Chapter Questions
Share some difficult decisions you have made in life about which you needed to resolve a great deal of ambivalence. Discuss the factors that helped you make a decision, and how you moved through the stages of change (understanding that you were not aware of the model at the time).
What other strategies do you use, or know about, that can help clients develop motivation to confront some problem issue other than those discussed in this chapter? How successful do they seem to be?
Motivational interviewing discourages the social worker's confrontation of clients. In what situations do you now confront clients? How is it appropriate in those situations? In your opinion, does motivational interviewing and enhancement offer a realistic alternative to confrontation?
What are three differences between motivational interviewing and motivational enhancement therapy? What are three similarities?
Discuss some macro-issues or social justice issues, such as perceived age, gender, or class discrimination, that clients may lack the motivation to address. How can motivational interviewing be helpful for resolving their ambivalence?