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Motivational Interviewing

Motivational Interviewing. Weekly Nugget #3 October 13, 2011 Tips for Rapport Building Amanda Kilgore - MI Coordinator. Rapport. Building rapport simply puts you on the same level as your client You can build rapport in many ways: Mirroring their actions ( nonverbals ) W ords

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Motivational Interviewing

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  1. Motivational Interviewing Weekly Nugget #3 October 13, 2011 Tips for Rapport Building Amanda Kilgore - MI Coordinator

  2. Rapport • Building rapport simply puts you on the same level as your client • You can build rapport in many ways: • Mirroring their actions (nonverbals) • Words • Talking LIKE them very stylistic (i.e. tone, rate of speech, etc. )

  3. How can I build rapport in a short amount of time!?!?

  4. Speak their language: Sensory preference • Sensory Preference • Visual/auditory/kinesthetic (VAK) • VAK determines how information is processed • Most individuals learn either visually (see), aurally (hear) or kinesthetically (feel) • Pay attention to certain words that people in each VAK category use • Builds Rapport

  5. Visual • Learn best when info is in front of them • E.g. charts, videos, pictures, demonstrations • How do things look? • Words often used by visuals people: • Analyze • Focus • Idea • Imagine • Inspect • Look • Obvious • Perception • Picture • See • Show • Sketchy • Spot • View • Watch

  6. Auditory • Learn best by listening • E.g. listening to speakers • How do things sound? • Words often used by auditory people: • Announce • Discuss • Gossip • Hear • Listen • Mention • Remark • Rumor • Picture • Sound • Speak • Talk • Tell • Utter • Voice

  7. kinesthetic • Learn best with hands-on experience • E.g. learn to type on keyboard by using physically using keyboard and learning from mistakes • How to things feel? • Words often used by kinesthetic people: • Active • Affected • Bearable • Emotional • Feel • Foundation • Grasp • Intuition • Pressure • Rush • Sensitive • Stress • Tension • Tied • Unsettled

  8. How do these words relate to rapport?!? • When you are with your client and you hear them use particular words like “support, tension, tied...”, you respond to them with other words from the kinesthetic category • Makes client feel that similarities are present between you and her/him  establishes rapport due to points of relation

  9. Communication techniques • 3 important elements in face to face communication • 1. Words (7%) • 2. Tone of voice (38%) • 3. Body language (55%) • Albert Mehrabian 1971 • Body language 55% of the communication • Fastest way to build rapport

  10. Body language • Notice if client mirrors you • Mirroring  move/gesture in same way • Mirroring is an individual’s way of expressing similarities • Similarities create a common ground • Much like team spirit… • Think of a sporting event where everyone around you is rooting for the same team  sense of connectedness

  11. Mirroring • Similarities build points of connectedness • Humans look for points of relation and resemblance when communicating (“we share this in common….” • Subconscious behavior • You mirror without having to think about it…much like moving hair out of your face • Creates empathy

  12. Mirroring • Examples of mirroring: • Mirror hand gestures • Leaning forward/away • Head/arm movements • BE SUBTLE • Could destroy rapport if obvious • Delay about 2-4 seconds before you mirror • Do NOT copy every move  could be annoying/appear fake and could reduce your credibility

  13. Other important rapport tips • Use same volume  will ease the client • Quiet, soft-spoken person  do not be a loud speaker • Use same pace  will ease the client • Slow talker  do not increase pace and talk 90 mph • Make eye contact • One tactic could be noticing eye color (just do not STARE!!) • Firm handshake

  14. Quick reminders • Make client feel comfortable • Try to establish trust • Be personable • If you get nervous when speaking with client and you stutter or lose train of thought just collect yourself and continue…if you appear to be uncomfortable there is a good chance that they will become uncomfortable • Get on their level • Try to identify with them (find points of relation) • Similarities can also help YOU construct the conversation

  15. Quick reminders • Use their language • Important for the client to UNDERSTAND and COMPREHEND what you are saying (e.g. try to use simple terminology) • Adjust conversation by noticing cues • If something is making your client uncomfortable (e.g. you notice them avoiding eye contact, sighing or even crossing arms) do not be persistent with your tactics  be dynamic and willing to change! • MI is patient centered  adjust to them

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