What does "ambivalence" refer to in the context of MI?

In the context of Motivational Interviewing (MI), "ambivalence" refers to experiencing mental disharmony due to conflicting feelings about change. This can involve wrestling with both positive and negative thoughts or emotions regarding taking action, such as the desire to change behaviors versus the comfort of staying the same. For example, an individual may recognize the benefits of engaging in regular exercise (a positive feeling) while simultaneously fearing the discomfort or effort required to make that change (a negative feeling).

Ambivalence is a common experience in the change process and is often a focal point in MI, as the goal is to help individuals navigate these conflicting feelings to arrive at a more decisive stance regarding change. The recognition and exploration of ambivalence can empower individuals to articulate their own reasons for change, ultimately fostering their commitment to positive action.