ABSTRACT

A substantial proportion of individuals disengage or do not respond to psychotherapy. Ambivalence about change can be particularly problematic in action-focused treatments like CBT. To address this issue, CBT has sometimes been combined with motivational interviewing (MI; Miller & Rollnick, 2013). Unfortunately, MI has been associated with a number of limitations, including a reliance of talk-based interventions. Experiential interventions offer an alternative means to modify ambivalent attitudes and could, therefore, augment MI. This chapter introduces chair-based techniques for assessing clients’ readiness to change (e.g. chair-based representations of change), resolving ambivalence (e.g. two-chair decisional balancing, vector dialogues, and ‘future selves’ dialogues), and strengthening commitment to change (e.g. decision dialogues).