Listen to your hesitations if you want to modify your behavior
Stress for Success
August 25, 2009

What’s the most difficult change you’ve ever attempted? Losing weight, quitting drinking or smoking? It’s tough. If change were easy we wouldn’t continue to have 20% of American adults smoking, more than 30% being significantly overweight and about 15% binge drinking.

Whether you’re trying to change your jealous ways or accomplish a New Year’s resolution you may assume any failure is because of your stubborn, self-sabotaging or addictive ways. But in “Ambivalence in Psychotherapy” authors David Angola and Hal Arkowitz argue that dealing with ambivalence is vital to paving the way to change.

People who want to change but can’t (won’t) are pulled in two competing directions by opposite motivations: to change and to stay the same. The balance between these predicts who changes and who doesn’t

Ambivalence is fed by:
* The status quo being familiar and predictable, albeit possibly uncomfortable, and change being unpredictable and anxiety producing;
* The fear of feeling even worse if you fail in your efforts;
* Others pushing you to change so you may resist because your independence feels threatened;
* Faulty beliefs, like “I can’t socialize unless I’ve had a few drinks;”
* The clinging to the undesirable behavior because it serves and important function, like the alcoholic who finds that drinking relieves stress and depression – temporarily; changing (stopping drinking) may eliminate their only way to deal with this distress.

Of course, to help someone change it’s important that they want to change. Pressuring them is likely to backfire. Researchers at the University of New Mexico found that for problem drinkers, directive-confrontational therapy led to significantly more resistance and poorer outcomes one year later than more supportive approaches.

One of these researchers, William Miller and another, psychologist Stephen Rollnick of the Cardiff University School of Medicine in Wales, developed the therapeutic approach, “motivational interviewing.” This attempts to improve the client’s natural motivation to change by exploring and resolving his ambivalence. The goal is to put the client (rather than the therapist) into the driver’s seat for change. The therapist – or loved one - sees a client’s resistance to change as ambivalence to be understood rather than opposed.

To help resolve ambivalence the therapist is supportive and points out the client’s statements that reflect conflict between his behavior and values. E.g., “So you value exercise but your smoking makes it difficult.” Awareness of such inconsistencies creates discomfort with the status quo therefore increases motivation to change. To help resolve ambivalence the therapist focuses more on the client’s words about changing versus their unwillingness to change. Once those uncertainties are dealt with, behavioral change is more likely to occur. In fact, University of Arizona researchers found a 51% improvement rate for motivational interviewing compared with 37% for other interventions or no treatment at all.

You can use this same approach to help yourself or a loved one transform. Listening to and understanding your hesitations to change versus pressuring yourself to change can tip the balance in favor of taking the plunge and actually making the change.

Jacquelyn Ferguson, M. S., is a speaker and a Stress Coach. Her new book, Let Your Body Win: Stress Management Plain & Simple, is now available at www.letyourbodywin.com. Go to her blog, http://stressforsuccess.blogspot.com for past articles.