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Exploring ambivalence is an empathic, person- centered, directive and goal oriented strategy to help the person become aware of, understand, resolve or take control over her ambivalence. (including discrepancies and inconsistencies) in order to take a stance, make a decision and move on in her process of change.
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Jan 1, 2015 · If you are using motivational interviewing and not addressing ambivalence, meaning simultaneous conflicting feelings about moving on to the next stage of change, then you’re missing out on a rich source of information that can positively influence the whole therapeutic endeavor.
- Step 1. Express Empathy
- Step 2. Develop Discrepancy
- Step 3. Roll with Resistance
- Step 4. Support Self-Efficacy and Optimism
- A Note on Exploring Ambivalence
- Positivepsychology.Com Valuable Resources
- A Take-Home Message
In motivational interviewing, clinicians express empathy through careful listening and nonjudgmental curiosity about the client’s presenting problem. This is different from empathy in other therapeutic approaches, which focus more on verbal expressions of empathy. Instead, MI requires the creation of a context of empathy, which is done through the ...
People are more likely to change when they can see that their actions are not in line with their values. To help clients see this, clinicians “develop discrepancy” between what the client says they want and what they are doing.
Clinicians love to help people. This is part of why they have answered the call to service in their life’s work. Can you think of an experience when you saw someone you cared about doing something harmful or dangerous? It can be difficult to resist jumping in and trying to convince them to change.
Empowerment is a major principle in motivational interviewing (Rollnick et al., 2008). Clinicians are experts on many things – mental health, physical health, the benefits of exercise, and consistent sleep, to name a few – but clients are the experts on themselves. Clients do better when they are encouraged to take an active role in their treatment...
As discussed above, clients often feel two ways about any problem behavior. Combating ambivalence paradoxically ignites resistance, and the goal of the MI clinician is to work through resistance while encouraging positive change talk. Although you may know why the client should change, it is more MI consistent to explore ambivalence than to advocat...
Our site has numerous motivational interviewing resources including specific MI questions, skills, and worksheets to assist with your clients’ readiness to change. These three articles are particularly helpful for building your knowledge of motivational interviewing: 1. What Is Motivational Interviewing?A Practical Theory of Change 2. 17 Motivation...
Simply convincing a client to change will not make them do it. Instead, the willingness to hear the client out, with empathy and acceptance, helps to deepen the relationship and move the client toward change. That is the advantage of motivational interviewing as a communication style. It can be very useful in clinical situations that involve behavi...
Motivational interviewing is a set of skills rather than a technique which should be acquired by clinicians and counselors in order to deliver the desired therapeutic outcome effectively. The therapy employs ambivalence and discrepancy in order to motivate the client for change.
Jan 12, 2015 · Sample amplifying ambivalence interventions: How has your behaviour been a problem to you? How has it been a problem for others? What was your life like before you started having problems with ____ (compulsive shopping, smoking, drinking, etc)? If you keep heading down the road you’re on, what do you see happening (Braastad, n.d.)?
Mar 2, 2012 · Core clinical strategies include, e.g., reflective listening and eliciting change talk. MI encourages individuals to work through their ambivalence about behavior change and to explore discrepancy between their current behavior and broader life goals and values.
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How an employee handles stress is a pretty big indicator of how well they will work under pressure, and if you’re interviewing for a job where stress will be a regular occurrence, the employer needs to know you’ll be able to keep your cool even in a stressful situation.
