Motivational Interviewing & Beyond

Motivational Interviewing, 4th Edition: What's in-store? What's changed?

May 31, 2023 Joel Porter, Kendelle Bond & Steve Rollnick Season 3 Episode 4
Motivational Interviewing, 4th Edition: What's in-store? What's changed?
Motivational Interviewing & Beyond
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Motivational Interviewing & Beyond
Motivational Interviewing, 4th Edition: What's in-store? What's changed?
May 31, 2023 Season 3 Episode 4
Joel Porter, Kendelle Bond & Steve Rollnick

In this episode, Joel, Kendell, Ange, Molly Magill and the participants will have a conversation with Steve about what to expect to find in the upcoming 4th edition of the MI book. Bring your questions and ideas to share with Steve and everyone.

Show Notes Transcript

In this episode, Joel, Kendell, Ange, Molly Magill and the participants will have a conversation with Steve about what to expect to find in the upcoming 4th edition of the MI book. Bring your questions and ideas to share with Steve and everyone.

05:55:05             From  Mindy Boccio : That's wonderful news!

05:55:49             From  Charlotte Hilton : Hello everyone : )

05:55:55             From  Milton Fuentes : Greetings from New Jersey, USA

05:55:56             From  Florence DA SILVA : Hello everybody ! Florence in France.

05:56:18             From  Kate Speck : Hello from Lincoln Nebraska - Kate Speck

05:56:22             From  Florence DA SILVA : yesss !!! hi joel !

05:56:23             From  Margaret Struthers   to   Hosts and panelists : Hi from sunny Oldham

05:56:24             From  Lea Polkinghorne   to   Hosts and panelists : Hello from Saskatoon Saskatchewan Canada

05:56:24             From  Georgi Vasilev : Hello from Bulgaria! Georgi

05:56:30             From  Lisa Glynn : Good morning! Seattle, WA, USA.

05:56:32             From  Chaya Halberstam   to   Hosts and panelists : Hello! Chaya from Brooklyn

05:56:37             From  Martin Justice : Hello from Indiana - USA

05:56:38             From  Thomas stein : helllllllo0o0o0o0o0o everyone from Rochester,NY!!!

05:56:38             From  Matthew Levine : Hello, Matthew Levine, from Edinburg, Texas

05:56:41             From  Victoria Brown : Lancaster, PA, USA

05:56:42             From  Jackie Schoening : hello from Wisconsin

05:56:46             From  Aimee LeCours : Aimee LeCours from Central Florida

05:56:48             From  Marzie De Pangher : Hello from Vancouver BC

05:56:49             From  Christopher Mathews   to   Hosts and panelists : Hello from San Diego

05:57:00             From  Tina Vaughan : Hello from Dorset, UK

05:57:04             From  Chris Davies : Hello from Northern Virginia, USA.

05:57:10             From  Christopher Wagner : Hi from Richmond, Virginia, US

05:57:19             From  Patrick Berthiaume : Bonjour everyone!

05:57:20             From  Christopher Wagner : Hi peeps!

05:57:30             From  Michelle Miller : Greeting from Asheville,  NC

05:57:36             From  Dawn Zeaphey : Greetings from Colorful Colorado!

05:57:42             From  Susan Russell   to   Hosts and panelists : Medina OH

05:57:45             From  Michelle Lynn Stephen Seigel   to   Hosts and panelists : Hey everyone! Michelle from your PPC calling in from the Ozarks today!

05:57:45             From  Elizabeth Egan : Hello, joining from Switzerland this evening!

05:57:46             From  Tipene Pickett : Kia ora from Aotearoa

05:57:49             From  Darren Jones   to   Hosts and panelists : Darren from the UK

05:57:51             From  Pascaline Brion   to   Hosts and panelists : Hello everyone from France

05:57:54             From  Scott Boyles   to   Hosts and panelists : San Diego, CA

05:58:08             From  Fiona Holland : Hello from the sunny Peak District, Derbyshire, England

05:58:22             From  Rik Bes   to   Hosts and panelists : Hi all! Rik from Netherlands

05:58:23             From  Maryna Sorokina : Hi from Greece!

05:58:29             From  Jennifer Wyatt : Hello from Seattle, WA USA!

05:58:31             From  Mike Howard : Good evening from a bright and sunny West Wales šŸ˜Ž

05:58:33             From  Mark Turnbull : Hello from Newcastle, UK. Very excited about this session.

05:58:35             From  Vince Knight : Hi All, Vince in Oxfordshire :)

05:58:36             From  Melike Simsek : Hello everyone, this is Melike from Istanbul, Turkey šŸ™‹ā€ā™€ļø

05:58:38             From  rosa thomas : Hello from Corte Madera CA

05:58:39             From  jesus vela   to   Hosts and panelists : Hello from Texas

05:58:45             From  clive Tobutt : Hello from London UK

05:58:47             From  Michelle Lynn Stephen Seigel : Hey everyone! Michelle from your PPC! Calling in from the Ozarks today šŸ™‚

05:58:55             From  jesus vela   to   Hosts and panelists : Rio grande valley

05:58:56             From  Allison scott : Hi from Twillingate, Newfoundland, Canada

05:58:57             From  Motlagomang Hilda Zulu   to   Hosts and panelists : Good evening this is Hilda Zulu from SOUTH AFRICA

05:58:58             From  Kathleen Reims : Great to see everyone!

05:59:00             From  Russell Calderwood : Hi from Cardiff, Wales

05:59:03             From  Arik Yox : Hello from Virginia!

05:59:05             From  Lynn Sones : Hello from Ottawa Ontario Canada, this is Lynn Sones

05:59:06             From  Valerie Knight : Hi everyone from Oxford UK

05:59:06             From  Sergio van der Pluijm : Hello everyone! Greetings from the Netherlands!

05:59:11             From  Li-Lo Sahlberg : Hello from a sunny evening I Stockholm, Sweden //Li-Lo

05:59:14             From  Margaret Struthers : So many locations.  Great to see.  I am in. Oldham UK. For once Sunny and fine!

05:59:15             From  Gillian Martin : Hello from Dublin Ireland!

05:59:17             From  Motlagomang Hilda Zulu   to   Hosts and panelists : good

05:59:19             From  Judith Wilson : Hello, from Rio Grande Valley, Texas!

05:59:20             From  Bertha Katjijova : Hi,Bertha from Namibia

05:59:24             From  Manuel Paris   to   Hosts and panelists : Hello from CT

05:59:30             From  Monica Gilbert   to   Hosts and panelists : Hello from Miami!

05:59:33             From  Heather Fultpb : Hello from Vancouver, Canada!

05:59:34             From  Cecilia Lanier   to   Hosts and panelists : From Huntsville Alabama!  The rocket city!

05:59:38             From  Monica Hoen Island : Hello from Norway!

05:59:43             From  Christopher Wagner   to   Hosts and panelists : Joel, you'lre looking a bit blurry on my end... unless you have some blemish-blurring features on...

05:59:44             From  David Koss : David Koss, SMART Recovery, Washington DC (originally from Michigan. Go Blue!)

05:59:44             From  David Rosengren   to   Hosts and panelists : Hello from Seattle and itā€™s sunny.  Whoā€™d have thunk it!

05:59:49             From  Cecilia Lanier   to   Hosts and panelists : I live in Madison, outside of Huntsville!

05:59:50             From  Cassandra Lozano   to   Hosts and panelists : Cassandra Lozano from Brownsville, Texas

05:59:56             From  Stacey Leakey   to   Hosts and panelists : Hello from Tulsa OK

06:00:07             From  Joachim Kƶrkel : Hello from Germany

06:00:09             From  Sam Hague-barrett : Hi from sunny Bristol UK

06:00:11             From  James Hoey : Hello from Gold Coast, Australia

06:00:11             From  Christopher Wagner   to   Hosts and panelists : haha yes better!

06:00:27             From  Crystal Peters   to   Hosts and panelists : Hi from northern Saskatchewan (Canada)

06:00:29             From  Hoyt Roberson : Hello from New Mexico

06:00:32             From  Jonnae Tillman   to   Hosts and panelists : Hello from Seattle

06:00:34             From  Bob Jope : Hello from Massachusetts, USA!

06:00:36             From  Alex Jones : Good evening everyone!

06:00:37             From  Pam Burke : Cheers from Boston!

06:00:40             From  Margarita Durham : Hello from Seattle, WA USA

06:00:43             From  Joyce Borremans : Cheers from Belgium!

06:00:44             From  Holly Ladd   to   Hosts and panelists : Hello from Bend, OR

06:00:44             From  Derek Jorden : What a group! Iā€™m calling in from Southeast Georgia, USA

06:00:45             From  Jan Goldberg   to   Hosts and panelists : Good morning from California!

06:00:46             From  Larisa Constantinou : Hello from Cyprus

06:00:48             From  Hanna Morrell : Hello from Salem, Oregon!

06:00:48             From  Rachel Verhagen : Hi from Miami, FL USA!

06:00:50             From  Ekaterina Klochkova : Hello from Saint Petersburg,Russia

06:00:50             From  Mike Porteous : Hi from Shoreham-by-sunny-sea, Sussex UK

06:00:51             From  Karsten Wagner : Hi from Germany

06:00:55             From  Sheree Stilwell : Good afternoon.  I am from a suburb of Chicago, IL USA

06:00:58             From  Jan Goldberg : Hi from California!

06:01:02             From  Isabella Dubose : Hello from Quincy, Florida!!!!

06:01:07             From  Alex Jones : Hello from the UK :-)

06:01:07             From  Eva Nordstrand   to   Hosts and panelists : Hi from Sweden

06:01:08             From  Ed Haycraft   to   Hosts and panelists : Hello from Iowa City!

06:01:12             From  jenny lindrot : Hi from Stockholm :)

06:01:13             From  Saskia Nab   to   Hosts and panelists : Hello from the Netherlands

06:01:14             From  Bridgette Franklin : Hello from Kansas City, Missouri

06:01:17             From  Ben Ogles : hello from the Rocky Mountains of Utah

06:01:17             From  David Rosengren : Hello from Seattle, where it is sunny!

06:01:23             From  Sean Small : Good evening all from sunny Aberdeen, Scotland!

06:01:26             From  Cynthia Osborn : Hello from Kent, Ohio, USA

06:01:34             From  Jody Hereford : Howdy from Boulder, CO USA

06:01:36             From  Arlene Dalcin   to   Hosts and panelists : Hello from sunny Ashland Oregon

06:01:39             From  Christopher Dedner   to   Hosts and panelists : Hello from Germany!

06:01:40             From  Sueanne Theriault : Hello from Woodstock, New Brunswick :) Sunny here as well!

06:01:42             From  Vanessa Cantillano   to   Hosts and panelists : Hi,Vanessa from Chile

06:01:51             From  Mindy Hohman : Hi from cold and rainy Southern California! Mindy Hohman

06:02:04             From  Michelle Drapkin : Hi from New Jersey - USA!

06:02:11             From  Przemysław Szczygieł : Hello from Poland:)

06:02:16             From  Suzanna Cooper : Hello from Fort Collins Colorado!

06:02:25             From  Sue EckMaahs : Hi all from Minneapolis, MN, USA

06:02:27             From  Molly Rath : Hi from sunny Buffalo, NY - USA!

06:02:28             From  judith carpenter   to   Hosts and panelists : Good evening all from Derbyshire, UK

06:02:31             From  Sandy Francis   to   Hosts and panelists : Hi all - from Somerset UK

06:02:34             From  Shanta Wilson : Hello from Quincy Florida

06:02:34             From  Heidi Brightmore : Hello from Auckland, New Zealand!

06:02:36             From  Peter Rives : Hi friends! Peter Rives here in Winston-Salem, NC, USA!

06:02:43             From  Kenneth Johnson : hello from NC USA

06:02:58             From  Kendelle Bond   to   Joel Porter(Direct Message) : can you make me cohost?

06:03:09             From  Julie Blanco : Hello from St. Louis, MO USA

06:03:11             From  David Rosengren : Steve - Will it be 3 or 4 Processes and will it be Processes or Tasks?

06:03:57             From  Page Snow   to   Hosts and panelists : HOLA Fairfield, CT

06:04:16             From  judith carpenter   to   Hosts and panelists : Steve hope you will be able to  speak to the subject of simple and complex affirmations in MI4

06:04:17             From  George Brenner : Hello from Indianapolis Indiana USA from George

06:04:34             From  Elena De Cardenas : Hello from Florida.

06:04:43             From  Bill Matulich   to   Hosts and panelists : Hey from San Diego

06:05:06             From  David Rosengren : Nice depth reflection, Steve.

06:05:06             From  Amanda Meinhardt : ata mārie from Tamaki Makaurau, New Zealand

06:05:24             From  Dawn Zeaphey   to   Hosts and panelists : I'm hoping you have me muted. I didn't see the option and I have a barking dog ugh.

06:06:04             From  todd roberts : Good afternoon from Cedar Rapids iowa

06:06:35             From  Kendelle Bond   to   Dawn Zeaphey and all panelists : we canā€™t hear your dog Dawn so donā€™t worry

06:06:38             From  Kendelle Bond   to   Dawn Zeaphey and all panelists : šŸ™‚

06:06:42             From  Elizabeth Egan : MI for Gen Z, perhaps?

06:06:45             From  Patricia Juarez : Hola from Mexico!

06:06:48             From  Cynthia Osborn : MI is resistance to certain cultural changes.

06:07:01             From  Alex Jones : I love Molly's question especially towards compassion. thanks for asking and hopefully Steve will have an answer for you and us by the end of the webinar :-)

06:07:01             From  rosa thomas   to   Hosts and panelists : Start with a definition of Motivational Interviewing and work backwards to Molly's questions

06:07:17             From  Lene GjĆørup : Hallo from Denmark ;)

06:07:24             From  Joel Porter : Thanks Rosa

06:07:30             From  Jennifer Rehak : MI has always been compassionate. It is timeless.

06:07:44             From  Teresa Donegan : Melinda Hohman does a nice job of talking about critical race theory and MI--Motivational Interviewing in Social Work Practice

06:07:56             From  Dawn Zeaphey   to   Hosts and panelists : ok perfect!! thank you!!

06:08:49             From  Sue EckMaahs : ...and growth!  Nice addition.

06:08:50             From  Jamie Lavender : A way of talking with people about change and growth in order to strengthen their motivation and commitment...

06:09:48             From  judith carpenter   to   Hosts and panelists : Curious about where ambivalence fits into the new definiti

06:10:10             From  judith carpenter   to   Hosts and panelists : ā€¦Definition or is it implicit?

06:10:32             From  David Koss : How much of what we have all learned from training and coaching that was based on the 3rd edition - will need to be learned differently - that is, how much in the 4th edition will mean that we will need to learn MI anew or differently?

06:10:58             From  Fiona Holland   to   Hosts and panelists : So if the shift has been moved away from the term behaviour, in coding MI selecting a target behaviour is critical to using the MITI...does this change open up MI to new arenas? Does it impact coding practices at all?

06:11:48             From  Hoyt Roberson : In the 3d ed, the Spirit of MI takes a more central stage in shaping the approach for the MI practitioner. Given the first question asked, does the Spirit of MI take a great role or are their nuances that could illustrate the application to changes at least in academia and the Anglo worlds? How compatible would those changes be in the non-anglo worlds?

06:12:35             From  David Rosengren   to   Hosts and panelists : Wait, Steve is ambivalent about ambivalence.  How meta!

06:12:42             From  Fiona Holland   to   Hosts and panelists : That 's really helpful, Steve as I think some applied folks have struggled with the 'behaviour' focus. I was talking to others in education and I think this shift will really help the transferability to broader fields.

06:13:30             From  Sergio van der Pluijm   to   Hosts and panelists : Is it true that MI is incorporating elements of Acceptance and Commitment Therapy (ACT)? If yes;: what elements are they?

06:19:09             From  David Rosengren : This was such a brilliant distinction and was an inflection point in understanding how we might productively use MI, especially around some of the issues that Molly inquired about.

06:19:15             From  Holly Ladd : Totally clear

06:19:15             From  Vanessa Cantillano   to   Hosts and panelists : Thanks!

06:19:46             From  Michelle Lynn Stephen Seigel : Crystal Clear <3

06:19:52             From  terry huriwai : like it

06:20:42             From  Ed Haycraft   to   Hosts and panelists : I do a lot of MI Training.  I would like to know what are the significant differences between 3 and 4 we need to be aware of.

06:21:40             From  Stephen Rollnick : gotyouEd!  I hope we cover this!

06:22:51             From  Sue EckMaahs : So many times in coding/coaching, there is an important skill development piece for intentionally allowing/creating adequate space for the person determine how THEY 'define' the area of growth and change for themselves.

06:22:58             From  Elena De Cardenas : yes

06:23:18             From  Jamie Lavender : YES! To me that is the spirit of MI (or one of them)

06:23:19             From  Sue EckMaahs : *to determine

06:23:27             From  Michelle Miller : Powerful,  organic, unrestrictive example and flow of and encompasses the Spirit of MI

06:24:13             From  David Koss : I was advised the other day by one of my trainers that Terri Moyers has said that the best way to train individuals in MI is in include MITI based training as early in the training process as possible. I do not know if that is an accurate summary of Terri's views, but it does relate to what Molly was commenting about, in terms of the structure of MI and the benefits of coding as a way of discerning how and to what extent we are using MI well.

06:24:27             From  Teresa Donegan : I've heard there is more movement away from acronyms?

06:24:37             From  Balanica Florin Ioan   to   Hosts and panelists : MI open doors for changing to my obese patient! Change not only loosing weight! All the best from Romania!!!

06:25:03             From  Scott Kerby   to   Hosts and panelists : That movement is being called MAFA

06:25:37             From  Roy Stein   to   Hosts and panelists : To what extent have findings from empirical research influenced the changes reflected in MI-4?

06:25:41             From  Kendelle Bond   to   Scott Kerby and all panelists : what is MAFA, Scott?!

06:26:02             From  Scott Kerby   to   Hosts and panelists : Movement away from acronyms

06:26:05             From  Julia Meckael-Jennings   to   Hosts and panelists : This is very relevant as I am about to deliver training on how to use MI in people leadership. Any advice /thoughts on how to use MI in people management?

06:26:18             From  Kendelle Bond   to   Scott Kerby and all panelists : Thank you! Helpful šŸ™‚

06:26:24             From  Ezra Susser : Hi Steve, once you get to issues of injustice and standing up for yourself, as with your daughter, is it fair to draw an analogy with collective efforts such as those originating with people like Paulo Freire? Sometimes these kind of changes are more feasible in colllectives. This is obviously not MI per se but the concepts might be similar.

06:27:16             From  David Rosengren : Coding highlights a problem that weā€™ve always had in the field.  We measure what we can, but that doesnā€™t mean it measures the right things or the complexity of a situation.  It seems this is an opportunity for us to grow our instruments, while remaining humble about what they do and do not do.

06:27:20             From  Michelle Lynn Stephen Seigel : David Koss, that sure makes sense to me.

06:27:38             From  Kendelle Bond   to   Julia Meckael-Jennings and all panelists : Julia - Have you seen MILO - MI in Leadership and Organisation? I can send you a link if that would be helpful

06:27:39             From  Hoyt Roberson : Once I stand up for myself, how do I move toward letting others be who they are - even when I disagree with them?

06:28:13             From  Julia Meckael-Jennings   to   Hosts and panelists : Not yet, would appreciate a link, thank you Kendelle

06:28:18             From  Joel Porter   to   terry huriwai and all panelists : Morena Terry

06:28:26             From  George Brenner   to   Hosts and panelists : Maybe this is an "and" issue. In most of the folks I train a "behavior change is clear" and there are folks that personal development may be a change such as becoming  more environmentally conscious.

06:28:36             From  Sue EckMaahs : Agree totally, David!

06:28:40             From  Kendelle Bond   to   Julia Meckael-Jennings and all panelists : http://www.miinleadershipandorganizations.com/

06:29:03             From  Larisa Constantinou : Will the recording be available?

06:29:22             From  Kendelle Bond : Yes Larisa šŸ™‚

06:29:24             From  Joel Porter   to   Christopher Wagner and all panelists : How about joining us for the last 30 minutes?

06:29:31             From  Teresa Donegan : Well said David

06:29:48             From  Dawn Zeaphey : oh wow Empowerment is the name of our MI committee!!

06:30:03             From  Hoyt Roberson : Evoking spoke to 'drawing out" How does empowerment speak to that dynamic?

06:30:05             From  Christopher Wagner : Directional OARS is highighted

06:30:06             From  Joel Porter   to   judith carpenter and all panelists : want to to join us for the last 30 minutes

06:30:10             From  Patricia Juarez : A minor confusion for me is that as part of the 4 components of Acceptance, we have affirmation ā€¦ so what is going to be the difference when explaining affirmation vs. Empowerment?

06:30:35             From  Jackie Schoening : acceptance collaboration empowerment and what was the 4th

06:30:51             From  Vanessa Cantillano   to   Hosts and panelists : compassion

06:30:58             From  Sue EckMaahs : partnership

06:30:59             From  Michelle Lynn Stephen Seigel : Excited to read the new edition and how empowerment fits with MI spirit. We create an environment where people empower themselvesā€”I am curious how to convey this in trainingā€”we cannot empower another.

06:31:06             From  Jackie Schoening : thanks

06:31:10             From  Peter Rives : @Jackie Compassion

06:31:16             From  Christopher Wagner : Jackie 0 partnership, acceptance, compassion, empowerment

06:31:18             From  Elena De Cardenas : When in the US?

06:31:20             From  Sergio van der Pluijm   to   Hosts and panelists : Partnership and compassion: PACE

06:31:32             From  David Rosengren : Oy, Steve.  I think envisioning is better.  Empowerment weā€™re using the secondary definition.  The initial definition implies someone providing the power to another.  The power already resides in the other..  Weā€™re helping them find and see it.

06:31:43             From  Kendelle Bond : The book will be out in October in the UK and I think earlier in the USA - Iā€™m not sure about other countries right now

06:31:43             From  Peter Rives : Steve said "collaboration" - are we back to collaboration or still with "partnership"?

06:31:47             From  Fiona Holland : That's really interesting, I wonder if there are cultural elements at play in the affirmation arena, having lived in the USA and the UK, I think they are culturally different somehow...

06:32:04             From  Jamie Lavender : Thich Nath Hanh said a thing about how much Americans say no-- and when I think about praise and affirmation both, there's so little of them in people's lives. (Cheerleading is different, right, since it's for stuff that hasn't happened and may not, but praise and affirmation are for what's already happened...)

06:32:07             From  Heather Fultpb : Guilford Press says Aug 2023 in North America on their website

06:32:11             From  Elena De Cardenas : Thanks @Kendelle!

06:32:16             From  Heather Fultpb : *Aug 23, 2023

06:32:19             From  Jennifer Rehak : Ships Aug 28 in U.S. according to one website

06:32:26             From  Alex Jones : I agree with David Rosengren :-)

06:32:54             From  Larisa Constantinou : Are you going to release an audio version of your book, for example on Audible?

06:33:03             From  Kat Urban   to   Hosts and panelists : Has it been found that the cultural differences impact how MI is administered?

06:33:07             From  Peter Rives : No forgiveness needed!

06:33:15             From  rosa thomas : Praise can start to be meaningless to children and adults if it just seems to be "knee jerk" and kind of like, if someone says hello, you respond automatically.

06:33:15             From  Hoyt Roberson : Amazon: Aug 23, 2023, $65.

06:33:18             From  Patricia Juarez : Hi David!!!!

06:33:21             From  Charlotte Hilton : David Rosengren I like the opportunity you describe for moving beyond coding : )

06:33:56             From  Michelle Lynn Stephen Seigel : I totally agreeā€”but Dave IS my boss lol.

06:34:14             From  judith carpenter : I am with Dave R!

06:34:18             From  Joel Porter : Very funny Michelle

06:34:31             From  clive Tobutt : There ae also a number of models of empowerment...not just about the self...

06:34:33             From  Kate Speck : Love that "Envision" David - thank you!

06:34:33             From  Alex Jones : @Michelle Lynn šŸ˜…

06:34:34             From  Christopher Wagner : I think empowerment is a very important addition. I don't see empowerment the say David is descriving it.

06:34:37             From  Jamie Lavender : Yes Rosa-- I'm not into knee-jerk praise

06:34:45             From  Jamie Lavender : Lol

06:35:32             From  Cynthia Osborn : Appreciate very much Dave R's distinctions between empowerment and envisioning. It is what the helper does in service of the speaker.

06:35:48             From  anne wittevrongel : In French Invisioning ??  I am not sure I understand that word.

06:36:12             From  Patricia Juarez : that still feels like how I/we have always described "affirmation" as part of the four elements of Acceptance in the MI spirit

06:36:34             From  Jamie Lavender : I also work in drug treatment and I'm not agreeing, I think being in the present is ESSENTIAL

06:36:38             From  Tania Benacerraf : Accepting people where they are and meeting them where they dream.

06:37:00             From  Michelle Lynn Stephen Seigel : Forward motion-hope.

06:37:02             From  Joel Porter : envisioning - imagine as a future possibility; visualize.

06:37:06             From  George Brenner : I disagree. As I understand empowerment, I think many don't see their own strengths and it is helpful to use affirmations as helping folks identifying their enduring strengths. Trauma might be an area to understand this.

06:37:16             From  Jamie Lavender : Isn't it the paradox, that meeting people where they are then gives them a solid place from which to explore where they may want to be, in their dreaming?

06:37:21             From  Li-Lo Sahlberg : I kind of think of empowerment as my believe in it. See the spirit as my position, to the other, to myself and when I have conversations about it in groups one way of seeing it is as the helpers understanding that the power is already there. The again English is not my native tongue.

06:37:38             From  Peter Rives : @Anne W I think it is envisager in French

06:37:41             From  Sergio van der Pluijm   to   Hosts and panelists : Envisioning seems to have a flavour of Functional Imagery Training and the work of Gabrielle Oettingenā€¦ Is that on purpose?

06:37:42             From  Christopher Wagner : Even if it is a primary dictionary definition that empowerment is providing power to someone, the spirit of helping people rediscover and use more of their own personal power is something that had been minimized before. It's related to confidence to change, which often has been overshadowed by the focus on resolving ambivalence about direction.

06:37:45             From  Tipene Pickett : In context with the other aspects of the spirit of MI, the definition of helping people empowering themselves seems to make more sense rather than the helper giving power to another

06:37:59             From  John BAER : Google search: noun

authority or power given to someone to do something.

"individuals are given empowerment to create their own dwellings"

the process of becoming stronger and more confident, especially in controlling one's life and claiming one's rights.

06:38:02             From  stacy smith : I've been using empowerment in recent trainings and then using the Wizard of Oz to make the point of two empowerments. the first is when the Wizard is seen as having the power they need (heart, brain, courage) and the second is when, after the witch is vanquished, they are told they've always had the power within themselves.

06:38:10             From  anne wittevrongel : Thank you Peter!

06:38:28             From  Christopher Wagner : Although I like the focus on envisioning, too!

06:38:51             From  Bertha Katjijova : Thanks David.

06:38:59             From  Mikel Gellatly : Ive run a couple of 2-Day foundational skills trainings since hearing from Bill about the changes in MI4 at the recent MINT-Oceania mini forum. The changes from 3 to 4 operationally seem marginal in how its taught. The more accessible language, and a broadening out of MI as a way of operationalising all helping relationships (a way of doing everything else that you do), seemed to land with the audience in a much more profound way than I had experienced before. Not doing MI in particular circumstances, but rather working with people in a motivational way.

06:39:25             From  anne wittevrongel : Envisager !

06:39:43             From  anne wittevrongel : It's not a clinical word ...

06:39:46             From  Kathy Goumas   to   Hosts and panelists : I can embrace both empowerment and envisioning, my experience in helping people unleash their power resides with empowerment whilst envisioning resides in a future tense for meā€¦.

06:40:57             From  Chris de Beer   to   Hosts and panelists : Stacy Smith - that is a great teaching tool. I love it.

06:41:11             From  Christopher Wagner : Empower training participants to explore what "empowerment" means!

06:41:15             From  Mark Turnbull : I think looking at the words in a singular way doesn't help with the semantics. Empowering does not strictly mean we do the empowering, it could mean a feeling the patient gets from the conversation?

06:41:47             From  Jamie Lavender : Well I really love "evoke"-- I use it a lot with a slide of a seed sprouting into a plant, and it's as if it grows on it's own but the sun and water "evoke" that growth.

06:42:07             From  Sue EckMaahs : In thinking about this in the context of training people who are not 'clinicians' in background, empowerment might seem - at surface - like 'advice' AND I agree that the manner of describing and practicing this aspect in training will be very important.

06:42:12             From  Cecilia Lanier : I see the concepts of the two words as being the same. Both words convey what is meantā€¦but I donā€™t think thereā€™s much nuance in the words.  Maybe weā€™re the only ones who are concerned about the word.  Envisioning seems to be somewhat narrow in that it is one way to be empowered. Just wondering.

06:42:17             From  Michelle Lynn Stephen Seigel : Chris Wagnerā€”there is SO much value in that activity

06:42:19             From  Peter Rives : Great point, Steve - just like a reflection, there are so many potential options. But the point in teaching spirit is a Gestalt "way of being" and we, as trainers, can explore that regardless of the terminology (as helpful signposts)

06:42:28             From  Jamie Lavender : AWESOME!!!!

06:43:41             From  Peter Rives : Cool, so Compassion, Acceptance, Partnership, and Empowerment. Thanks for looking, Steve!

06:44:18             From  Kate Speck : Looking Forward is a concept I instruct in training to assist clinicians to evoke toward the future and change talk - I think envision encompasses that while incorporating empowerment  as a way to see things differently.

06:44:28             From  Jonnae Tillman   to   Hosts and panelists : Totally agree!  Yes, talking about plans still needs MI. The myth is out there that MI doesnā€™t match up with planning.

06:44:34             From  Hoyt Roberson : I routinely tell my students that MI can be effective in every 'stage.'

06:45:12             From  Arlene Dalcin : Have you continued to keep affirm as part of acceptance and as a core skill?

06:45:39             From  Danielle Pinsonneault : I like the evoking levels from Steve.

06:46:09             From  judith carpenter : I think taking evocation out of the definition in spirit is the main point here, and the differentiation between using evoke as a way to help us in what we do is important in all the tasks

06:46:09             From  Peter Rives : evoking the "how" becomes the building blocks for a plan

06:47:05             From  Lynne Johnston : Is there still so much attention to DARN-CAT given the 'evidence' the original classification is based on?

06:47:09             From  Verna Burden : it seems to me that evoking is happening thru all the tasks,  but what is being evoked is different.

06:47:37             From  Julia Meckael-Jennings   to   Hosts and panelists : Empowerment and envisioning seem to be 2 different things, I think empowerment needs to happen before someone can envision change

06:48:03             From  Marilyn Rabin : My understanding is that the four process can occur simultaneously

06:48:11             From  Jamie Lavender : Yes love that Verna!

06:48:12             From  Sue EckMaahs : Steve, I think you and Bill hinted enough about the power of taking out the word and concept of 'behavior' that many of us have been doing and training that for quite some time.  ;)  Excellent seed planting!

06:48:55             From  David Rosengren : Great thoughts all.  Interestingly, I have been using both terms in training, in anticipation of the change, and trainees have responded to the distinction.  Having said that, it might be this is a distinction without meaning.  That is, I am unaware of any evidence that it leads them to become better MI practitioners.

06:49:43             From  Sue EckMaahs : Dave, do you mean the terms 'empowering' and 'envisioning'?

06:49:46             From  Teresa Donegan : I like empowerment as an outcome of being present to the other in an attentive and respectful way

06:50:25             From  Michelle Lynn Stephen Seigel : Empowerment feels like an outcome rather than a process

06:51:01             From  Michelle Lynn Stephen Seigel : That is helpful Teresa

06:51:17             From  Darren Jones : Interesting we have a drug and alcohol service in the UK called "change, grow, live"

06:51:40             From  Teresa Donegan : Focus on developing people in the spirit and not over-obsession on language

06:52:04             From  Paul Burke : I'm looking forward to figuring out how "enspiriting" will become a discipline within the process of envisioning and empowering. (Kidding. Not kidding)

06:52:04             From  Stephen Rollnick : I noticed that Dave.They are about to roll out MI across the organsation

06:52:33             From  margaret Soukup : Like a choice to forgive someone

06:52:35             From  Julia Meckael-Jennings   to   Hosts and panelists : I would disagree with empowerment being an outcome. It seems that change depends on having that motivation/fire in the belly which comes from empowerment and from that place it propels change

06:52:36             From  Christopher Wagner : Self-acceptance is change for many clients that's not a behavior. Just not walking around fighting with yourself inside all the time is what a lot of people are looking for.

06:52:50             From  Christopher Wagner : And I think MI helps with that.

06:53:04             From  David Rosengren : @sue eckmaahs:  yes - empowering vs. envisioning.

06:53:21             From  rosa thomas : It's easy to fool someone who thinks they're smart.

06:53:55             From  Hanna Morrell : Expert= Certainty= Resistance to change

06:53:58             From  Kat Urban   to   Hosts and panelists : with that example, is there any chance a generational perspective impacts how quickly the younger people learned and applied it?

06:54:12             From  Sue EckMaahs : Yes, Chris.  Mindset changes lend to a powerful use of MI.  I suppose this may, ideally, lead to outward behavior change, but the internal exploration and decision is the focus, typically.

06:54:26             From  David Rosengren : @Chris W: yes, this is an area youā€™ve been writing and talking about for a long time.

06:54:42             From  Sue EckMaahs : @David R.  Yes, I have found the same.

06:54:52             From  Fiona Holland   to   Hosts and panelists : I'm interested in how Steve feels about taking MI into broader fields like schools,HE etc- having MI inspired conversations are surely really helpful even if the teachers/staff don't have practice that would be coded consistently as being a 4 on MITI, and we perhaps shouldn't wait for operationalisation of new MI 4 to get the work out there, it will be helpful and useful with the basics and spirit in there...I think this is what Steve is saying...

06:55:02             From  Jonnae Tillman   to   Hosts and panelists : A group I worked with over the years said their turnover STOPPED after they began learning/practicing MI together.

06:55:18             From  Charlotte Hilton : My experience is that the ā€˜expertā€™ position offers protection against the discomfort of vulnerability

06:55:50             From  Sue EckMaahs : Steve, what made you want to dissuade him?

06:56:30             From  Jonnae Tillman   to   Hosts and panelists : Dang, I have a patient in a few minutes!  Theyā€™re quitting/rehiring reduced.

06:56:42             From  Jonnae Tillman   to   Hosts and panelists : Yes, staff turnover.

06:57:04             From  Hoyt Roberson : Within an organization, after the initial training in MI is complete, what is the state of the art for reinforcing, modeling, and assessing fidelity within the entire organization?

06:57:29             From  Jonnae Tillman   to   Hosts and panelists : Thank you everyone - hope to see you all at next MINT.

06:57:59             From  Tania Benacerraf : Ted Lasso!

06:58:14             From  Jamie Lavender : YES YES YES

06:58:16             From  Cecilia Lanier : Yes! I saw MI used in schools. It is phenomenal.

06:58:19             From  Teresa Donegan : YES

06:58:43             From  Jamie Lavender : I teach and I use it in teaching all the time and then comment about using it, if possible.

06:59:52             From  Teresa Donegan : That is what I was trying to say :)

06:59:59             From  Kendelle Bond : http://www.miinleadershipandorganizations.com/

07:00:05             From  Hanna Morrell : Agreed, Kendelle. Change doesn't come without feeling safe and understood.

07:00:10             From  Fiona Holland : I'm interested in talking with anyone using MI in Higher Education, not around health behaviours, but more around engagement....

07:00:37             From  Danielle Pinsonneault : About empowering, In  QuĆ©bec, from Laval university, I've heard of a translation of Ā«empowermentĀ» as Ā«support to the development of the power of action Ā» in a someone's life (free translation back to English)

07:00:47             From  Hanna Morrell : Its philosophy vs the technical skills?

07:01:30             From  Mindy Boccio : Thank you all for the rich conversation, I need to hop off for another meeting. Wishing everyone well.

07:01:43             From  Sue EckMaahs : Take care Mindy!

07:01:46             From  Stephen Rollnick : bye Mindy

07:02:17             From  Charlotte Hilton : Iā€™ve had the pleasure of introducing reception staff to some of the core concepts in MI and in particular spirit as a way of being. Before training about half of these people were considering leaving their role because of the stressful culture that has developed from increased patient demand. Following training and a sense of hope of there being a more curious and compassionate way to communicate with patients and other staff members, many reconsider

07:02:45             From  Charlotte Hilton : I should have mentioned that these were receptionists working in UK general practice

07:03:01             From  Ezra Susser : Sorry have to leave, was a fascinating conversation

07:03:06             From  Lynne Johnston : how much 'variance' does cultivating CT and softening ST actually account for?

07:03:17             From  Stephen Rollnick : my cousin Ezra! Bye!

07:03:36             From  Teresa Donegan : Terri Moyers mentions this often--accurate empathy is not just about "warmth

07:03:37             From  Paul Burke : I agree with Joel that too much emphasis on "spirit of MI" leads some new learnrs to think of MI as equivalent to Rogerian client-centered listening. I've even heard some learners saying "MI is "nothing more than ā€¦". Change Talk and evocation is an important component of the operant mechanism. We have to be careful not to lose that

07:03:40             From  Sara Schieffelin   to   Hosts and panelists : Iā€™m so curious about hearing more about where to start with training a group/organization that has a toxic culture.

07:03:46             From  Bertha Katjijova : MI have a way of allowing the person to feel important and this motivates change in  an amazing way,mostly when  working with young people with behavioral problems.

07:03:50             From  Michelle Lynn Stephen Seigel : Fascinating Charlotte!

07:04:22             From  Jamie Lavender : I see a huge part of the spirit of MI as "love"-- unconditional positive regard if you like-- and appreciate you all for helping evolve this great, very loving model into the future. And thanks Steve for helping birth it to us. :) Hopping off...

07:04:38             From  judith carpenter : @Paul Burke, agree with you there my friend

07:05:11             From  Michelle Drapkin : Paul Burke, I agree. I talk about how the spirit is in your head and your heart and the lessons in MI skills help your mouth to intentionally represent whatā€™s in your heart and head.

07:05:36             From  Merav Devere : I did an action research on using MI in an organisational setting and most of the research indicate that while organisations support MI and collaboration  in reality they mostly use top-down rather than consultation communication style. I think it is an organisational cultural and political issue rather than psychological

07:06:14             From  Teresa Donegan : Can we save this chat?

07:06:31             From  Kendelle Bond : Teresa..it will be on Youtube in a few days

07:06:39             From  Kendelle Bond : and the chat you can save too yes

07:07:25             From  Teresa Donegan : @Kendelle I haven't been able to save this chat

07:07:54             From  Paul Burke : Michelle Drapkin ā€¦ that is FABULOUS! With your permission, I'd like to steal that concept and  use it in my own workshops. Concept = "words are the mechanism through which the spirit manifests and sparks change"

07:07:59             From  Hoyt Roberson : How does one save the chat? Can we have it sent to us?

07:08:50             From  Kendelle Bond : it should save into your zoom accounts when you leave however iā€™m happy to save it at the end and send it to anyone if you want to email meā€¦kendelle@ncbc-uk.com

07:08:58             From  Michelle Drapkin : Hi Paul- this is Laura Saunders-signed in under Michelleā€™s name :-) YES! Given that I have plenty of your stuff and things you can certainly have that little ditty.

07:09:41             From  Arlene Dalcin : I think teasing discord and sustain talk from resistance was an important addition in MI3.

07:09:57             From  Ed Haycraft   to   Hosts and panelists : I agree with that

07:10:34             From  Christopher Wagner : Laura Sanders, AKA Michelle Drapkin, nice framing!

07:10:46             From  Kat Urban   to   Hosts and panelists : I agree, I am a lot younger than many of those in my job and I think it is because of time space compression due to the internet. We were able to see more of the world because we were "ipad kids"

07:10:48             From  Sandy Francis   to   Hosts and panelists : Focussing on focus made a HUGE difference to my practice - between MI2 and MI3

07:10:49             From  Teresa Donegan : Yes Kendelle please

07:10:52             From  Christopher Wagner : Molly, I find there is less for people to unlearn

07:11:02             From  Christopher Wagner : And that makes it easier to teach...

07:11:28             From  terry huriwai   to   Hosts and panelists : agree Joel - even in correctional contexts

07:11:32             From  Michelle Drapkin : I like to reinforce that their heads and their hearts recognize MI but their mouth doesnā€™t always cooperate. With a little polishing we can get those two things to align.

07:11:53             From  Kathy Goumas : I agree Molly, there is more understanding around the value of listening and understanding, although I donā€™t see so much advancement in exercising restraint unfortunately!

07:11:55             From  judith carpenter : Agree Chris, people seem more willing and curious

07:14:48             From  Lynne Johnston : Did we throw the baby out with the bath water re TTM?  I'm wondering if there was an over simplification re the focus on Stage of Change at the expense of the other aspects of TTM, particularly the processes of change?

07:15:43             From  David Rosengren : So, in essence Joel, the question is back to why MI-4? Does it matter?  Think back to MI-2, where we intentionally divorced MI from brief interventions and brief advice.  We wouldnā€™t talk about MI in Health Care.  Weā€™ve seen the integration of positive emotions, including hope.  Chris and Karen Ingersoll integrated MI into groups.  Weā€™ve seen the integration of implementation intentions.  All of these come from the continued evolution of these concepts, so does it make a difference?  Yes, but perhaps not in the way we traditional evaluate impact.

07:17:50             From  Dawn Zeaphey   to   Hosts and panelists : Thank you! Interesting discussion! Have another appointment so need to go!

07:17:52             From  Lynne Johnston : the 10 processes of change

07:20:09             From  Pauline Grant : Hi Stephen, trained with you several years ago in Wales.  Absolutely agree with Joels comments about line managers perhaps having the skills to draw on if  needed.  You donā€™t get much more stressed than healthcare right now! Have just introduced MI as a tool for line managers to support coaching approaches to career conversations, very much around cultural and organisational change aiming to retain staff.  combining with positive psychology and strengths based approaches

07:20:20             From  David Rosengren : Have you included a definition of motivation?

07:20:39             From  Hoyt Roberson : Theory: motivation arising from internal loci of control is more effective than external loci. MI is a set of tools to support people in developing their internal loci.

07:21:01             From  Charlotte Hilton : My feeling is that there is enough theory that may help us to understand why MI works the way that it does. For example SDT is another useful thory to support MI. However, I feel there has been an over-reliance on the SoC component of the TTM at the expense of considering the other components (including the 10 processes as Lynne mentioned)

07:21:02             From  Hanna Morrell : Psychological safety is where I find MI links with Trauma-informed.  TI has more and more acceptance at the org level too. I think they support each other well.

07:21:09             From  Hoyt Roberson : Humans need to thrive, a psychologically safe place where they can be and explore themselves.

07:21:38             From  Hanna Morrell : Kendelle, it's fascinating!

07:21:46             From  Fiona Holland : I've found people resonate with some of the evolutionary theory pieces around status messages etc...

07:21:58             From  Patricia Juarez : Recently read an attempt of integrating MI as part of Processed Based Therapy - which made a lot of sense to me

07:22:15             From  Teresa Donegan : Like the term about TTM as cousins. What did Stephen say just before about type of cousins?

07:22:21             From  Michelle Boudreaux : Focusing more energy here in Michigan with TIC and MI.

07:22:25             From  Fiona Holland : contented cousins

07:22:41             From  Teresa Donegan : Thanks Fiona!

07:22:42             From  Stephen Rollnick : contented cousins Teresa?

07:23:00             From  Teresa Donegan : yes

07:23:04             From  Teresa Donegan : Liked the term

07:23:38             From  Sandy Francis   to   Hosts and panelists : I am

07:23:44             From  Arlene Dalcin : Di you leave Affirm as part of acceptance and a core skill?

07:24:02             From  Christopher Wagner : Steve, I appreciate the clarifying focus in the MI-4 model on identifying directional reflections and questions, and complex affirmations vs. simple affirmations. New details, but seem to clarify rather than complicate...

07:24:55             From  Sandy Francis   to   Hosts and panelists : I think It is complex - for non-psychotherapists

07:24:59             From  Sue EckMaahs : Yes, Chris.  I agree!

07:25:18             From  Sandy Francis   to   Hosts and panelists : And psychotherapists!

07:25:36             From  Fiona Holland   to   Hosts and panelists : Do we have to stay on questions around the new book? If not, I'm interested to hear if Steve has thoughts about the use of AI in mapping behaviours and behaviour change interventions like the behaviour change project at UCL...as MI is a BCT in the taxonomies of change, the mapping is not just about the what, where, and who, how much etc, but also the how...or perhaps this could be something for another time...

07:25:45             From  Merav Devere : Teresa Moyers talked about how to balance between genuiness and empathy

07:26:36             From  David Rosengren : Information exchange/sharing - make the cut?

07:26:47             From  Hanna Morrell : Kendelle, could genuineness be an outgrowth of psychological safety?  Like the clinician feeling safe means they have permission to be truly themselves.  I struggle with teaching others how to show up as themselves.

07:26:53             From  Joel Porter : I thought about "genuine empathy"  still a thought in process

07:26:56             From  Charlotte Hilton : And I wonder if reflective listening is also very affirming šŸ™‚

07:27:12             From  Sue EckMaahs : Does anyone else use 'strengths-based' to clarify the 'affirmation' ingredient in the spirit?

07:28:13             From  Mike Porteous : Going to have to call off in the next minute or two - a thought to drop in that came up earlier: as a sports coach to deliberately position myself as not the expert takes real courage!  PS: I love ā€œenvisioningā€ though in my world I see this as helping people surprise themselves with what they can do.  Their ā€œvisioningā€ only gradually emerges and comes to life in ways neither of us could have predicted.

07:28:15             From  brian kersh : Sue, that's the framework I use when training.  Affirmations are a specific type of reflection that is similar to what Molly is saying now

07:28:16             From  Peter Rives : Sure, affirmations can be reflections of strength - and I think there's value in teaching the intent behind each which can lead to lots of different angles of reflective listening.

07:28:19             From  David Rosengren : I need to jump off.  Thanks for a thought provoking session folks.  I look forward to reading it all in print.  Great work, Bill and Steve.

07:28:21             From  Bob Jope : I do, Sue.

07:28:23             From  Michelle Lynn Stephen Seigel : Yes Sue

07:28:45             From  Kendelle Bond : @Sue - yes I use the VASE approach still very much too

07:28:52             From  Lynne Johnston : Thanks Charli, my understanding is that 'the Stages of Change Model' is not ā€˜A Model' it is ONE part of TTM. I have noticed over the years that the 10 original processes of change in TTM are so often ignored from discussion within MINT. Ironically, the 10 processes emerged from psychotherapy practice (in the original studies in the late 70s and early 80'sā€¦..).

07:29:28             From  Sandy Francis   to   Hosts and panelists : Skilful advice giving? Is that in - as a specific thing?

07:29:38             From  Lynne Johnston : I have to go to another meeting, thanks all

07:29:44             From  rosa thomas : Fascinating conversation

07:29:46             From  Charlotte Hilton : @Lynne yes I agree but not sure I explained this as well as you in my last message :)

07:29:57             From  Sean Small : Thank you for the very interesting session. Very much appreciated.

07:29:57             From  Evelyn Trigueros   to   Hosts and panelists : Thank you!

07:30:00             From  anne wittevrongel : Thank you very much

07:30:00             From  Sue EckMaahs : Bummed I have to leave.  Can't wait to hear the rest and devouring the book!  ;)

07:30:05             From  John BAER : Thanks all.  great conversation.

07:30:10             From  Heidi Brightmore : Thank you, fabulous discussions!

07:30:18             From  Li-Lo Sahlberg : Thank you all :-)//Li-Lo

07:30:18             From  Michelle Drapkin : Thank you so much for hosting! Canā€™t wait to hear the rest later. (The real Michelle Drapkin - not quite as brilliant as Laura Saunders!)

07:30:19             From  Beata Kita : Thank you :)

07:30:39             From  Vince Knight : really enjoying the flow of the conversation

07:30:40             From  Valerie Knight : Loving the conversation :)

07:30:50             From  Florence DA SILVA   to   Hosts and panelists : thank you for sharing and make us live  a part of MI history

07:30:52             From  Amy Reading : thank you

07:30:57             From  Sam Hague-barrett : Thanks All, enjoyed listening

07:30:57             From  Yoshikazu Fujimoto   to   Hosts and panelists : Thank you šŸ™‚

07:30:58             From  Joachim Kƶrkel : Thanks all. :-)

07:31:02             From  Rik Bes   to   Hosts and panelists : šŸ™šŸ¼ & see you in Copenhagen!

07:31:06             From  Mike Howard : Diolch/Thanks all. Nos da/Goodnight

07:31:13             From  James Hoey : Great chat. Tks

07:31:15             From  Robert Rejniak : Thank you, great  :-)

07:31:27             From  Charlotte Hilton : Need to jump off for another meeting. Great to see so many familiar names in the chat and thanks for organising :)

07:31:29             From  Valerio Quercia : Grazie mille!

07:31:47             From  Diana Nimo   to   Hosts and panelists : Thank you, great chat :)

07:32:16             From  Teresa Donegan : YES!!!

07:32:24             From  Lynn Sones : What a rich, Authentic, evoking discussion!! Thank you

07:32:36             From  TƵnu JĆ¼rjen : I agree that the practitioner has been neglected in some sense.

07:32:39             From  Kat Urban   to   Hosts and panelists : Thank you!

07:32:48             From  Hoyt Roberson : I will from time to time review the idea that "you don't have to like every client," and then ask, "but why would you choose not to?"

07:33:34             From  judith carpenter : Agree so very much with this Steve, especially in the world of healthcare, my world, it was also a struggle for me, but one I am so so glad to have persisted with and have the privilege to be able to support others in my world

07:33:37             From  TƵnu JĆ¼rjen : 50 or more :)

07:33:50             From  Joel Porter : or more Tonu

07:33:54             From  Teresa Donegan : Power sharing and humility

07:34:05             From  Hanna Morrell : Teresa you beat me to it!

07:34:15             From  terry huriwai   to   Hosts and panelists : Nga mihi ki a koutou katoa.

07:34:26             From  Bertha Katjijova : Thanks you all,can't wait to get hold of this edition, calling it a night. .

07:34:38             From  Teresa Donegan : Hanna :)

07:34:39             From  Joel Porter : Kia ora Terry

07:34:50             From  Rob Shaw   to   Hosts and panelists : Steve, on a previous webinar you talked about the ā€˜leaning to towards changeā€™ in terms of how we use our reflective listening, as like a dial that we turn up and down. Could you say a bit more about this. Have you provided guidance in MI 4 on when to turn it up or down?

07:34:56             From  David Koss : To follow up on Kendelle's funny comment, one take away from today is that we do not "need to redo everything we do"  However, what words or comments or evocations that we do now does the 4th edition recommend that we should no longer do? And what comments with clients does the 4th edition recommend we now make?  One item I have heard outside of this meeting is to 1) emphasize reflections and affirmations to an even greater extent than is now covered in training , and 2) work to soften sustain talk to the extent possible and to be less concerned about evoking change talk from sustain talk...

07:35:18             From  George Brenner : Thanks, thought provoking and informative.

07:35:19             From  Teresa Donegan : Yes, definitely

07:35:21             From  Michelle Boudreaux : šŸ‘

07:35:22             From  Sara Schieffelin   to   Hosts and panelists : Yes!! That resonates!!!!!

07:35:26             From  Christopher Wagner : Steve, those are great points. We probably notice the things that come a little less naturally to us.

07:35:28             From  Chris Miles : YES!! I do this in my trainings!

07:36:01             From  Scott Kerby   to   Hosts and panelists : Great stuff.  Thanks everyone!

07:36:13             From  Christopher Wagner   to   Hosts and panelists : Kendelle, can you make sure you save the chat on your end since it wasn't enabled for us to on our end? Thanks!

07:36:15             From  Tipene Pickett : Steve, I've really appreciated hearing about the relationship you have with yourself as an 'enthusiastic righting reflexer' (I probably sit in this camp too).  Inavigating differences  your openness and and to Bill has been

07:36:17             From  Danielle Pinsonneault : Steve, are you saying that in MI4 there will be parts on the clinician need to and how to make that shift ? I personally gain alot from MI

07:36:22             From  Teresa Donegan : Yes--health care providers have not had this

07:36:27             From  Merav Devere : What I heard Bill says (or was it you Steve?) is that there is a shift towards looking at MI as an approach that can  enfolds all other approaches and be part of all other helping approaches.

07:36:28             From  Sara Schieffelin   to   Hosts and panelists : MI training for me, if done well, and if there is true collaboration with the participants, is totally about building resilience.

07:36:31             From  TƵnu JĆ¼rjen : I'd really would like to discuss in the future the practitioner self regulation a bit more in depth. Probably my own need to grow.

07:36:43             From  Teresa Donegan : Same with social workers and so many others in the caring field

07:36:56             From  Teresa Donegan : It's not built into education

07:37:09             From  Kendelle Bond : @yes Chris - Iā€™ve saved it and will send across to anyone who wants it - please email me kendelle@ncbc-uk.com and Iā€™ll send it to you all x

07:37:10             From  judith carpenter : And Joel in other words, there has never been a couch or any consideration of the person, I agree with kendelle our training provides that psychological safety

07:38:23             From  Valerie Knight   to   Hosts and panelists : Hi Kendelle where in the UK are you based? I am being curious. I work as a 'NHS Personalised Care Trainer'.

07:38:32             From  Teresa Donegan : AS a teacher and trainer the work involves continual self-awareness and growth

07:39:01             From  Tipene Pickett : ..oops pressed too early...and hearing of how you and BIll navigagted differences in viewpoints..gives me a great sense of peace somehow

07:39:58             From  Teresa Donegan : What I have appreciated so much is both your humility as well as Bill's and all the others who continue to struggle, talk, and grow.

07:40:27             From  Sue EckMaahs : Yes, Teresa!!!

07:40:49             From  Vince Knight : Kendelle, I agree about the NHS - I've trained there and it is a really interesting experience

07:41:02             From  Kendelle Bond   to   Valerie Knight and all panelists : Hi Valerie, what an incredible job - Iā€™m based in Brighton UK -letā€™s connect! Also we have the MINT UK and I on Friday and Saturday.

07:41:30             From  Karen Gall : push for efficacy as a base for payment, efficiacy in treatment modalities and the shortage of practitioners overall I believe the priority for introspection and self awareness have been relegated to the realm of luxury vs. being seen essential.  This seems to be happening in all service areas.

07:41:53             From  Kathy Goumas   to   Hosts and panelists : Thanks all for a stimulating discussion, Iā€™m encouraged that we continue to be curious and are growing toward wanting to be better helpersā€¦ā€¦or as Bill once said to me ā€˜we continue to fail betterā€™!

07:41:56             From  Tina Vaughan : I think that the narrative is important, and I like how reflections can help to "continue the conversation" to support that narrative

07:42:02             From  Carol Johnstone : "Hearing back" rather than "reflecting back" the client side rather than the clinician side. Very helpful! Thanks!

07:42:11             From  David Koss : Thank you.

07:42:43             From  Sara Schieffelin   to   Hosts and panelists : Collaboration?

07:42:46             From  Carol Johnstone : Calmness

07:42:47             From  Cecilia Lanier : Cleverness complexity and clutter be gone.  Compassion, curiosity, and CALM?

07:42:51             From  Rob Shannon   to   Hosts and panelists : I believe that is in Mi in healthcare 2nd edition Steve

07:42:54             From  Tania Benacerraf : CALM

07:43:15             From  Christopher Wagner : Steve, I think you're really getting the hang of this MI thing! ;-)

07:43:20             From  Vince Knight : Cindness?

07:45:41             From  Tipene Pickett : I use the mantra I am equanimity, calm and composed...work in progress

07:45:47             From  Larisa Constantinou : Is righting reflex more prominent in men?

07:45:48             From  judith carpenter : MI helps us to ā€˜noticeā€™ things in ourselves if we look out for them

07:46:16             From  Kendelle Bond : Not necessarily Larisa -it can be more overt but itā€™s prominent in all humans

07:46:27             From  Hoyt Roberson : My mother pretty well channeled the righting reflex. ...

07:46:37             From  Teresa Donegan : Struggle--child received value for being the "fixer"

07:47:06             From  Teresa Donegan : In contexts in chaos

07:47:06             From  Tipene Pickett : ...wherever I-go, E-goes

07:47:42             From  Kendelle Bond : @Tip šŸ¤Ŗ

07:48:22             From  Sue EckMaahs : Larisa, this is mostly anecdotal, but based on thousands of MI coaching/listening experiences, we see as much righting reflex in women as in men (at least here in the US).

07:50:01             From  Cecilia Lanier : And he asked you!

07:50:12             From  Vince Knight : does the righting reflex help us to identify where we are on the drama triangle?

07:51:00             From  Valerie Knight   to   Hosts and panelists : Hi Kendelle I will send you an e-mail and yes it will definitely be good to connect  :)

07:51:09             From  Christopher Wagner : Steve, just tell your kid you're empowering him to clean his room ;-)

07:51:53             From  judith carpenter : Thank you for a great meander of a conversation

07:51:54             From  Karen Gall : Thank you all so much!   What a wonderful and open conversation!!

07:52:01             From  Paul Burke : Thanks so much everyone. Very useful.

07:52:02             From  TƵnu JĆ¼rjen : Thank you and bye!

07:52:09             From  Jennifer Wyatt : Thank you for hosting these interesting conversations!

07:52:09             From  Sue EckMaahs : Thank you SO much!

07:52:12             From  Marzie De Pangher : Thank you so much!

07:52:14             From  Chris Davies : This has been so enriching!

07:52:17             From  Magda LillalĆ­ RendĆ³n GarcĆ­a   to   Hosts and panelists : Thanks ā¤ļø

07:52:18             From  Pam Burke : Thank you for all your wonderful envisioning!

07:52:19             From  Danielle Pinsonneault : Thank you very much ! Best to you all !! Looking forward reading MI4

07:52:22             From  Scott Boyles   to   Hosts and panelists : Thank you!

07:52:24             From  Cecilia Lanier : Itā€™s been an honor. Thank you all so much. Quite inspiring.

07:52:24             From  Sara Schieffelin   to   Hosts and panelists : Thank you!!!!

07:52:24             From  Joanne Taylor : thank you. very interesting. can't wait for the book!

07:52:25             From  Vince Knight : Thanks, brilliant stuff and thank you for sharing :)

07:52:25             From  Elizabeth Egan : Thanks for this. Would love one of these on being authentic and/or genuine!

07:52:25             From  Teresa Donegan : Thank you so much for this session! This was great. Thanks to Stephen, Molly, Jolly and Kendelle.

07:52:27             From  Tipene Pickett : Awesome folks...much aroha1

07:52:27             From  Patricia Juarez : Great to see you Steve!!! thanks everyone!

07:52:32             From  Christopher Wagner : Thanks and bye folks!

07:52:32             From  Rob Shannon   to   Hosts and panelists : Many thanks everyone

07:52:33             From  Hoyt Roberson : Thank you all and the great Stephen Rollnick for taking this amount of time.

07:52:34             From  Fiona Holland : thanks Steve for your openness!

07:52:36             From  Kathy Goumas : Thanks all

07:52:38             From  Mark Turnbull : Absolutely fantastic. Looking forward to the next event and good luck with the book and everyones endeavours

07:52:42             From  David Koss : Great two hours. All the best everyone

07:52:57             From  Lisabeth Bennett   to   Hosts and panelists : So much food for thought! Thank you!

07:53:04             From  Bridgette Franklin : Thank you all for the great conversation, and learning about what's new in MI-4.

07:53:23             From  Amanda Pitkethly   to   Hosts and panelists : Thanks everyone!!