Last updated on 2024年8月30日

Your client's words don't align with their actions in sessions. How can you bridge this gap effectively?

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When you're working with clients in a therapeutic setting, it's not uncommon to encounter a discrepancy between what they say and what they do. This gap can be a significant barrier to progress, but with the right approach, you can help your client bridge it. Motivational Interviewing (MI) is a client-centered counseling style that enhances motivation to change by helping clients explore and resolve ambivalence. It's particularly effective in situations where clients' words don't match their actions, as it respects their autonomy while guiding them toward their goals.

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1 Understanding MI

Motivational Interviewing is a therapeutic technique that relies on collaborating with your client, evoking their personal motivations, and supporting autonomy. When your client's words are not reflected in their actions, it's important to understand that this incongruence is often a part of the change process. MI provides a non-judgmental space for clients to explore their ambivalence. By using open-ended questions, reflective listening, and affirmations, you help them articulate their values and the discrepancies between their goals and behaviors.

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2 Reflective Listening

Reflective listening is a core skill in Motivational Interviewing that involves deeply listening to your client and then reflecting back what you hear. This technique allows you to clarify and understand your client's perspective without judgment. When there's a gap between words and actions, reflective listening can help you uncover the reasons behind this disconnect. It encourages clients to listen to their own words through your reflection, which can lead to greater self-awareness and insight into their ambivalence.

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Dr Prasanta Kumar Padhi

Principal @ Higher Education Govt of Odisha | PhD, HR, Writing
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One thing I have found helpful is using reflective listening to deeply understand and reflect back a client’s perspective, which clarifies their thoughts without judgment. One thing I disagree with is assuming that clients always have clear awareness of their disconnects between words and actions. One example is when a client, through reflective listening, became more aware of their ambivalence by hearing their own words reflected back, leading to greater self-awareness and insight into the underlying reasons for their inconsistency.

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3 Exploring Values

Clients often struggle to align their actions with their words when there's a misalignment with their core values. In MI, you'll guide clients in exploring and clarifying their values, which can illuminate why they might say one thing and do another. This exploration can be eye-opening for clients, as it helps them see how their current behaviors might be at odds with what they truly value. Understanding this can be a powerful motivator for change.

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Dr Prasanta Kumar Padhi

Principal @ Higher Education Govt of Odisha | PhD, HR, Writing
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One thing I have found helpful is guiding clients to explore and clarify their core values, which can reveal why their actions might not align with their words. One thing I disagree with is assuming that misalignment is always a sign of unwillingness rather than a deeper conflict with values. One example is when a client discovered through value exploration that their behaviors were at odds with their core beliefs, leading to a profound realization and a strong motivation for change.

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4 Developing Discrepancy

A fundamental strategy in MI is to develop discrepancy between your client's current situation and where they want to be. This involves highlighting the differences between their actions and their goals in a way that is empathetic and supportive. When clients recognize the gap between their words and actions, they often feel a natural urge to change. Your role is to help them articulate this discrepancy without inducing defensiveness or resistance.

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5 Enhancing Motivation

Enhancing motivation is key when dealing with incongruent words and actions. In MI, you'll reinforce your client's reasons for change that are already present in their narrative. By acknowledging their strengths and past successes, you can help build their confidence. Encouraging your client to envision the positive outcomes of aligning their words with their actions can also increase their intrinsic motivation, making change feel more compelling and attainable.

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6 Planning for Change

Once your client is ready to bridge the gap between words and actions, it's time to collaboratively develop a plan for change. This plan should be realistic, specific, and aligned with the client's values and goals. In MI, you emphasize the client's autonomy in choosing their path forward while providing support and guidance. Creating small, achievable steps can help your client experience success early on, reinforcing their commitment to change and reducing the dissonance between what they say and what they do.

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Your client's words don't align with their actions in sessions. How can you bridge this gap effectively?

1

2

3

4

5

6

1 Understanding MI

2 Reflective Listening

3 Exploring Values

4 Developing Discrepancy

5 Enhancing Motivation

6 Planning for Change

Motivational Interviewing

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Your client's words don't align with their actions in sessions. How can you bridge this gap effectively?

1

2

3

4

5

6

1 Understanding MI

2 Reflective Listening

3 Exploring Values

4 Developing Discrepancy

5 Enhancing Motivation

6 Planning for Change

Motivational Interviewing

给文章评分

感谢您的反馈

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