The document discusses client-centered direction in motivational interviewing (MI). It states that direction in MI is developed collaboratively by evoking the client's values and goals, not by imposing the practitioner's aspirations. MI advances Rogerian client-centered therapy by allowing for direction while keeping the client as the source of that direction. The document outlines how MI establishes direction through open-ended questions, affirmations, and selectively focusing on broad categories of change over time.

1. Client-centered Direction: No Dichotomy, No Oxymoron Or, how to get there when you don’t know where you’re going. Chris Wagner, Ph.D. Virginia Commonwealth University

12. Therapeutic Focus

13. Consider personal habits/issues? Therapeutic Focus

14. Consider personal habits/issues? Discuss personal habits/issues? Therapeutic Focus

15. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Therapeutic Focus

16. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? Therapeutic Focus

17. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Therapeutic Focus

18. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? Therapeutic Focus

19. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? Therapeutic Focus

20. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? Therapeutic Focus

21. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? Therapeutic Focus

22. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Therapeutic Focus

23. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Therapeutic Focus

24. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Provider Aspirations Therapeutic Focus

25. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Provider Aspirations Therapeutic Focus

26. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Provider Aspirations Therapeutic Focus

27. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Explore Provider Aspirations Therapeutic Focus

28. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Provider Aspirations Therapeutic Focus

29. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Provider Aspirations Therapeutic Focus

30. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Provider Aspirations Therapeutic Focus

31. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination Provider Aspirations Therapeutic Focus

32. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination --Commit-- Provider Aspirations Therapeutic Focus

33. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination --Commit-- Provider Aspirations Therapeutic Focus

34. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination --Commit-- Plan Provider Aspirations Therapeutic Focus

35. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination --Commit-- Plan Do Provider Aspirations Therapeutic Focus

36. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination --Commit-- Plan Do Provider Aspirations Therapeutic Focus Express Empathy

37. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination --Commit-- Plan Do Provider Aspirations Therapeutic Focus Express Empathy Develop Discrepancy

38. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination --Commit-- Plan Do Provider Aspirations Therapeutic Focus Express Empathy Develop Discrepancy Roll with Resistance

39. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination --Commit-- Plan Do Provider Aspirations Therapeutic Focus Express Empathy Develop Discrepancy Roll with Resistance Support Self-Efficacy

40. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination --Commit-- Plan Do Provider Aspirations Therapeutic Focus Thoughts Attitudes Beliefs Emotions Perspectives Values Desires Needs Hopes Actions

41. Consider personal habits/issues? Discuss personal habits/issues? Current situation? Future situations? How could things be better? Are there things you could/should change? Why? What are your goals? What are you willing to give up? What are you willing to do? How to go about it? Ready? Focus Share Imagine Explore Envision Inventory Define destination --Commit-- Plan Do Provider Aspirations Therapeutic Focus Reinforce Reinforce Reinforce Reinforce