Evocation in Motivational Interviewing (MI): Respecting Autonomy and Care

Angela-Wood
Southeastern Louisiana University

Key Points

  1. Evocation involves tactfully bringing up and discussing topics that the client may avoid, which requires balancing professional judgment with respect for the client’s autonomy.
  2. Using open-ended questions in motivational interviewing encourages clients to explore and articulate their thoughts and feelings. In contrast, closed-ended permission questions are crucial for sensitively navigating challenging topics.
  3. Respecting the client’s autonomy, especially when they choose not to engage in specific discussions, is essential in therapy, and therapists should reflect this respect while leaving room for future conversations on these topics.
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Integrating Evocation in Therapy

When focusing on specific topics, such as Macy's relationship with her mother, it's essential to initiate the third task: evocation. While some evocation occurs throughout the therapy process, it's not a wholly separate or isolated task. Evocation involves bringing up topics the client may not mention or avoid based on professional clinical judgment.

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