198 fectiveness trial of stepped collaborative care for acutely injured trauma survivors. Archives of General Psychiatry, 61(5), 498–506. PEREKOND / SUHTED Cordova, J. V., Scott, R. G., Dorian, M., Mirgain, S., Yeager, D., & Groot, A. (2005). The marriage checkup: An indicated preventive intervention for treatment-avoidant couples at risk for marital deterioration. Behavior Therapy, 36, 301–309. Kelly, A. B., Halford, W. K., & Young, R. M. (2000). Maritally distressed women with alcohol problems: The impact of a short-term alcohol-focused intervention on drinking behaviour and marital satisfaction. Addiction, 95, 1537–1549. Naar-King, S., Wright, K., Parsons, J. T., Frey, M., Templin, T., Lam, P., et al. (2006). Healthy choices: Motivational enhancement therapy for health risk behaviors in HIV-positive youth. AIDS Education and Prevention, 18, 1–11. O’Leary, C. C. (2001). The early childhood family check-up: A brief intervention for at-risk families with preschool-aged children. Unpublished doctoral dissertation. Rao, S. O. (1999). The short-term impact of the family check-up: A brief motivational intervention for atrisk families. Unpublished doctoral dissertation. Slavert, J. D., Stein, L. A. R., Klein, J. L., Colby, S. M., Barnett, N. P., & Monti, P. M. (2005). Piloting the family check-up with incarcerated adolescents and their parents. Psychological Services, 2, 123–132. Uebelacker, L. A., Hecht, J., & Miller, I. W. (2006). The family check-up: A pilot study of a brief intervention to improve family functioning in adults. Family Process, 45, 223– 236. HASARTMÄNGUD Hodgins, D. C., Currie, S. R., & el-Guebaly, N. (2001). Motivational enhancement and selfhelp treatments for problem gambling. Journal of Consulting and Clinical Psychology, 69, 50–57. Hodgins, D. C., Currie, S., el-Guebaly, N., & Peden, N. (2004). Brief motivational treatment for problem gambling: A 24-month follow-up. Psychology of Addictive Behaviors, 18, 293–296. Kuentzel, J. G., Henderson, M. J., Zambo, J. J., Stine, S. M., & Schuster, C. R. (2003). Motivational interviewing and fluoxetine for pathological gambling disorder: A single case study. North American Journal of Psychology, 5(2), 229–248. Wulfert, E., Blanchard, E. B., Freidenberg, B. M., & Martell, R. S. (2006). Retaining pathological gamblers in cognitive behavior therapy through motivational enhancement: A pilot study. Behavior Modification, 30, 315–340. TERVISEDENDUS / LIIKUMINE / VORMISOLEK Bennett, J. A., Lyons, K. S., Winters-Stone, K., Nail, L. M., & Scherer, J. (2007). Motivational interviewing to increase physical activity in long-term cancer survivors: A randomized controlled trial. Nursing Research, 56, 18–27. Brodie, D. A., & Inoue, A. (2005). Motivational interviewing to promote physical activity for people with chronic heart failure. Journal of Advanced Nursing, 50, 518–527. Butterworth, S., Linden, A., McClay, W., & Leo, M. C. (2006). Effect of motivational interviewing–based health coaching on employees’ physical and mental health status. Journal of Occupational Health Psychology, 11, 358–365. Elliot, D. L., Goldberg, L., Duncan, T. E., Kuehl, K. S., & Moe, E. L. (2004). The PHLAME firefighters’ study: Feasibility and findings. American Journal of Health Behavior, 28, 13–23. Elliot, D. L., Goldberg, L., Kuehl, K. S., Moe, E. L., Breger, R. K., & Pickering, M. A. (2007). The PHLAME (Promoting Healthy Lifestyles: Alternative Models’ Effects) firefighter study: Outcomes of two models of behavior change. Journal of Occupational and Environmental Medicine, 49, 204–213. Harland, J., White, M., Drinkwater, C., Chinn, D., Farr, L., & Howel, D. (1999). The Newcastle Exercise
Project: A randomised controlled trial of methods, to promote physical activity in primary care. British Medical Journal, 319, 828–832. Hillsdon, M., Thorogood, N., White, I., & Foster, C. (2002). Advising people to take more exercise is ineffective: A randomised controlled trial of physical activity promotion in primary care. International Journal of Epidemiology, 31, 808–815. Hudec, J. C. (2000). Individual counseling to promote physical activity. Unpublished doctoral dissertation. Kolt, G. S., Oliver, M., Schofield, G. M., Kerse, N., Garrett, N., & Latham, N. K. (2006). An overview and process evaluation of Telewalk: A telephone-based counseling intervention to encourage walking in older adults. Health Promotion International, 21, 201–208. Ludman, E. J., Curry, S. J., Meyer, D., & Taplin, S. H. (1999). Implementation of outreach telephone counseling to promote mammography participation. Health Education and Behavior, 26, 689–702. Moe, E. L., Elliot, D. L., Goldberg, L., Kuehl, K. S., Stevens, V. J., Breger, R. K. R., et al. (2002). Promoting healthy lifestyles: Alternative models’ effects (PHLAME). Health Education Research, 17(5), 586– 596. Thevos, A. K., Kaona, F. A. D., Siajunza, M. T., & Quick, R. E. (2000). Adoption of safe water behaviors in Zambia: Comparing educational and motivational approaches. Education for Health (joint issue with the Annual of Behavioral Sciences and Medical Education), 13, 366–376. Thevos, A. K., Olsen, S. J., Rangel, J. M., Kaona, F. A. D., Tembo, M., & Quick, R. E. (2002– 2003). Social marketing and motivational interviewing as community interventions for safe water behaviors: Follow-up surveys in Zambia. International Quarterly of Community Health Education, 21, 51–65. Thevos, A. K., Quick, R. E., & Yanjuli, V. (2000). Motivational interviewing enhances the adoption of water disinfection practices in Zambia. Health Promotion International, 15, 207–214. Valanis, B., Whitlock, E. E., Mullooly, J., Vogt, T., Smith, S., Chen, C. H., et al. (2003). Screening rarely screened women: Time-to-service and 24-month outcomes of tailored interventions. Preventive Medicine, 37(5), 442–450. Valanis, B. G., Glasgow, R. E., Mullooly, J., Vogt, T. M., Whitlock, E. P., Boles, S. M., et al. (2002). Screening HMO women overdue for both mammograms and Pap tests. Preventive Medicine, 34, 40–50. van Vilsteren, M. C., de Greef, M. H. G., & Huisman, R. M. (2005). The effects of a low-to-moderate intensity pre-conditioning exercise programme linked with exercise counselling for sedentary haemodialysis patients in the Netherlands: A randomized clinical trial. Nephrology Dialysis Transplantation, 20, 141–146. Wilhelm, S. L., Stepans, M. B., Hertzog, M., Rodehorst, T. K., & Gardner, P. (2006). Motivational interviewing to promote sustained breastfeeding. Journal of Obstetrical, Gynecological, and Neonatal Nursing, 35, 340–348. HIV / AIDS Aharonovich, E., Hartzenbuehler, M. L., Johnston, B., O’Leary, A., Morgenstern, J., Wainberg, M. L., et al. (2006). A low-cost, sustainable intervention for drinking reduction in the HIV primary care settings. AIDS Care: Psychological and Socio-Medical Aspects of AIDS/HIV, 18, 561–568. Baker, A., Heather, N., Wodak, A., Dixon, J., & Holt, P. (1993). Evaluation of a cognitive behavioral intervention for HIV prevention among injecting drug users. AIDS, 7, 247– 256. Carey, M. P., Braaten, L. S., Maisto, S. A., Gleason, J. R., Forsyth, A. D., Durant, L. E., et al. (2000). Using information, motivational enhancement, and skills training to reduce the risk of HIV infection for low-income urban women: A second randomized clinical trial. Health Psychology, 19, 3–11. Carey, M. P., Maisto, S. A., Kalichman, S. C., Forsyth, A. D., Wright, E. M., & Johnson, B. T. (1997). Using information, motivational enhancement, and skill training to reduce the risk of HIV infection for low-income urban women: A second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65, 531–541. Dilorio, C., Resnicow, K., McDonnell, M., Soet, J., McCarty, F., & Yeager, K. (2003). Using motivational interviewing to promote adherence to antiretroviral medications: A pilot study. Journal of the Association of Nurses in AIDS Care, 14(2), 52–62. 199
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STEPHEN ROLLNICK WILLIAM R. MILLER
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MOTIVEERIVA INTERVJUEERIMISE RAKEND
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Minu kallile isale, Julianile. Tän
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Eessõna See raamat on mõeldud kõ
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ja probleemseid valdkondi. Selleks
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Tänuavaldused Tunnustame südamlik
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III OSA PANEME PILDI KOKKU 7 Oskust
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1. PEATÜKK MOTIVEERIV INTERVJUEERI
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näolisemalt järelkontrollil, soos
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ning muutusteks vajalikke kaalutlus
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Tihti, kui mitte valdaval enamikul
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2. PEATÜKK KUIDAS MOTIVEERIV INTER
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Pigem püüate olla talle heaks kaa
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sõltub teie otsustest, tegevusest
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avi kui ka korralduse vallas, ilmne
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KOLM PÕHILIST SUHTLEMISOSKUST Küs
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Joonis 2.2 kirjeldab kõikide oskus
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ARST: Küll läheb aja jooksul pare
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läheb kogu aeg hullemaks. ARST: Se
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teeb mind murelikuks. [teavitamine]
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kokku ja patsient nõustub järelko
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3. PEATÜKK MOTIVEERIVA INTERVJUEER
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„Liikumine ja kaalukaotus vähend
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TABEL 3.1. Kuus muutustejutu tüüp
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Näiteks kujutage ette inimest, kel
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dame veelkord, et muutustejutu neli
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KOKKUVÕTE 1. peatükis võtsime ko
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„Kas te olete järjepidevalt võt
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ARST: On hea, et teil on abikaasa,
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et neid kuulatakse. 5. „Rääkige
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KÜSIMINE MI-S Kogenud jalgpallitre
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Me kasutame mõistet „sihi seadmi
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vesteldes tema valitud teemal (näi
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Carlosest, kes juhtis oma tütre j
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veenduda, et suunate oma energia t
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jätkamisega. Kui olete patsiendi e
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5. PEATÜKK KUULAMINE Ammu enne tea
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Üks levinuim konsultatsioone puudu
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ahela põhjal, tuleb teil ilmselt e
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kuulata, peab tervishoiutöötaja s
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teie seda otsust minu eest nagunii
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ARST: Kõrge kontsaga, kõrgemad ku
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Minut kuulamist on andnud tulemusek
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kõrvaklappide pähe panek tülikas
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kimpe neile pidevalt tagasi. Eriti
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6. PEATÜKK TEAVITAMINE Teavitamine
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Suhte piires töötamine Edukas suh
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Esitage teavet hoolikalt Esitage s
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neid millegipärast hoolikamalt kuu
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kodus. Olge kuuma veega ettevaatlik
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seisneb teie enda hoiakus. Kängi-k
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PRAKTILISED NÄITED Siinkohal toome
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ARST: See kõlab nagu võimalus. Ka
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ARST: Niisiis, mida sa soovid oma a
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Lootusesõnum 60 sekundiga* Igapäe
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III OSA PANEME PILDI KOKKU
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LOOVAD KOMBINATSIOONID Keegi ei kas
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panna. [teavitamine] Te otsustasite
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käitumismuutus võib lõppkokkuvõ
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126 „Ei,” ütles ta. Ei! Ei? Pa
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8. PEATÜKK JUHENDAVA STIILI NÄIDI
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PATSIENT: See on raske. Ilma naljat
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PATSIENT: Ma arvan, et teil on mõn
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ARST: Hästi! Nii et tavaliselt te
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136 kümneni, kus üks tähendab, e
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alkoholi tarvitamise vähendamine.
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ARST: See on praegu teie esmane huv
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PATSIENT: Ma mõtlesin sellest haig
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144 alustada. Te soovite ka rohkem
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puhul, siis pole enam vaja igale te
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