How To Enhance Your Life - Dean Amory

Hereafter he arrives in the action phase. In this phase he will literally change his
behaviour and will decide in which way this happens.
In the consolidation phase the behaviour will be made sustainable.
The last phase is the decline. In this phase people backslide into their old pattern
whereby they will go through the process again. (Schoofs, 2008)
When there is resistance, we need to be alert so we will react correctly. This is made possible by a
simple reflection, a strong reflection (reflect an exaggerated form of what the client says) or a two
sided reflection (report the ambivalence). We can also change the focus, express otherwise (see
information in a new light) and accentuate freedom of choice and self control whit the client.
(Miller & Rollnick, 2005)
Focus points
These include certain elements which one must take into consideration.
Restricted disease awareness and dementia result in the client not always
understanding what one means. With these people a step by step approach is
recommended so that not too much resistance develops .
Transmission and contra transmission must be taken into consideration so that a good relationship
can develop.
Medication results in unpleasant complications, the client must be understood if he
experiences problems.
Basic attitude must be integrated so that the client can experience the motivating
interviewing more quickly and so that it ‘s easier to apply. Thus it is the task of the
colleges to apply motivating interviewing continually.
Practical study
I start with the client by taking an assessment, URICA (University Rhode Island
Change Assessment). It measures the intrinsic willingness to change. By this test one can also
deduce in which phase the client finds them self according to the phase model of Prochaska and
Diclemente. As a result of this assessment I gain a better understanding of the client and their
problem.
After this I conduct various other sessions so that I can achieve intrinsic motivation
step by step. The sessions are conducted with material so that the client is more easily able to
speak about their problems and feelings. The sessions are insightfully organized and are therefore
very demanding for the client. After this a discussion occurs so that one can go deeper into the
matters raised by the client.
I conduct six sessions in total, each session has a different goal. I work around the
cultivation of trust, round coping or how someone deals with the events, round the
creation of language change by formulating wishes and round situations where the
client is little or much influenced. I lead the client on a journey of self discovery and
confront him with himself by getting others to write down his characteristics. After four sessions a
retest of the URICA follows to see if there is a marked evolution and to see what problems they are
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