Talking To Change - A Motivational Interviewing Podcast Ep 85 – Ambivalence and Motivational Interviewing
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Feb 4, 2025 Dr. Allan Zuckoff is a clinical psychologist with over 30 years dedicated to motivational interviewing research and training. In this discussion, he explores ambivalence as a strength in therapeutic settings. Zuckoff emphasizes the importance of integrating values into practice, fostering strong client relationships. He navigates the complexities of emotional resilience and the significance of recognizing anticipatory discord in therapy. The conversation also highlights how curiosity about client struggles can lead to meaningful behavior change.
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MI's Core Principles
- MI's core principles remain constant across various applications.
- The focus is on human nature and navigating ambivalence in any decision.
Defining Ambivalence
- Ambivalence is a conflict between competing choices, creating an internal struggle.
- It involves feeling multiple ways about something, with both positive and negative aspects.
The Cycle of Ambivalence
- Unresolved ambivalence leads to avoidance, impulsivity, and negative self-talk.
- MI helps interrupt this cycle by separating the two sides of ambivalence.
Glenn and Sebastian were happy to welcome back Dr. Allan Zuckoff to the podcast to discuss ambivalence. Allan is a clinical psychologist who has dedicated the past 30 years to motivational interviewing (MI) research, training, implementation, and practice. As a clinician, teacher, and clinical researcher in the departments of psychology and psychiatry at the University of Pittsburgh for more than two decades, he oversaw intervention development, training, and fidelity monitoring for a dozen clinical trials testing novel applications of MI in substance use, mental health, and health behavior setting; he has presented widely at international meetings and published more than 40 articles and chapters on this work. More recently, he has been responsible for clinical innovation in design and execution of MI-based telehealth advance care planning and patient navigation programs.