Which technique helps clients explore ambivalence in Motivational Interviewing (MI)?

The Decisional Balance technique is a crucial tool used in Motivational Interviewing (MI) for exploring ambivalence. This technique involves helping clients to weigh the pros and cons of their current behavior versus the behavior they are considering changing. By clearly outlining the advantages and disadvantages associated with both options, clients can engage in a deeper self-reflection about their choices and feelings.

This method is particularly effective because ambivalence is common in the change process; individuals may feel torn between wanting to change and the comfort or fear of unknown associated with that change. By using the Decisional Balance technique, the counselor facilitates a structured discussion that allows clients to articulate their conflicting thoughts and feelings, ultimately guiding them toward making a more informed and empowered decision regarding their behavior.

In contrast, while role-playing, directive questioning, and symptom elaboration are valuable techniques in counseling, they do not specifically focus on exploring ambivalence in the way that the Decisional Balance technique does. Role-playing focuses more on practicing new skills, directive questioning seeks to elicit specific information, and symptom elaboration is used to understand and discuss symptomatology rather than ambivalence toward change. Thus, the Decisional Balance technique is the most appropriate for addressing ambivalence in the context of MI.