Conversations to Enhance Motivation

What is Motivational Interviewing (MI)?

As previously stated, autonomy-supportive teaching and coaching are characterized by empathy, nonjudgment, use of non-controlling language, and encouragement. One powerful approach to cultivating this type of working alliance is known as Motivational Interviewing (MI).

Motivational Interviewing is defined as “a collaborative, goal-oriented style of communication with particular attention to the language of change. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change [emphasis added] within an atmosphere of acceptance and compassion (MINT, 2017).” In other words, this approach is about constructing conversations so that individuals “…talk themselves into change, based on their own values and interests (Miller and Rollnick, 2013).”

When to Use MI?

Motivational Interviewing is particularly useful when any of the following conditions are present (MINT, 2017):

Motivational Interviewing acknowledges that many of us often experience uncertainty, ambivalence, a lack of confidence, and low desire. This approach is contrary to the control-oriented, autonomy-hindering conditions commonly found in many modern school settings. The purpose of MI is not to force or trick others into doing what we expect or desire. It is about trusting that individuals want good things for themselves and helping them achieve those outcomes.

Interestingly, behavior change can occur quickly when individuals are given the right social support. MI can be implemented during brief informal conversations or longer, formal coaching sessions: “In fact, the average amount of time MI is used in research projects is 1 to 4 sessions for 15 minutes each (North, 2017, p. 13).”

Principles of MI

The following four principles of MI (Gold & Kokotailo, 2007) characterize what is known as “the spirit of MI”:

Demonstrate Empathy ____________________________

(Not “finger-wagging”)

Develop Discrepancy ___________________________

Highlight “inconsistencies between current status and important goals or between current behavior and important values"

Roll with Resistance 

____________________________

Recognize and respond to signs of resistance or discord in coaching conversations (e.g., arguing, interrupting, denying there is a problem, ignoring the coach, missing appointments, presenting tardy for an appointment, failing to complete agreed upon tasks, or overt compliance with covert defiance) using autonomy-supportive language

Support Self-Efficacy

____________________________

Communicate optimism, knowing that change occurs when there is recognition of a problem and belief in one’s ability to change

OARS

The basic interaction techniques and skills that are used early and often in MI are open questions, affirmations, reflective listening, and summary reflections, known as OARS (Rosengren, 2009):

Additional descriptions, recommendations, and examples of these interactions are provided below.


Open Questions

Examples of open questions include (Rosengren, pp. 59-61):

Additional questions: 

Affirmations

Affirmations should be positively framed (i.e., focus on a strength or attribute, not on the lack of something). Further, affirmations are meant to be a starting point, not an end. After offering an affirmation, educators and coaches can follow-up with a reflection or open-ended question to continue moving the conversation forward.

Other recommendations for offering effective affirmations include (Rosengren, 2009, p. 62):

Examples of affirmations include (Vowell, August 2021):

Reflective Listening

As you will recall, empathy is the ability to understand another person’s feelings, perceptions, and thoughts, and to accurately reflect their perspectives back to them.

“…the key to showing empathy is reflective listening, or responding to students more often with statements than with questions”

(North, 2017, p. 18)

According to MI, one important way to demonstrate empathy is through reflective listening, which demonstrates your attention and understanding during conversations. Two kinds of reflective listening are: simple reflections and complex reflections (Miller and Rollnick, 2013, p. 57).

Simple Reflections

Simple reflections involve repeating a few choice words or ideas verbatim back to the individual. 

Complex Reflections

Complex reflections appeal to what is behind a person’s statements by “making guesses” about what feelings, goals, and values are motivating them in a particular situation.

An educator or coach might use the following statements to indicate an understanding of a student’s specific emotion, goal, or value (North, 2013, pp. 47-52):

It is important to pause after each reflection. Resist the temptation to immediately follow up with a question or offer advice. Allow the student to respond to, elaborate upon, or correct your reflection.  In fact, when implementing MI, educators should generally respond to students more often with these reflective statements rather than a series of questions.

Paradoxically, brief reflective statements that demonstrate understanding can be a more effective linguistic tool than profuse questioning, which communicates interest but may also indicate a lack of understanding or an attempt to shift control of the conversation back to the questioner.

In general, a 2:1 ratio of reflective statements to questions is recommended (North, 2013, pp. 55-56).

When it is necessary to ask questions (and it often is), educators should generally avoid closed-ended questions (i.e., those that can be answered with “Yes” or “No”) as they fail to illuminate the reasons behind the student’s response. Instead, educators should practice asking good open-ended questions, which encourage the student to engage in deeper reflective thinking and elaboration. Educators can use simple reflections, complex reflections, and open-ended questions to help students consider possible effects of behavior change and goal pursuit from many different angles.

Student Autonomy and Asking for Permission

“We all want to feel as if we are in control of our lives. Adolescents, however, love autonomy. It’s one of the driving goals of their developmental stage… Most adolescents, though, feel like they have to fight for control over their lives…”

(North, 2017, p. 58)

One way to counter a student’s resistance in a coaching conversation is through the use of autonomy-affirming language. By simply asking students what they wish to talk about, if they are willing to talk about a particular topic, or if they are willing to listen to the feedback, educators can signal a strong affirmation of students’ autonomy.

Some other examples of autonomy-affirming language include the following statements (North, 2017, p. 60):

When determining the level of autonomy we grant students, however, it’s important to consider age, maturity level, and school policies.

Responding to Sustain Talk and Change Talk

In MI, Sustain Talk refers to language that reflects a person’s intention to maintain the status quo (for continuing to behave in a particular way), whereas Change Talk refers to language that reflects a person’s intention, their reasons, desires, willingness, commitment, and action steps, toward change (North, 2017). As a listener, it can be easy to notice and get caught up in a student’s negative sustain talk. Therefore, educators should be especially mindful of a student’s use of any language that signals reasons, desires, willingness, commitment, and steps to make goal-relevant changes in their life.

It’s important to remember that ambivalence is to be expected and change is rarely sudden or consistent (at first). A student is likely to demonstrate both Sustain Talk and Change Talk in the same conversation (or even the same sentence!). However, the goal is to limit Sustain Talk and grow Change Talk.

Limit Sustain Talk

When a student demonstrates Sustain Talk, you may either ignore it (don’t reinforce it!) or reflect it as simply as possible. You might also try the following techniques (North, 2017, p. 102-105):

Grow Change Talk

To grow Change Talk, educators can draw upon powerful questions, such as (Miller & Rollnick, 2013, p. 84):

Educators may ask students to reflect upon their own deeply held (authentic) values and most important goals and have them further consider how their current behavior may or may not reflect those stated values and beliefs.

Educators can also use Change Rulers, or scaling questions (e.g., “On a scale of 1 to 10 with 1 being not important at all and 10 being the most important thing in the world to you, how important is it to…”), which are based on the idea that change can occur when people believe that change is both important and possible (North, 2017, p. 85). No matter students’ responses (assuming it’s not 1), an educator may ask “Why isn’t it lower?” to elicit the student’s own reasons for change.

As Change Talk emerges, educators should continue to “manifest the evocative spirit of the approach- drawing the solution out of the coachee, rather than jumping in with unasked-for advice,” which helps build students’ confidence and commitment by helping them develop a more concrete plan (who, what, when, and where), including identifying any social support available to them (Anstiss & Passmore, 2012, p. 47).

Finally, the above questions and techniques reflect the belief that most students, like us, want to be well and do good. They want to live with integrity (i.e., experiencing alignment of their authentic values and interests with their external behavior). Motivational Interviewing offers an open, nonjudgmental, non-threatening, and non-controlling conversational style that affirms students’ autonomy, demonstrates belonging, and encourages action.

Reflections on Motivational Interviewing

Interviewee: Christy Matta, MA, is a behavioral health expert, a lecturer at Stanford University, and the author of The Stress Response: How Dialectical Behavioral Therapy Can Free You from Needless Anxiety, Worry, Anger, and Other Symptoms of Stress. 

Specialization: Neurodiversity, high-risk behaviors, Dialectical Behavior Therapy

Interview Topics: