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Index
Note. f following a page number indicates a figure.
Abilities to change. See also Change
examples of, 37, 38 f, 140–144
change talk and, 59–61, 59 f, 60 f
expanding food variety and, 205
expanding food variety and, 205
meal planning and preparation, 202
time restrictions and, 164
mindful eating and, 209
Absolute worth, 26 f, 28, 30, 243–244, 249 f.
misinformation and unhealthy beliefs and,
See also Unconditional positive regard
177
Acceptance. See also Spirit of motivational
offering concern and, 78
interviewing (MI)
overview, 5, 26 f, 33–34, 108–109
listening and, 51 f
reflection and, 131, 133
overview, 26 f, 28, 30–32
reframing and, 125
weight-neutral counseling and, 236–239,
selecting, 115–118, 115 f
243–244, 249 f
self-affirmations, 118–119
Acceptance, food, 203
shortening the MI process and, 168–169,
Action planning, 69–70, 73–79, 75 f. See also
171
Planning process of making change
summaries and, 134
Action stage of change, 11. See also Stages
time restrictions and, 164
of change
weight-neutral counseling and, 249 f
Activation. See also Change
Ah-ha moments, 94, 98
change talk and, 59–61, 59 f, 60 f
All-or-nothing trap, 227–230
meal planning and preparation, 196
Altruism, 34
shortening the MI process and, 171
Ambivalence about change. See also Change
Active listening. See Reflective listening
cheerleading trap and, 156
Activity, 6. See also Physical activity
desire for a “quick fix” and, 16–20, 18 f
Advice giving
dietary changes and, 211
minimizing sustain talk and discord and,
evoking and reflecting, 65–68
153–155
expanding food variety and, 205
misinformation and unhealthy beliefs and,
listening for, 14
177–178
minimizing sustain talk and discord and,
overview, 77–78
149–160, 150 f, 157 f
righting reflex and, 21–22
moving through, 20–24, 59–65, 59 f, 60 f
Affirmations. See also Communication
overview, 1–2, 12–16
techniques
reading your clients and, 147–149
assessment and, 97
reflection and, 122, 126–127
benefits of, 109–112, 110 f
responding to, 63–64
cheerleading trap and, 156, 157 f
root of, 15–16
crafting, 112–114
summaries and, 134–135, 136, 137–
evoking and reflecting change talk and, 65,
139
66, 67–68
time restrictions and, 163
269
270 Index
Amplified reflection, 127–128, 129 f, 132. See
Bias, 30, 31, 243–244
also Reflections
Binge-eating disorder, 211
Analogy reflections, 124. See also Reflections
Body image, 236–239, 258–259
Anger, 149
Body language, 31–32, 48. See also
Asking permission
Nonverbal communication
affirmations and, 112
Brain functioning, 12–13
evoking and reflecting change talk and, 66
Brief sessions. See Time restrictions
expanding food variety and, 204, 206
Bubble charts. See Circle charts
expert trap and, 154, 155
meal planning and preparation, 196
c
mindful eating and, 209, 210
Change
misinformation and unhealthy beliefs and,
ambivalence regarding, 1–2, 12–24,
177, 186
18 f
motivation for physical activity and, 219,
challenges with, 9–10
220
dietary changes, 192–194
offering concern and, 79
stages of, 10–12
overview, 74–75
temporary changes as an experiment and,
referrals to other professionals and, 254 f
84–86
shortening the MI process and, 168, 169
thoughts and feelings regarding, 36–37
time restrictions and, 163, 174
Change rulers, 103–104. See also Open-
weight-neutral counseling and, 238, 239,
ended questions; Scaling questions
242, 245
Change talk
Assessment
addressing barriers to physical activity,
confidence and barriers to change and,
226, 228–229
86–88
affirmations and, 111
focusing on a topic and, 54–56
cheerleading trap and, 156
Nutrition Care Process (NCP), 4
dietary changes and, 211
open-ended questions and, 95–97
evoking and reflecting, 65–68
overview, 46–47, 47 f
expanding food variety and, 205
question–answer trap and, 149–153
meal planning and preparation, 195–196,
readiness, 68–70
197–198
time restrictions and, 164
mindful eating and, 209
Attention, 51 f
misinformation and unhealthy beliefs and,
Authenticity, 113–114
186
Autonomous motivation, 212–220, 215 f,
motivation for physical activity and, 214,
217 f. See also Motivation
216, 218–219
Autonomy
open-ended questions and, 95
affirmations and, 112
overview, 14, 59–61, 59 f, 60 f
evoking and reflecting change talk and, 67
reading your clients and, 148
meal planning and preparation, 197–198
reasons to change and, 101–102
misinformation and unhealthy beliefs and,
reflection and, 122, 124, 126–127
176, 181–182
reframing and, 125
motivation for physical activity and, 221
responding to, 63–64
overview, 22, 24, 26 f, 32–33
shortening the MI process and, 171
referrals to other professionals and, 253
summaries and, 134, 139
shortening the MI process and, 166–167
time restrictions and, 164
time restrictions and, 164
weight-neutral counseling and, 239, 241,
weight-neutral counseling and, 24
4, 249 f
242, 243, 245, 247
Awareness, 97
Cheerleading trap, 156, 157 f
Choices, 15, 154, 166–167
B
Circle charts, 52–54, 53 f, 245, 246 f
Barriers to change
Client-centered goal setting, 79–86, 81 f–82 f,
addressing barriers to physical activity,
170, 171
223, 225–231, 225 f
Close-ended questions. See also Questions
assessment of, 86–88
change rulers and, 103–104
shortening the MI process and, 170–172
compared to open-ended questions, 92,
Behavior change. See Change
93 f
Beliefs, 101, 208–209, 214. See also
expanding food variety and, 205
Unhealthy beliefs
meal planning and preparation, 203
Index 271
misinformation and unhealthy beliefs and,
Curiosity, 51 f, 85–86, 120, 121
184
temporary changes as an experiment and,
d
85
DARN CAT acronym, 59–61, 59 f, 60 f. See
turning into open-ended questions, 94 f
also Change talk
weight-neutral counseling and, 242, 247
Defensiveness, 111–112
Cognitive-behavioral therapy (CBT),
Desire to change. See also Change
185–187, 230
change talk and, 59–61, 59 f, 60 f
Collaboration with clients, 96, 148. See also
meal planning and preparation, 195
Partnership
mindful eating and, 209, 210
Commitment to change, 59–61, 59 f, 60 f. See
weight-neutral counseling and, 245
also Change
Diagnosis
Communication techniques. See also
addressing the need for dietary changes
Affirmations; Open-ended questions;
following, 192–194
Reflections; Spirit of motivational
focusing on a topic and, 54–56
interviewing (MI); Summaries
Nutrition Care Process (NCP), 4
listening for ambivalence and, 14
overview, 46–47, 47 f
misinformation and unhealthy beliefs and,
weight-neutral counseling and, 245
177–183
Dietary change. See also Change; Nutrition
overview, 4–5
counseling
partnership and, 27–28, 29 f–30 f
addressing in nutritional counseling,
reading your clients and, 147–149
Motivational Interviewing in Nutrition and Fitness Page 36