course of consultation the clinician working with them
Three styles of focusing With all of these agenda present from client, context, and clinician, how do you identify a focus or direction?
Directing In a directing approach, the provider determines the focus, rooted in his or her own agenda or that of the agency. There are certainly circumstances in which a directing style is appropriate in establishing a focus, but as a default approach for promoting client change it has serious limitations (Rollnick et al., 2008).
Following In a following style of focusing you try to understand the client¡¯s agenda and do your best to allow the direction, momentum, and content of the conversation to follow accordingly A following style can enhance engagement, which is itself a therapeutic process.
Guiding Guiding Midway between directing and following sits a guiding style. Guiding promotes a collaborative search for direction, a meeting of expertise in which the focus of treatment is negotiated. The client¡¯s agenda are important, and any limitations inherent in the context are taken into account. The clinician¡¯s expertise is also a possible source of goals. The focusing process of MI commonly starts in this middle ground between directing and following, where the focus, momentum, and content are mutually forged
Conversation, not transaction Focusing in motivational interviewing is not like buying salt or seeing a doctor about an infected toe, where the choices are few, the challenge is clear, and a transaction takes place. Conversations about change are not like this; the relationship is important, aspirations vary and fluctuate, and choices are made about large and small conversation streams that you could go down.
Key points The process of focusing involves finding one or more specific goals or intended outcomes that provide direction for consultation. Focus can arise from the client, the context, or the clinician. The general counseling styles of directing, guiding, and following also describe three approaches to focusing. Sometimes there is a clear single focus, sometimes there are several possible topics, and sometimes the focus is quite unclear and exploration is needed.
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Why focus .pptx

  • 2. Focusing The focusing process within MI is about finding that direction and within it more specific achievable goals. This naturally blends into evoking and planning to explore specific ways for moving in that direction. It involves navigating these often tricky waters to find and maintain a clear direction. If you don¡¯t know where you are going, any road will get you there. ¡ªLEWIS CARROLL
  • 3. Three source of focus With varying agenda present, there are different possible sources from which to derive focus and direction.
  • 4. The client The most common source of direction is from the client him- or herself,If the provider is comfortable and competent to provide the help requested then there is a natural match of guide and traveler. This does not mean that the journey is necessarily easy, only that there is a shared beginning agreement about direction.
  • 5. The setting The direction of service can also be focused by the setting itself. The agency is funded to address specific issues and provide certain services.
  • 6. Clinical expertise A third potential source of focus is the clinician. Quite commonly, people will seek services with one goal in mind, and in the course of consultation the clinician working with them
  • 7. Three styles of focusing With all of these agenda present from client, context, and clinician, how do you identify a focus or direction?
  • 8. Directing In a directing approach, the provider determines the focus, rooted in his or her own agenda or that of the agency. There are certainly circumstances in which a directing style is appropriate in establishing a focus, but as a default approach for promoting client change it has serious limitations (Rollnick et al., 2008).
  • 9. Following In a following style of focusing you try to understand the client¡¯s agenda and do your best to allow the direction, momentum, and content of the conversation to follow accordingly A following style can enhance engagement, which is itself a therapeutic process.
  • 10. Guiding Guiding Midway between directing and following sits a guiding style. Guiding promotes a collaborative search for direction, a meeting of expertise in which the focus of treatment is negotiated. The client¡¯s agenda are important, and any limitations inherent in the context are taken into account. The clinician¡¯s expertise is also a possible source of goals. The focusing process of MI commonly starts in this middle ground between directing and following, where the focus, momentum, and content are mutually forged
  • 11. Conversation, not transaction Focusing in motivational interviewing is not like buying salt or seeing a doctor about an infected toe, where the choices are few, the challenge is clear, and a transaction takes place. Conversations about change are not like this; the relationship is important, aspirations vary and fluctuate, and choices are made about large and small conversation streams that you could go down.
  • 12. Key points The process of focusing involves finding one or more specific goals or intended outcomes that provide direction for consultation. Focus can arise from the client, the context, or the clinician. The general counseling styles of directing, guiding, and following also describe three approaches to focusing. Sometimes there is a clear single focus, sometimes there are several possible topics, and sometimes the focus is quite unclear and exploration is needed.