Process
Motivational enhancement therapy is a strategy of therapy that involves a variation of motivational interviewing to analyze feedback gained from client sessions. Motivational Interviewing was originated by William R. Miller (psychologist), William Miller and Stephen Rollnick based on their experiences treating problem drinkers. The idea of Motivational Interviewing is based on engaging the client to pursue a behavior change. The method revolves around goal making, with assistance from the counselor to help guide the client to that specific set goal. This concept of motivational interviewing later developed into motivational enhancement therapy. The goal of this therapy is to help lead the client to achieve the goals they have set for themselves. Its aim is to provide the client with the opportunity to develop a focus in their life, other than their addiction. The MET approach is grounded on the trans-theoretical perspective that "individuals move through a series of stages of change as they progress in modifying problem behaviors". In understanding change, this concept of stages is notable. Every stage has certain processes used and specific tasks to be accomplished in order to achieve change. MET focuses on motivational strategies using the client's own resources rather than training them through recovery step by step. This approach is very personal to each individual client it is used with, centered around the main goal of evoking change. Oftentimes individuals who undergo motivational transformation can subjectively experience a sudden realization or understanding of a formerly perplexing situation. Like a light bulb illuminating a dark room, an otherwise dark and bewildering issue can be made clear within an individual's internal self-concept. This is termed as an "aha moment", and can aid individuals in their newfound sense of focus in life. Reality therapy is a closely related form of therapeutical work that works specifically with the present state of life. It stresses improving relationships through our choices. It asserts that even though we cannot control how we feel we do have control over our thoughts and actions. Through this, a client will be able to achieve control over their life and work toward improving the aspects they are dissatisfied witPatients/Clients
Addicts are one of the primary populations motivational enhancement therapy lends an aid to. The therapist works closely with the client to help create an inner willingness to fight their addiction. Unlike other therapy or counseling programs that offer a step-by-step process, MET focuses on creating an internally motivated change. A typical therapy session consists of an initial assessment, and two to four treatment sessions with the therapist. In the initial session, the therapist conducts a discussion about the client's substance use. They encourage the use of self-motivational statements through Motivational Interviewing. It is in this first session where a plan for change is established between the therapist and client. The following sessions are based around achieving that plan. Early research studies have indicated that psychedelics paired with MET can result in increased levels of abstinence, and the decrease of relapse and heavy drinking days. Further experimentation with the combining of psychedelics and MET could provide additional support for individuals struggling with alcoholism. MET has become increasingly effective. As it is rooted in the idea of self-motivation, those who seek help genuinely want it. It is also known by theKey components
There are 5 key components to motivational enhancement therapy: *''Express empathy'' – therapists seek to build trust and respect with the patient, making sure that each individual knows that the decision to change is ultimately up to him/her. The therapist acts as both a "supportive companion and knowledgeable consultant" in meetings. *''Develop discrepancy'' – Client's attention is enhanced and focused on discrepancies. Raising a client's awareness of personal consequences brings about a motivation for change, allowing the client to willingly discuss options to change "in order to reduce the perceived discrepancy and regain emotional equilibrium". *''Avoid argument'' – Arguments will be avoided and not engaged in. Therapists use strategies to help clients see true consequences and reduce the "perceived positive aspects" of behaviors, such as drinking alcohol. *''Rolling with resistance'' – As resistance of some kind will exist. MET encourages that the therapist "roll with" these resistances, "with a goal of shifting clients perceptions". Rather than therapists providing solutions, they are usually "evoked from the client". *''SupportReferences
Sources
* Miller, W. R. (2000) Motivational Enhancement Therapy: Description of Counseling Approach. in Boren, J. J. Onken, L. S., & Carroll, K. M. (Eds.) Approaches to Drug Abuse Counseling, US Department of Health and Human Services; NIH Publication No. 00-4151 edition (2000) * Miller, W.R. and Rollnick, S. ''Motivational Interviewing: Preparing People for Change''. NY: Guilford Press, 2002. * Miller, W.R., Zweben, A., DiClemente, C.C., Rychtarik, R.G. (1994) Motivational Enhancement Therapy Manual''. Washington, DC:National Institute on Alcohol Abuse and Alcoholism, Project MATCH Monograph Series, Volume 2