A client says they feel pushed into a program they did not help choose. Which change best supports their autonomy?
- AExplain the purpose of each exercise in detail, then keep the plan as written
- BOffer meaningful options within the goal and ask about preferences
- CLet the client choose the music and exercise order while the exercise selection stays fixed
- DAdd a weekly reward for completing the prescribed sessions
Show answer and explanations
Answer
B
Autonomy-supportive coaching gives the client genuine choices within safe, goal-consistent options and invites their input, which increases ownership of the plan.
A
A clear rationale is helpful, but keeping the plan unchanged still gives the client no say in a program they feel was imposed.
C
Choices over minor details do not give the client a say in the program itself; autonomy support means meaningful options about what the program contains.
D
Rewards for compliance are a controlling, external motivator and can further undermine autonomous motivation.
B
Autonomy-supportive coaching gives the client genuine choices within safe, goal-consistent options and invites their input, which increases ownership of the plan.