ABSTRACT

This chapter provides the techniques that promote change in a specific area. These can be used for any behaviour that has an influence on health such as stopping smoking, taking more exercise or engagement in an activity that will help in the moving away from unsatisfactory circumstances. The letters in confrontational ‘Criticising Labelling Arguing Rush Expert's (CLARE) name can act as a useful aide memoire to the other resistance building interviewing features: the things that make a consultation more of a wrestle than a dance. Ambivalence is normal and means the holding of conflicting thoughts about something – feeling two ways about something example cigarettes, heroin use, a neighbour. Ambivalence has implications for how to interview someone to bring them closer to change. It seems pointless knowing that smoking, being overweight and eating cat food is unhealthy behaviour unless we know how to communicate in a way that promotes healthy change.