Which method encourages clients to notice discrepancies in their responses during motivational interviewing?

Using open-ended questions is a fundamental technique in motivational interviewing that allows clients to explore their thoughts and feelings in a deeper way. This method encourages clients to articulate their own experiences and perspectives, which can illuminate any discrepancies in their responses. When clients are prompted to elaborate on their thoughts without being confined to a simple yes or no answer, they are more likely to identify and reflect on inconsistencies in their motivations, desires, and behaviors.

Open-ended questions invite discussion and self-discovery, providing the opportunity for clients to express ambivalence or conflicting feelings. This process facilitates their ability to recognize the gaps between their current situation and their desired outcome, ultimately fostering internal motivation to change.

In contrast, pointing out inconsistencies directly could lead to defensiveness and hinder the supportive environment that motivational interviewing aims to create. Answering for the client removes their agency and reduces opportunities for personal insight. Asking yes/no questions limits responses and does not encourage the reflective dialogue needed to identify discrepancies. Therefore, open-ended questions are most effective for promoting self-reflection and uncovering discrepancies in responses.