Motivational Interviewing in Psychotic Disorders

Authors: Barkhof, Emile; Haan, Lieuwe d.; Meijer, Carin J.; Fouwels, Annemarie J.; Keet, Ireneus P.M.; Hulstijn, Kai P.; Schippers, Gerard M.; Linszen, Don H.

Source: Current Psychiatry Reviews, Volume 2, Number 2, May 2006 , pp. 207-213(7)

Publisher: Bentham Science Publishers

Abstract:

Patients with schizophrenia and related disorders often present problematic behaviour, such as non-adherence to medication or substance abuse, which have a negative influence on the course of the disease. Changes in such maladaptive behaviour are often difficult to accomplish in this group of patients because of specific disease related symptoms such as active psychotic symptoms, negative symptoms and cognitive disturbances. Over the last ten years, treatment strategies incorporating forms of Motivational Interviewing have been tried to influence these problems in a positive direction.

Motivational Interviewing is an intervention which has proved to be successful in altering behaviour in the field of substance abuse disorders and also shows promising results in other health care areas.

With the emphasis on a non-judgemental and empathetic attitude, patients are engaged in strategically directed conversations about their problems in which ambivalences on behaviour change are explored and patients are helped to move through different stages of change.

This article provides a narrative review of the research data on the application of Motivational Interviewing in patients with schizophrenia and related disorders.

Keywords: Motivational Interviewing; schizophrenia; compliance; substance abuse; behaviour change; treatment adherence

Document Type: Research article

DOI: http://dx.doi.org/10.2174/157340006776875932

Affiliations: 1: Department of Psychiatry, Academic Medical Centre, Tafelbergweg 25, 1105 BC Amsterdam, The Netherlands.

Publication date: 2006-05-01

More about this publication?

• Current Psychiatry Reviews publishes frontier reviews on all the latest advances on clinical psychiatry and its related areas e.g. pharmacology, epidemiology, clinical care, and therapy. The journal's aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all clinicians, psychiatrists and researchers in psychiatry.

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• In this Subject: Neurology & Psychiatry ,  Psychology/Psychiatry
• By this author: Barkhof, Emile ;  Haan, Lieuwe d. ;  Meijer, Carin J. ;  Fouwels, Annemarie J. ;  Keet, Ireneus P.M. ;  Hulstijn, Kai P. ;  Schippers, Gerard M. ;  Linszen, Don H.

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