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Addressing Ambivalence Using Change Talk Essay

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Updated: Jun 20th, 2022

Mrs. Lopez is an 87-year-old female who lost her husband last year. She stopped taking her medications and participate in recreational activities after the loss of her spouse. She is demonstrating the approach/avoidance ambivalence, as she has only one option, which has both significant benefits and drawbacks (Miller & Rollnick, 2013). Mrs. Lopez is unsure if she wants to continue taking her medications and participate in recreational activities. The central reason for the matter is that she is unsure that she wants to continue living her life without her husband. On the one hand, taking medications will make her be healthier, which is the positive side of the option. On the other hand, taking the medication will prolong her suffering, as she feels emotional pain when separated from her husband.

To start a change talk, I would explore the goals and values of the service user. I would ask, “What is important to you in life?” If the question does not give the desired effect, I would combine the strategy with the “looking back” strategy and ask, “What was important to you fifteen years ago?” The idea is to shift the focus from losing her husband to other priorities Mrs. Lopez has forgotten due to suffering. After that, when a reason to continue living is found, I would use the DARN CAT acronym to evoke the change talk. I would start by asking what she wanted to change, ask how this change can be achieved, recall the reasons for the change, and emphasize the need for change by exploring the extremes. I would design open-ended questions to ensure that I do not impose my viewpoint on the matter.

References

Miller, W., & Rollnick, S. (2013). Motivational interviewing (3rd ed.). The Guilford Press.

Using Targeted Questions to Evoke Change Talk

Question 1

  1. On a scale from zero to ten, how important is it to you to understand children’s motivations?
  2. How can you learn to understand children’s feelings to see the reason behind their disrespect?

Question 2

  1. What do you hope work together can accomplish?
  2. What do you think must change?

Question 3

  1. What do you think can happen if you continue to get overly frustrated with your children?
  2. Why do you think you need to control your anger?

Question 4

  1. How were things different when you had the ability to look at the bright side of situations?
  2. What do you think will happen if you continue to see only the dark side of life?

Question 5

  1. How important is it to you to understand your wife’s feelings?
  2. How were things different when you could talk to your wife about her feelings?

Question 6

  1. Imagine that you continued to refuse help from outside?
  2. How important is it for you to receive outside help?
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IvyPanda. "Addressing Ambivalence Using Change Talk." June 20, 2022. https://ivypanda.com/essays/addressing-ambivalence-using-change-talk/.

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IvyPanda. 2022. "Addressing Ambivalence Using Change Talk." June 20, 2022. https://ivypanda.com/essays/addressing-ambivalence-using-change-talk/.

References

IvyPanda. (2022) 'Addressing Ambivalence Using Change Talk'. 20 June.

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