Transference and Motivational Interviewing: Building Readiness for Change

How motivational interviewing approaches Transference — resolving ambivalence and building motivation for recovery.

Motivational Interviewing (MI) is particularly valuable for transference when ambivalence about change is blocking recovery.

Ambivalence in Transference

People with transference are often ambivalent about change — part wants relief, part fears the unknown of being without familiar transference patterns. This is normal, not resistance.

How MI Addresses Transference Ambivalence

MI uses specific techniques to help people explore and resolve their ambivalence about transference treatment:

  • Reflective listening: Hearing and naming both sides of transference ambivalence
  • Decisional balance: Exploring pros and cons of changing vs. staying the same with transference
  • Evoking change talk: Drawing out the person's own reasons for addressing transference
  • Affirming strengths: Highlighting past capacities relevant to transference recovery

MI in Transference Treatment Settings

MI is integrated into many transference treatment approaches as an engagement tool. It's particularly useful at the beginning of treatment and when motivation fluctuates.

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