PCI: Motivational Interviewing (MI) with Brian Bosari, PhD-Motivational Interviewing Video: Dr. Borsari

Video Transcription

Video Summary

In this video, Dr. Brian Borsari from the University of California, San Francisco discusses the principles of motivational interviewing (MI) for addiction psychiatry. He covers the four processes of MI: engaging, focusing, evoking, and planning, and emphasizes the use of open-ended questions, affirmations, reflections, and summaries in MI sessions. Dr. Borsari also highlights the importance of listening for and reinforcing change talk while acknowledging sustained talk. He shares strategies for using MI in different settings, such as hospitals, and addresses the concept of rolling with resistance. The video aims to provide intensive psychotherapy training for addiction psychiatry fellows and faculty.<br /><br />The conversation in the video focuses on the effectiveness of MI techniques in various situations. The speaker emphasizes the importance of using MI to reduce tension and avoid resistance. During the evocation stage of MI, individuals are encouraged to wrestle with themselves rather than with the clinician. The speaker suggests setting a conversation structure but not telling individuals what to do unless explicitly asked. The difference between affirmation and praise is explained, with affirmation being more specific and honoring intrinsic strengths or behavior. Establishing areas of strength, even in difficult cases, is emphasized, and MI targets changeable behaviors for ambivalent individuals. A success story involving a veteran quitting smoking due to a change in perspective is shared. The role of curiosity within MI and its focus on target behavior is discussed.<br /><br />Overall, the video provides an overview of MI principles, techniques, and their application in addiction psychiatry, while also providing insights into effectively using MI techniques in different therapeutic situations.

Keywords

motivational interviewing

addiction psychiatry

change talk

sustained talk

open-ended questions

affirmations

reflections

summaries

rolling with resistance

evoking

planning stage

behavior change

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