Motivational Interviewing assumes that almost all clients are ambivalent about changing. The desire to change is present, but so is the desire to stay with the status quo. Asking first about the good things associated with drinking for example then affords some leverage and naturalness to ask about the not-so-good side as well. Miller and Rollnick ; p advocate a thorough and structured exploration of ambivalence only when initial attempts to elicit change-talk have met with little success.
Exploring and exploring ambivalence means thoroughly exploring both the positives and negatives of change; exploring all the reasons for not changing before moving on to explore the reasons for changing; surveying all the benefits of staying the same, and the disadvantages of changing and weighing these up against the benefits of changing. All people are motivated, but not always in the direction clinicians and helpers would like them to be.
For example, some people are motivated to keep smoking known as maintaining the status quo and others are motivated to stop smoking and move towards behaviour change.
The process of behaviour change involves resolving the push and pull of the change Miller, Becoming ambivalent is the first step in developing motivation to change. Motivational Interviewing MI offers an alternative response to ambivalence, as it recognizes that ambivalence is normal, and it defines readiness to change as a dynamic and not a static factor Miller, Motivational Interviewing helps people explore ambivalence — what keeps the person doing what they do and what might move them towards wanting to make a change.
It is a shift from the pre-contemplative stage of change, e. About the Moderator. The Southwestern Counseling Center: My… Second-year student, Sylvan Schneider, offers his reflection on navigating his own therapeutic approach and being a Being a Counselor, and Using… Dr. Nolan discusses combining Counseling and Coaching as a career option. Leave a Comment with Facebook Leave a Comment. Loading Comments Enter your email and stay on top of things,.
We can respond by shifting the conversation away from what seems to be a stumbling block to progress shifting focus. This means changing the subject when talking about an issue becomes counterproductive. An example of shifting focus might sound like "That doesn't seem like a problem to you right now. What are some of the things you're dealing with that you feel are a challenge? Finally, simply emphasizing the client's choice and control autonomy can help minimize resistance and move the conversation away from sustain talk.
Sustain talk, in particular, is to be expected in any conversation about change, especially when a person is feeling ambivalent.
The counsellor's response can provide the forward momentum in the client's process of exploring and resolving his or her ambivalence and ultimately making a decision to change. However, we should always be open to—and accepting of—the possibility that a client may very well decide not to change despite our best efforts.
If we have respectfully and empathically stayed with our clients through to this decision, it is more likely that they will come back and re-engage with us if or when their circumstances or perceptions change.
Skillful listening. Sustain talk and discord. Using MI with other counselling methods. Resources and training.
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