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motivational interviewing traffic sign blue sky change talk ambivalence collaboration empathy client-centered enhancement resistance reflective listening goal-setting behavior open-ended questions empowering client engagement decisional balance self-motivation sustain autonomy motivation evoking building therapeutic alliance person-centered readiness facilitation resolving techniques skills collaborative conversation feedback active empowerment language change-focused dialogue supporting counseling exploration decision-making change-promoting strategies eliciting principles facilitator enhancing intrinsic motivation-building sustainment self-efficacy agent evocative communication exercise