Chapter 4 Study Questions

cognitive restructuring and coaching

1. Examine the automatic thoughts that are negative 2. Identify cognitive distortions with the automatic thoughts 3. Dispute automatic thoughts 4. Develop a rational rebuttal against negative thoughts 5. Reframing - Can you think or a different way

Agenda Mapping

A brief collaborative process for focusing the conversation in which the client is provided the decision-making freedom to choose the direction for behavior change

Performance Goal

A clearly defined objective to improve functioning or performanace in a particular area.

Guiding Style

A communication style in which the coach helps to motivate, encourage, support and assist a client in making a change; the coach is engaged but the client is the main player. MI uses this.

Directing Style

A communication style in which the coach leads, tells and decides; the coach is the main player and the client is the passive player. Triggers the "righting reflex"

Process Goals

A goal a person acheives by doing something, such as completing an exercise session or attending a talk on stress management

Product Goal

A goal that represents change in a measureable variable, such as increases in strength scores, reductions in resting rate, or weight loss.

Metta Meditation

A meditation technique that includes the repetition of several phrases, said silently or aloud, with the intention of developing compassion and cultivating love toward oneself and others; aka loving-kindness

Appreciative Inquiry (AI)

A methodology originally applied in organization development that focuses on discovering and leveraging strengths in order to envision, design and actualize a more meaningful and sustainable future.

'Honoring clients' absolute worth and recognizing their autonomy" BEST describes which element of motivational interviewing?

Acceptance

Strength-Based Coaching

Client focused and emphasizes strengths and resourcefulness, centering around outcomes

Spirit of Motivational Interviewing

Collaboration Acceptance Compassion Evocation

Goal Setting Theory 4 Primary Mechanisms

Directed Attention Mobilized Effort Persistence Strategy

Four processes of Motivational Interviewing

Engaging Focusing or Agenda Setting Evoking Planning

Autonomous Motivation

Engaging in an activity out of free will and the desire to do so.

Which process of motivational interviewing is also known as agenda mapping?

Focusing

Strength based approach

Focusing on the positive Encouraging client to identify intrinsic strengths Not focusing on fixing weaknesses

GROW Model

Goal Reality Options Will

Factors that influence Goals on Behavior

Goal commitment Goal importance Self-Efficacy Feedback Task Complexity

Cognitive Behavioral Coaching

Guided discovery method Reliant on self efficacy Creates positive self talk Examine the evidence

Strength-Based Coaching Helps

Identify individual resilience Establish and identify grit Develop a growth mindset

OARS

Open-ended questions - what or how Affirmations - reinforce strengths Reflective listening - active listening Summaries - emphasize and pull together

Cognitive Behavioral Therapy

Problem-focused psychological therapy found to be effective for emotional health disorders. Focuses on the present and what can be done to create change now

BEST support a client's pursuit of a health goal?

Provide feedback on progress at defined intervals

When evaluating self talk

Refrain from judgment and show empathy

Which of the following is a key aspect to motivational interviewing?

Supports client is self-directed learning

Positive Psychology

The belief that people want to lead meaningful and fulfilling lives, to cultivate what is best within themselves, and to enhance their experiences of love, work and play.

Cognitive Restructuring

The process of learning to identify irrational thoughts or "cognitive distortions" challenge them and replace them with positive thoughts and reinforcing emotions that will eventually affect behavior

Righting Reflex

The tendency to give advice, push recommendations, and offer solutions; makes sustainable behavior change less likely for a client who is ambivalent about change.

Client identified "I would like to quit smoking to decrease my risk of developing cancer." Which element of a SMART goal is missing?

Time-Bound

Elicit-provide-elicit

Typically employed when a client specifically requests input, the coach first asks permission before providing any information and utilizes open ended questions to understand what the client already knows on the topic.

unconditional positive regard

Unwavering acceptance of individuals as they are.

When a client asks advice what is the MOST appropriate response?

Use open-ended questions to find out what the client already knows

What is the best example of complex reflection after the following statement: "I feel better when I pack healthy snacks to bring to work, but I just don't have time in the morning?"

You feel rushed in the morning so it is not a good time to pack snacks in the morning

Compassion

acting fully for the benefit of the other person

What does the A stand for in A-B-C-D-E mnemonic used for identifying negative thought?

activating event

I ate way too much on vacation so I mine as well give up on my weight loss goals is an example of which cognitive distortion?

all-or-none thinking

4 layers of motivational interviewing

engaging- establishing your relationship and building rapport focusing - how the client and coach develop and build direction for change evoking - heart of motivational interviewing, elicit clients own motivation to change planning - you will develop a commitment to change in a client specific directive plan

Acceptance

honors your clients absolute worth and recognizes autonomy

Double-Sided Reflection

integrate a client's sustain talk with the client's previously stated change talk. Client statements are restated, joined by 'and.' "You don't have time to exercise and when you exercise you are more productive at work."

Uncovering unproductive thoughts

mneumonic A-B-C-D-E to identify unproductive thinking A - Activating Event B - Beliefs C - Consequences D - Disputing the Negative Thinking E - Effect

Collaboration

partnership between you the coach and the client grounded in the point of view and experience of the client

Which principal of appreciative inquiry is defined by people choosing what they work on and develop in their lives?

poetic principle

Motivationl Interviewing

provide information through elicit-provide-elicit approach. Cliect requests information but coach asks permission before providing any information by using open ended questions.

Cognitive Distortions

refer to irrational and usually harmful thought patterns that interfere with a person's well-being. Examples are: jumping to conclusions, magnification, labeling, overgeneralizing, all-or-nothing thinking, personalization and blame.

Change Talk

statements reflecting a desire to change

Sustain Talk

statements reflecting a desire to maintain the status quo

evocation

the majority of the answers can be found within the client, not from the coach