In the context of MI, what is a double-sided reflection?

A double-sided reflection is a technique in Motivational Interviewing (MI) that acknowledges both sides of a client’s ambivalence or conflicting motivations regarding a behavior change. This method is particularly valuable as it helps clients explore their conflicting feelings and thoughts about a particular issue or decision. By contrasting both sides of the client’s argument, you provide a comprehensive view of the client’s internal dialogue, allowing them to see the pros and cons of their behavior, which can lead to deeper self-reflection and insight.

This technique can facilitate a more constructive conversation and helps in moving clients towards resolution of their ambivalence. For instance, a client might express a desire to change a behavior while also voicing concerns about the challenges this change entails. By reflecting both of these perspectives, the clinician helps the client to articulate their feelings more fully, promoting engagement and a clearer understanding of their motivations, thereby advancing the MI process.