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Motivational interviewing and clinical psychiatry
Florence Chanut1, Thomas G Brown, Maurice Dongier
1Addiction Research Program, Douglas Hospital, McGill University, Montreal, Quebec. f.chanut@videotron.ca
Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|November 3, 2005
Summary
Motivational interviewing (MI) may enhance patient motivation and communication skills in psychiatry. While its effectiveness in addiction treatment is comparable to other methods, its application in psychiatric settings shows promising preliminary results.
Area of Science:
- Psychiatry
- Psychology
- Behavioral Science
Background:
- Motivational interviewing (MI) is a client-centered method for enhancing intrinsic motivation to change.
- It is a well-established brief intervention, particularly in addictions treatment.
- No comprehensive literature survey exists for MI applied to psychiatric patients.
Purpose of the Study:
- To survey the literature on motivational interviewing (MI).
- To review hypotheses regarding MI's mode of action.
- To discuss MI's potential impact on clinical psychiatry and communication skills training.
Main Methods:
- Literature reviews and meta-analyses of MI for addictions treatment were summarized.
- This review synthesizes articles relevant to psychiatry.
- Comments are based on the team's experience with MI.
Main Results:
- MI shows no superior results to other addiction treatments but may be faster.
- The mechanism for MI's rapid effectiveness is speculative.
- Preliminary outcomes for MI in psychiatric patients are promising.
- MI treatment integrity assessment methods are well-developed, allowing measurement of trainee progress.
Conclusions:
- MI can complement usual psychiatric procedures.
- Teaching MI may benefit addiction treatment, medication compliance, and professional communication skills.
- Feasibility of MI in psychiatric settings requires further investigation.