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This departs somewhat from the popular notion that motivation is internal, residing within the individual as a personal state or trait. Motivation for change can not only be influenced by but in a very real sense arises from an interpersonal context. This clearly has implications for counseling. When someone comes for professional consultation, there may be an assumption that the person is already motivated for change. Indeed, many counseling approaches devote little attention to motivation and assume its presence.

Another way to say this is that there is respect for the individual’s autonomy. The client is always free to take counsel—or not. The overall goal is to increase intrinsic motivation, so that change arises from within rather than being imposed from without and so that change serves the person’s own goals and values. As indicated earlier, when motivational interviewing is done properly, it is the client rather than the counselor who presents the arguments for change. What Is Motivational Interviewing?

A Decisional Balance Sheet Continue to drink as before Abstain from alcohol Benefits Costs Benefits Costs Helps me relax Could lose my family Less family conflict I enjoy getting high Enjoy drinking with friends Bad example for my children More time with my children What to do about my friends Damaging my health Feel better physically How to deal with stress Spending too much money Helps with money problems Impairing my mental ability Might lose my job Wasting my time/life Ambivalence 17 ent views about the pros and cons of the same behavior.

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