Skip to main content
×
×
Home

Motivational interviewing and the older population in psychiatry

  • Tania Bugelli (a1) and Terrence R. Crowther (a2)
Extract

Motivational interviewing is a psychological intervention that could potentially give clinical staff working with older people a way of tackling ambivalence and/or resistance to change in therapy. Although it has been shown to be effective in various spheres of mental health, we are unaware of any publications on its use in the older population. In this paper we discuss the main principles of this intervention and some adaptations necessary to meet the needs of older people (i.e. those over 65 years old). Patients require the capacity to understand and retain new information in order to make use of this intervention, which hence limits its use to those who retain good cognitive functioning. We would like to encourage the practice of motivational interviewing both as an intervention in its own right but also in preparation for patients requiring more specific therapies such as cognitive – behavioural therapy (CBT) or interpersonal psychotherapy.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Motivational interviewing and the older population in psychiatry
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Motivational interviewing and the older population in psychiatry
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Motivational interviewing and the older population in psychiatry
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
Burke, B. L., Arkowitz, H. & Dunn, C. (2002) The efficacy of motivational interviewing and its adaptations: what we know so far. In Motivational Interviewing: Preparing People for Change (2nd edn) (eds W. R. Miller & S. Rollnick), pp. 217250. Guilford Press.
Cook, J. M., Gallagher-Thompson, D. & Hepple, J. (2005) Psychotherapy with older adults. In Oxford Textbook of Psychotherapy (eds G. O. Gabbard, J. S. Beck & J. Holmes), pp. 381390. Oxford University Press.
Dozois, D. J. A., Westra, H., Collins, K. A., et al (2004) Stages of change in anxiety: psychometric properties of the University of Rhode Island Change Assessment (URICA) scale. Behaviour Research and Therapy, 42, 711729.
Miller, W. R. & Rollnick, S. (2002) Motivational Interviewing: Preparing People for Change (2nd edn). Guilford Press.
Mosher-Ashley, P. M. (1994) Therapy termination and persistence patterns of elderly clients in a community mental health center. Gerontologist, 34, 180189.
National Institute for Clinical Excellence (2004a) Quick Reference Guide. Anxiety: Management of Anxiety (Panic Disorder, with or without Agoraphobia, and Generalised Anxiety Disorder) in Adults in Primary, Secondary and Community Care. NICE. http://www.nice.org.uk/CG022quickrefguide
National Institute for Clinical Excellence (2004b) Quick Reference Guide. Depression: Management of Depression in Primary and Secondary Care. NICE. http://www.nice.org.uk/CG023quickrefguide
Prochaska, J. O. & Diclemente, C. C. (1982) Transtheoretical therapy. Towards a more integrative model of change. Psychotherapy: Theory, Research, and Practice, 19, 276288.
Rechtschaffen, A. (1959) Psychotherapy with geriatric patients: a review of the literature. Journal of Gerontology, 14, 7384.
Welsh Assembly Government (2005) Designed for Life – Creating World Class Health and Social Care Service for Wales in the 21st Century. http://www.wales.nhs.uk/documents/designed-for-life-e.pdf
Westra, H. A. (2004) Managing resistance in cognitive behavioural therapy: the application of motivational interviewing in mixed anxiety and depression. Cognitive Behavioural Therapy, 33, 161175.
World Health Organization (1991) Health for All Targets. The Health Policy for Europe. WHO Regional Office for Europe.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 10
Total number of PDF views: 571 *
Loading metrics...

Abstract views

Total abstract views: 174 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 23rd July 2018. This data will be updated every 24 hours.

Motivational interviewing and the older population in psychiatry

  • Tania Bugelli (a1) and Terrence R. Crowther (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *