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Essential Elements of Motivational Interviewing

Jennifer Stone, PT, DPT, OCS, PHC

May 1, 2023

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Question

What are the essential elements of motivational interviewing?

Answer

The four essential elements of motivational interviewing are partnership, acceptance, compassion, and evocation. 

Partnership includes:

  • Viewing the client as an active partner 
  • Embracing and respecting clients' expertise on:
    • Themselves
    • Their histories
    • Their prior efforts to change
  • Actively elicit the client's hopes and goals
  • Creating a positive environment where change is possible.

Acceptance includes:

  • Elements of Partnership and moves beyond with four domains
    • Absolute worth
    • Autonomy
    • Accurate empathy
    • Affirmation

If we accept clients where they are, they are less defensive and more open to the possibility of change

Compassion includes: 

  • Extending beyond the definition of experiencing caring and concern for another's suffering
  • Includes working on behalf of the client's welfare

Evocation includes: 

  • Drawing out ideas and solutions from within the client
  • Evoking reasons and potential methods for changing
  • Offering ideas for the clients' consideration
  • Acknowledging there are multiple ways to enact change and motivation.


jennifer stone

Jennifer Stone, PT, DPT, OCS, PHC

Jennifer Stone is a physical therapist and educator who lives in Columbia, MO. She is the program director for Evidence In Motion’s Pelvic Health Certificate and a member of the Evidence In Motion Faculty Experience team. She treats patients in a hospital-based outpatient clinic, where her caseload is primarily made of pelvic health diagnoses of all types. Jennifer loves combining her knowledge of orthopedics, pain science, and pelvic health and helping others do the same. In her free time, she enjoys spending time with her five children outside, gardening, and knitting lace.

 


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