Counselor Education Comprehensive Exam (CECE) Practice Exam

Motivational interviewing is mainly based on a Rogerian counseling style; however, it also?

1. Is also directive

2. Focuses heavily on transference and countertransference

3. Is highly confrontational

4. Focuses on the source of problems

The correct answer is: Is also directive

Motivational interviewing indeed incorporates a Rogerian counseling style, emphasizing empathy, reflection, and the client-centered approach. However, it is distinguished by its directive nature, meaning that while it maintains a respectful and non-judgmental attitude, the therapist takes an active role in guiding the conversation towards eliciting change. This is particularly important in situations where clients may be ambivalent about their behaviors or reluctant to engage in change. The approach focuses on strengthening the client’s motivation to change through collaboration, rather than leaving the decision solely up to the client. By being directive, the counselor effectively helps clients explore their discrepancies between their current behaviors and their broader goals or values, which is crucial for fostering motivation. This contrast with traditional Rogerian approaches, which prioritize the client's autonomy and may avoid direct suggestions or interventions. The other options present concepts that do not align with the fundamental principles of motivational interviewing. For instance, focusing heavily on transference and countertransference pertains more to psychodynamic approaches, while confrontation is contrary to the supportive nature of motivational interviewing. Lastly, a focus on the source of problems is characteristic of many therapeutic modalities but doesn't capture the primary focus of motivational interviewing, which is on enhancing motivation for change rather than dissecting the problem itself.