Which statement describes double-sided reflection?

• A. Reflections that only agree with the client
• B. Acknowledges what client said but also states the contrary to what they have said in the past
• C. Repeats the client's statements to show understanding
• D. Summarizes the client's goals

Answer: (B)

Double-sided reflection is a technique used to address ambivalence by presenting both sides of the client’s thinking about change. It goes beyond simply agreeing or restating what the client has said; it acknowledges the current statement while also bringing in a contrasting point—often something the client has voiced previously—that highlights the tension between wanting to change and remaining where they are. This helps the client hear the conflict themselves and can move them toward change talk.

The best choice captures this by acknowledging what the client has said and also stating the contrary to what they have said in the past. For example, you might reflect, “You’re saying you want to improve your health, but you’ve also mentioned in the past that quitting feels overwhelming and you’re not sure you can follow through.” This mirrors both sides of the ambivalence and invites deeper exploration.

In contrast, simply reflecting that the client agrees with them is just a basic reflective statement and doesn’t illuminate the opposing perspectives. Repeating the client’s statements is a form of paraphrase without adding the ambivalence surface. Summarizing the client’s goals focuses on goals themselves rather than the tension between change and staying the same.