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):
“Ambivalence is high and people are stuck in mixed feelings about change
Confidence is low and people doubt their abilities to change
Desire is low and people are uncertain about whether they want to make a change
Importance is low and the benefits of change and disadvantages of the current situation are unclear”
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):
Open questions invite students to “tell their story” in their own words without leading them in a specific direction.
Affirmations are clear and genuine statements and gestures that recognize students’ strengths and acknowledge behaviors contributing to positive change (no matter how big or small).
Reflective listening involves thinking and speaking reflectively to avoid confusion and breakdowns in communication.
Summary reflections are special applications of reflective listening for collecting and linking information or transitioning in conversations.
Additional descriptions, recommendations, and examples of these interactions are provided below.
Open Questions
Examples of open questions include (Rosengren, pp. 59-61):
“Your dad has some concerns about how things are going for you. What’s your sense of why he thinks this is important?”
“What do you think you will do now?”
“So, how will you proceed?”
“What do you plan on doing tonight?”
“I wonder what it would be like if you decided to stop.” (open statement)
Additional questions:
Why is that important to you?
What would that mean? What would that get you?
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):
Focusing (when possible) on descriptions of a student’s specific concrete positive behaviors (rather than global evaluations of the student);
Avoiding use of the word “I” (this change in pronouns relocates the affirmation from an external point to an internal attribute of the coachee); and
Attending to nonproblem areas and strengths to nurture a competent worldview (rather than only those problem areas contributing to a deficit worldview).
Examples of affirmations include (Vowell, August 2021):
“You’re determined to make changes.”
“Despite your difficulties, you’re still willing to try.”
“You are clearly a very resourceful person.”
“You handled yourself really well in that situation.”
“That’s a good suggestion.”
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):
“You’re feeling…”
“A goal of yours is…”
“It’s important to you that…”
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):
“It’s totally up to you. It’s your life. In the end, you get to decide.”
“If it weren’t up to your parents, your teachers, the principal, or me, and it was just up to you, what would you do?”
“I’m not going to tell you what to do or think. I’m here to help you decide what you want for yourself.”
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):
A double-sided reflection, or intentionally (but in a kind, non-demeaning, and non-threatening way) pointing out contradictions in their thinking and asking them to explain (e.g., “You said you want _____, and you also said/did _____.”), or
Querying extremes by asking them what they think their life will look like at some future point (next month, next year, or beyond) if they do not change anything.
Grow Change Talk
To grow Change Talk, educators can draw upon powerful questions, such as (Miller & Rollnick, 2013, p. 84):
“Why would you want to make this change?”
“How might you go about it in order to succeed?”
“What are the three best reasons for you to make this change?”
“How important is it for you to make this change and why?”
“What do you think you’ll do?”
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:
Motivational interviewing
Recommendations for asking good open-ended questions