Transtheoretical Approach Research Articles

Explaining Transtheoretical Therapist Training using Alliance-Focused Training as an Example

Although most psychotherapists adopt an integrative and process-oriented approach, transtheoretical approaches to psychotherapy training are rare. To better prepare future therapists for the complexities of clinical practice, such an approach is needed. A promising way forward is to consider principles of change that cut across different schools of therapy. The principle of the therapeutic alliance is where different therapy schools agree most. Therefore, an alliance-focused training is presented below, where therapists learn to recognize ruptures in the therapeutic alliance and respond to them with resolution strategies. Current teaching methods like role-playing and supervision have their limitations, as they can only be applied post hoc and to a small number of cases. A new approach could be an online training that integrates principles of change, such as the alliance and markers for interventions, utilizes proven methods of deliberate practice and expert training, and makes use of the potential of technology.

Transing the Maghreb: permeable performances of queerness in Abdellah Taïa, Nina Bouraoui, and beyond

This essay explores how a trans theoretical lens can inform interpretations and performances of queer Maghrebi sexualities in various forms of cultural productions like the works of Moroccan author Abdellah Taïa, Algerian author Nina Bouraoui, as well as podcasts and music by Maghrebi artists. It draws from trans theorists to emphasize how a productive performativity resides in the intermediality, the in between of a transition (e.g. transnational) and thus queer transnational sexualities like those depicted in the works of Taïa and Bouraoui can be better understood as always existing at the intersection of the local and global, colonial and indigenous. As a result, by transing queer Maghrebi sexualities, we open new realities of Maghrebi performativity that are not solely conceived of through western ideologies of an itinerary towards a better existence, demonstrating how queerness and Arabness are inherently trans. The construction of queer Maghrebi sexuality within a “trans-”national critical lens offers multiple axes upon which its performance can exist, and its legacy exchanged. To execute this analysis, this essay first defines its trans theoretical approach and then applies it to selected works from Maghrebi authors Abdellah Taïa and Nina Bouraoui. It then expands its analysis away from literature to other forms of cultural productions to showcase the broad impact of a trans approach to queer Maghrebi sexuality.

Kontrol Ustalığı Teorisi

The subject of this article is to provide information about Control Mastery Theory (CMT) and to review the therapeutic relationship between therapist and patient from the perspective of CMT. CMT offers a useful, transtheoretical approach that provides case formulation for each patient, empirically tested for over forty years. This theory is a theory of psychopathology and psychotherapy that offers insight into the origins of psychopathology and how patients work in psychotherapy to overcome their problems. At the same time, CMT opens horizons that enable progress on the path of becoming a therapist. The main concepts of KUT including the patient's pathogenic beliefs, his unconscious plan, and the patient's testing methods and the therapist's responsiveness to these tests, are the main topics of this article. Key Words: Control Mastery Theory, Plan Formulation Method

Using a Trans-theoretical Approach to Identify Differences in Determinants of Anxiety and Depression Symptoms and Mental Wellbeing Between Two Age Groups

The objective of this research was to compare social, emotional, and cognitive determinants of depression and anxiety symptoms and mental wellbeing using the two-continua model of mental health and illness in two age groups. The two-continua model proposes that mental health and mental illness are not two ends of the same spectrum but are, in fact, two separate but related spectrums. This cross-sectional study used a multi-age group comparison approach to identify the relative predictive strengths of risk and protective factors for the two-continua model of mental health and mental illness. Participants (n = 458: 251 16–25 year olds, and 207 35–64 year olds) completed an online survey that measured the outcome variables of depression and anxiety symptoms and mental wellbeing. Independent variables from three conceptual areas in psychology—(1) positive psychology: optimism, pessimism, and accomplishment; (2) emotion regulation: cognitive reappraisal and expressive suppression; and (3) interpersonal theories: belonging and relationship with parent/child—were measured to ascertain the determinants of these outcome variables. The all-variables models explained 58–68% of the variance in depression symptoms, 77–80% in mental wellbeing, and 26–43% in anxiety symptoms. For both groups, the strongest predictor of mental wellbeing in these models was accomplishment. The strongest predictors in these models of mental illness symptoms differed between groups: belonging in the younger group and accomplishment in the older group. Programs targeting belonging and accomplishment could be highly effective in promoting mental wellbeing and reducing mental ill-health for these groups. Interventions require contextual investigation to locate drivers of mental wellbeing and illness for different age groups prior to implementation.

Three-level containment model of hospitalized adolescents with borderline pathology: a holistic therapeutic perspective.

Borderline personality disorders account for 50% of adolescent hospitalization cases in psychiatry. The severity and psychopathological complexity of these symptoms indicate the need for inclusive models of understanding. Adopting a holistic approach allows for the consideration of not only the patient's environment, but also their position within that environment and their life history. In this article, a model based on the concept of therapeutic containment at three levels is presented. Global containment refers to the mindset and organization of the institution that provides care, which is itself a part of society at a specific time. Local containment focuses on understanding and therapeutic interventions within the immediate social environment of the individual. Lastly, individual containment encompasses the development of independent processes during the course of care. These three levels are integrated in the hospital treatment of borderline personality disorders, forming a trans-theoretical approach.

New Trans-Theoretical Approaches to Premature Ejaculation Disorder

This paper explores the pathophysiology of chronic and acquired premature ejaculation. Through a detailed analysis of multiple studies and research findings, we present a comprehensive description of the factors associated with this condition, bringing forth the latest information from the scientific literature. Thus, we outline a detailed picture of the neurological, endocrine, urological, and psychological mechanisms involved in the development and persistence of premature ejaculation, highlighting the complex interactions between them. The theoretical approach of this paper provides a solid perspective on the progress in understanding premature ejaculation, contributing to the foundation of future research and the optimization of therapeutic intervention strategies. By synthesizing existing information, this work aims to be an essential guide for healthcare professionals and researchers involved in the study of premature ejaculation.

Mental and sexual health perspectives of the International Classification of Diseases (ICD-11) Compulsive Sexual Behavior Disorder •.

After introduction of compulsive sexual behavior disorder (CSBD) in the ICD-11, many questions regarding etiology, classification and diagnostic criteria remain unanswered, providing rationale for further research. In this commentary, we critically review the ongoing discussion reflected in some relevant articles, and try to point out the risks of oversimplification of the broad clinical phenomenon, as well as attract attention to the neglected aspects, such as psychosexual development, intimacy disorder and the role of sexological expertise in the assessment and treatment of individuals presenting with out-of-control sexual behaviors. We also advocate for multimodal, transtheoretical approach and suggest that CSBD may be reconsidered as a condition related to sexual health.

Meet Them Where They're At: Maximizing Adolescents' Engagement in Stuttering Therapy.

Adolescents who stutter often pose a unique clinical challenge for clinicians. They are a population simultaneously striving for independence from adults and social connection with their peers at a time when social fears surge and lifelong habits take root. It is a time when they may seem "unmotivated" to learn and utilize new communication or coping skills related to stuttering. How can clinicians maximize adolescents' engagement in stuttering therapy to improve meaningful outcomes? The purpose of this article is to describe a transtheoretical approach to assessing adolescents' readiness to make positive changes to living with stuttering, and to provide motivational interviewing strategies that clinicians can employ to help propel adolescents toward personally significant change. These principles will be applied to the case study of a 14-year-old who stutters to demonstrate how clinicians can put this approach to work as they meet their adolescent clients "where they're at."

A Model for Adapting Evidence-Based Interventions to Be LGBQ-Affirmative: Putting Minority Stress Principles and Case Conceptualization Into Clinical Research and Practice

The mental health field now possesses clinical trials attesting to the efficacy of affirmative practice with sexual minority individuals. With the goal of efficiently moving the results of these clinical trials into real-world clinical practice, this paper offers a model for adapting existing evidence-based practices originally developed for the general population to be lesbian, gay, bisexual, and queer (LGBQ)-affirmative. The adaptation model presented here guides clinicians to incorporate six LGBQ-affirmative transtheoretical principles of change into practice. These principles facilitate raising awareness of the impact of minority stress on sexual minority clients’ mental health and on client self-evaluation while drawing upon sexual minority resilience and intersectional experiences to build empowering coping skills and validating relationships. The adaptation model also provides a transtheoretical approach to case conceptualization that directs clinicians to consider the role of early and ongoing minority stress on sexual minority clients’ cognitive, affective, motivational, behavioral, and self-evaluative experiences that maintain current distress. This case conceptualization approach highlights common associations among these experiences, suggesting clear routes of interventions for many sexual minority client presentations. Case examples from recent clinical trials of LGBQ-affirmative cognitive-behavioral therapy illustrate how these principles and this case conceptualization can be effectively utilized in practice. While the principles and case conceptualization are meant to be transtheoretical and therefore applicable across therapeutic techniques, to date they have been tested only in clinical trials for cognitive-behavioral treatments. Therefore, this paper concludes with a call for future research to determine the effectiveness of implementing this adaptation model across diverse therapeutic modalities and client presentations.

A not-knowing, values-based and relational approach to counselling education

ABSTRACT In this paper, we present our development of a previously articulated approach to counselling education of transformational learning through a relational dynamic approach (Macaskie et al., 2013). We replace the idea of integration with a values-based approach and supplement the notion of transformational relational learning with a not-knowing attitude. This perspective on education and learning in counselling parallels the attitude within psychotherapy that we teach our students. We argue that this unites relational approaches to learning and psychotherapy across modalities and offers a trans-theoretical approach that could explain the common factors research in psychotherapy.

The Procedural Logic of the Existential and Systemic Reorganization of the Personality’s «Picture of the World»

Purpose. The article highlights the functional aspect of the existential and systemic reorganizational action, with the definition of microgenetic (formation) and psychological and genetic (development) dynamics of the semantic architectonics of the personality’s consciousness. Methods. Genetic and modeling, systemic, structural and integrative and subject and activity methodological approaches are involved in the study. The results of the research. The internal procedural plan of the existential and systemic concept is revealed and the mechanism of dynamics of the personality’s «worldview» is substantiated. The formal and logical scheme of reorga nizational action as a system of constructs of its semantic description and corresponding actions is given. The internal logic of reorganization of the personality’s «worldview» is determined. A procedural model of the reorganizational action of the existential and systemic concept is constructed. This model reflects the analysis of the genetic relations of the constructs of the research on the semantic architectonics of the personality’s consciousness. It is determined that the focus and, at the same time, the main mechanism of the reorganization process is the structure and quality (consistency-inconsistency; anachronism-novelty; uniformity-variability; standard nature-originality) of connections between the found meanings of the previously formed semantic field and its mnemonic contexts. The operational model of practical action of a counseling psychologist is described. This model reproduces the process of reorganization on the multi-vector plane of the trans-theoretical existential and systemic concept, containing stages, levels, processes of transformation, aim, units of analysis, contact elements, operational techniques, basic skills and factors of influence. Conclusion. Explaining the principles of the functional perspective of the existential and systemic model is a consistent step in the methodological conceptualization of the trans-theoretical approach, the capabilities of which allow to cover all cognitive patterns of meaning formation, namely: sensory and perceptual (symptoms, sensations), imaginations (images of self, world, situation), thinking (typical cognitive schemes of interpretation of reality and its representation), affective (usual emotional patterns and states), reflexive (I am, this is me, this is my World). The analysis of genetic relations of constructs of dynamics research on semantic architectonics of the personality’s consciousness («worldview», «semantic field», «reorganizational action», «function of experience», «paradoxical connection») provides the development of procedural laws of reorganizational action of the concept. The combination of genetic and modeling and structural and integrative approaches allows us to trace the movement of the personality’s «worldview» reorganization, based on functional psychological analysis and to find answers to questions about the probability of set transformations and the limits of functional capabilities of the concept.

What makes patients with diabetes adopt physical activity behaviors?—a transtheoretical model approach

Physical activity is an essential health behavior in patients with diabetes and is the one which is least adapted in the Indian context. There is a need to understand the motivators and demotivators of this behavior. This study was conducted to evaluate the stages of physical activity behavior change, process of change, decisional balance that influences the change and situational self-efficacy in patients with diabetes attending a tertiary care health facility in Chennai, India. Among 150 patients with diabetes attending the tertiary care hospital, selected in a non-random consecutive manner, a questionnaire-based survey was administered covering the domains of stage of change, process of change, decisional balance and situational self-efficacy. About 50% of the sample were not physically active belonging to the precontemplation or the reversal phase. About 23% were in the maintenance phase of physical activity and remaining 27% were in various intermediate stages of contemplation, preparation and action. The dominant dimensions of process of change were dramatic relief, self-re-evaluation and positive reinforcement. There was a high level of perceived pros of physical activity as well as cons and so there was a decisional balance not favouring either end of the behavior change spectrum. Situational self-efficacy levels were low. The perceived pros (OR 1.042; 95% CI 1.005–1.080) and cons (OR 0.929; 95% CI 0.877–0.985) influenced the behavior change in a statistically significant manner in a multivariate adjusted model. A very low proportion of patients with diabetes are in maintenance phase of physical activity with a majority in various stages of change. The patients show various processes of change which all help in moving them through the early stages of change. Perceived pros and cons influence the physical activity behavior change and measures taken to address them are likely to positively influence physical activity behavior.

Przymierze terapeutyczne w terapii zaburzeń osobowości z perspektywy analizy transakcyjnej

The present research on the effectiveness of psychotherapy demonstrates that it is dependent to a great extent on both specific and common treatment factors, i.e. on the quality of the therapeutic relationship and alliance. Therapeutic alliance within the transtheoretical approach is defined in terms of the therapist-patient bond as well as the agreed therapy goals and tasks (Bordin, 1994). Since persons with personality disorders from clusters A, B and C according to DSM-5 (APA, 2013) for various reasons have great difficulties in maintaining stable interpersonal relationships, which is reflected in building and maintaining of the adequate level of the therapeutic alliance. We have assumed that the conception of overt and ulterior transactions in Transactional Analy- sis allows a novel description and explanation of problems related to the fluctuations of the thera- peutic alliance with patients suffering from different personality disorders. The considerations pre- sented in the article aim at: 1) the description of difficulties in the therapeutic relationship charac- teristic of patients with personality disorders from clusters A, B and C; 2) the indication to typical transactional games between patients with various personality disorders and the therapist and their influence on the fluctuation of the strength of alliance and 3) the presentation of Paul Ware’s (1985) conception of “open door, target door and trap door” in psychotherapy along with the re- sulting recommendations as regards the order of applied therapeutic strategies.

The Effect of Transcultural Nursing, Child Healthcare Model and Transtheoretical Model Approaches to Knowledge and Culture of Family

Introduction: Urban lifestyle fueled by excessive food intake in overweight and obese children. Famili esassumethatobese children are healthy and have no health problems. Strategies to improve the knowledge and culture of the family is the approaches of TCN, CHM dan TTM. This study aims to prove the influence of TCN, CHM and TTM to knowledge and culture’s familyin controlling lifestyle of over weight and obese children. Method: This research was conducted in the areas of Biring kanaya and Tamalanrea Subdistricts, Makassar from August 2013 to March 2014. It used the Quasy Experiment design namely pre-test and post-test with control group design. Research subjects were parents of overweight or obese children in the 4th, 5th, and 6th grade of elementary school. There were 31 samples in the treatment group; and 33 samples in the control group. There were selected by using purposive sampling technique. The intervention was given for six months by providing guide books on healthy lifestyle, and visiting the families every month to give questionnaires. The measurements of children’s BMI was conducted by use WHO’s Antrho Plus software, 2007. The data were analyzed by using univariate, bivariate with Independent t-test, Mann-Whitney test and Paired t-test. Result: The results showed that there were differences in mean changes before and after the intervention, namely knowledge of the family with p=0:00 and cultural family with p=0:00. Discussion: It was concluded that the effect of TCN, CHM, and TTM could improve the knowledge and cultural family in controlling lifestyle of overweight and obese children. The importance of health education is given to families with guide books about healthy lifestyles and the impact of child obesity.Keywords: transcultural nursing theory, child health care, transtheoretical model, knowledge, cultural, family

Integrated Treatment for Personality Disorder: A Modular Approachedited by W. John Livesley, Giancarlo Dimaggio, and John F. Clarkin; New York, Guilford Press, 2015, 458 pages

Back to table of contents Previous article Next article Book ReviewsFull AccessIntegrated Treatment for Personality Disorder: A Modular ApproachJeffrey L. Geller, M.D., M.P.H., Dorothy Yep, L.I.C.S.W.Jeffrey L. GellerSearch for more papers by this author, M.D., M.P.H., Dorothy YepSearch for more papers by this author, L.I.C.S.W.Published Online:1 Aug 2016https://doi.org/10.1176/appi.ps.670808AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail edited by W. John Livesley, Giancarlo Dimaggio, and John F. Clarkin; New York, Guilford Press, 2015, 458 pagesTwo decades ago, personality disorders were considered treatment refractory, resulting in therapeutic nihilism. Gradually, clinical thinking has emerged to suggest that treatment of personality disorders can have outcomes similar to those with other mental disorders. Garnering empirical support, several interventions have given rise to evidence-based practices. However, no one protocol has necessarily demonstrated superior effectiveness. In much of the clinical world the prevailing course is to follow treatment based on a specialized model, taking care to avoid treatment drift. The editors of this cogent, pragmatic, eclectic volume disagree with that approach. They posit, instead, a transtheoretical approach combining principles and methods from “all effective therapies to establish a treatment model that is sufficiently comprehensive and flexible to accommodate the diverse pathology and protean forms that personality takes.” Thus this book advocates for an evidence-based alternative—integrated modular treatment—to any single-treatment model. These stand-alone chapters come from clinical experts of diverse theoretical schools. Taken together, the chapters do not aim to provide a comprehensive account of all possible interventions or to address all aspects of personality disorder. Instead, they show how a unified approach might look in a treatment plan to help providers deliver eclectic treatments in a coherent, coordinated manner.Part 1 provides the conceptual framework and treatment principles of integrated treatment. Part 2 provides the rationale of assessment, treatment planning, and contracting, including the establishment of a therapeutic alliance. Part 3 discusses general change principles and mechanisms embodied in such protocols as a relational approach, mentalization-based therapy for borderline personality disorder, and a metacognitive and self-narrative approach. Part 4 discusses symptoms and emotional dysregulation, including suicidality, pharmacological interventions, emotional schema treatment, and mindfulness. Part 5, focusing on interpersonal and self-functioning, discusses integrative interpersonal theory, overcontrolled personality disorders, violence, and psychopathy. Part 6 consists of a case study and a recapitulation of integrated modular treatment, reviewing the four domains of dysfunction—symptoms, regulation and modulation, interpersonal, and self and identity—common to all forms of personality disorders.The book is broad ranging, lucid, and helpful. Certain chapters are more cogent than others, and, as might be expected, there are differences in how the contributors communicate their theories, beliefs, and recommendations, with some giving case examples and others drawing on neuroscience research. Newer clinicians may find the chapters on formulation and assessment to be foundational and grounding. Practitioners using specific kinds of treatments, such as mindfulness, will find information on how this can be adapted for treating personality disorders. The content on treatment of emotional dysregulation appears particularly compelling. Compiled by three distinguished researchers and practitioners and containing contributions by leaders in their respective schools of thought, this volume is a repository of valuable ideas for all mental health professionals.Dr. Geller is the medical director and Ms. Yep is a clinical social worker at Worcester Recovery Center and Hospital, Worcester, Massachusetts. Dr. Geller is the editor of the Book Reviews section.The reviewers report no financial relationships with commercial interests. FiguresReferencesCited byDetailsCited byMINDFULNESS BASED INTERVENTIONS (MBIS) IN PSYCHIATRY – A BIRD'S EYE VIEW FROM THE FIRST DECADES OF THE 21ST CENTURY.15 November 2021 | GLOBAL JOURNAL FOR RESEARCH ANALYSISPathologist of the Mind: Adolf Meyer and the Origins of American Psychiatry by S. D. Lamb; Baltimore, Maryland, Johns Hopkins University Press, 2014, 299 pagesRasim Arıkan, M.D., Ph.D.1 August 2016 | Psychiatric Services, Vol. 67, No. 8 Volume 67Issue 8 August 01, 2016Pages e9-e10 Metrics PDF download History Published online 1 August 2016 Published in print 1 August 2016

Developing Emotion-Based Case Formulations: A Research-Informed Method.

New research-informed methods for case conceptualization that cut across traditional therapy approaches are increasingly popular. This paper presents a trans-theoretical approach to case formulation based on the research observations of emotion. The sequential model of emotional processing (Pascual-Leone & Greenberg, 2007) is a process research model that provides concrete markers for therapists to observe the emerging emotional development of their clients. We illustrate how this model can be used by clinicians to track change and provides a 'clinical map,' by which therapist may orient themselves in-session and plan treatment interventions. Emotional processing offers as a trans-theoretical framework for therapists who wish to conduct emotion-based case formulations. First, we present criteria for why this research model translates well into practice. Second, two contrasting case studies are presented to demonstrate the method. The model bridges research with practice by using client emotion as an axis of integration. Key Practitioner Message Process research on emotion can offer a template for therapists to make case formulations while using a range of treatment approaches. The sequential model of emotional processing provides a 'process map' of concrete markers for therapists to (1) observe the emerging emotional development of their clients, and (2) help therapists develop a treatment plan. Copyright © 2016 John Wiley & Sons, Ltd.

A Trans-Theoretical Approach to Physical Activity Profile in General Population of Mashhad.

Regular physical-activity is necessity for a healthy lifestyle. Despite public health efforts, a minority of population are involved in healthy levels of physical-activity. This study provides evidence about exercise patterns and predictors of Mashhad-Iran population according to TTM change stages. In this cross-sectional study, we surveyed a total number of 564 participants from Mashhad in 2014 by using stages of change questionnaire. Analysis showed 23.4% of participants were in pre-contemplation stage, 18 in contemplation, 24.6% in preparation, 8.10% in action, 14.4% in maintenance and 11.5% were in termination phase. Age, gender, BMI, alcohol consumption, sleep duration, having compeer and encouragement were identified as predictors of pre-contemplation stage. Genders, having company and using bicycle for transportation were predictors of termination phase. Tailor interventions based on the predictors to enhance the physical activity among specific subgroups would be of interest.

A systematic review of the transtheoretical model of behaviour change and alcohol use

Introdução: O estudo sobre o álcool tem aumentado em todo o mundo devido ao seu impacto social e econômico, e as doenças relacionadas ao uso de álcool estarem entre os distúrbios mais comuns de abuso de substâncias. Desta forma, faz-se necessário investigar os métodos mais eficazes e adequados de tratamento para diferentes populações. Método: Este trabalho analisou a literatura científica sobre o Modelo Transteórico de Mudança de Comportamento relacionados ao consumo de álcool. Foram consultadas as bases de dados Scopus, PubMed, PsycINFO, PepsiCo e Lilacs, utilizando os descritores transtheoretical model, transtheoretical approach, stages of change, processes of change e cycle of change cruzado com o descritor alcoholism, no período de dez anos (2001 a 2011). Principais resultados: A maioria das pesquisas encontradas utilizavam métodos longitudinais e quantitativos, além de uma prevalência no uso dos questionários Readiness to Change Questionnaire e University of Rhode Island Change Assessment utilizados na mensuração do ModeloTransteórico. Os resultados indicaram que outras variáveis podem influenciar o comportamento do indivíduo em relação à sua fase de mudança de comportamento e identificou problemas relacionados ao uso de álcool em pacientes que procuravam tratamento para outras condições de saúde. Esta constatação reforça a necessidade de práticas de triagens para a prevenção dos agravos relacionados ao uso de álcool.Implicações: O modelo Transteórico é importante no processo de mudança de comportamento, uma vez que permite a identificação dos estágios e a escolha de intervenções mais adequadas ao estágio do paciente, além de evitar que esforços sejam feitos na direção contrária à necessidade do usuário. Conclusão: Ressalta-se a necessidade de mais estudos na área, especialmente em relação às práticas de profissionais de saúde.

Clinical diagnostic decision-making in real life contexts: A trans-theoretical approach for teaching: AMEE Guide No. 95

Making an accurate clinical diagnosis is an essential skill for all medical students and doctors, with important implications for patient safety. Current approaches for teaching how to make a clinical diagnosis tend to lack the complexity that faces clinicians in real-life contexts. In this Guide, we propose a new trans-theoretical model for teaching how to make an appropriate clinical diagnosis that can be used by teachers as an additional technique to their current approach. This educational model integrates situativity theory, dual-information processing theory and socio-cognitive theory. Mapping and microanalysis help the teacher to identify the main processes involved in making an accurate clinical diagnosis, so that feedback can be provided that is focused on improving key aspects of the skill. An essential aspect of using the new educational model is the role of the experienced clinical teacher in making judgments about the appropriateness of the learner’s attempts to make a clinical diagnosis.

SY28-4 * CLINICAL APPLICATION OF MOTIVATIONAL INTERVIEWING AT OKAYAMA PSYCHIATRIC MEDICAL CENTER

Although research has proven motivational interviewing (MI) to be effective in addiction treatment, MI is not yet wildly used in Japan. When I started the treatment of addiction in 2006, MI was not used in our psychiatric medical center. I thought MI would solve the problems I had had in clinical interviewing with people with addiction. I studied the methods of MI during seminars and workshops including one by William R. Miller. In our psychiatric medical center, over the past 4 years, my colleagues and I have regularly held meetings where we role play therapist/client aspects of MI once a month, as well as workshops by Japanese MINT (the Motivational Interviewing Network of Trainers) members once a year. MI can be used in outpatient and inpatient clinical settings, as well as group therapy. I think that MI is essential in treatment, not only for substance use disorders, but also process addiction–in which we currently do not have many programs dealing with this type of disorder. In addition, MI is very compatible with the trans-theoretical model and harm reduction approach. In this presentation, I will introduce a case of an alcohol dependent patient who, at this time, had not achieved abstinence from alcohol, but through positive engagement has been moving forward in treatment.