Interviewing Approaches: Paternalistic versus Motivational
Paternalistic Approach Motivational Approach
Role of Therapist Expert: give advice Partner: reflective listener
Dominate Therapist Patient
conversation
Assumption Static: personality Dynamic: influenced by
regarding trait not influenced therapist
ambivalence by therapist
Manage Avoid, persuade, or Accept (“I hear that you are
ambivalence offer solutions struggling with both sides”),
explore (pros/cons of each
side), and selectively reflect
statements made in favour
of change (illicit more
response in favour of
change)
Approach to Tell patient Ask (for current
information understanding)-provide
sharing information-ask for feedback