Motivational Interview Essay

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“Motivational Interviewing with Adolescents: An Advanced Practice Nursing Intervention for Psychiatric Setting” by Katherine Jackman analyzes the theory and principles of Motivational Interviewing (MI) and reviews the applicability and appropriateness of MI as an intervention amongst adolescent patients in a psychiatric setting. The author intends to aware the nurse and or the treatment team about the efficacy of MI when used with the adolescent psychiatric population. The author uses a selection of published literature on the topic and randomized controlled trials to provide a firm empirical support for this potentially beneficial clinical intervention. The author properly clarifies the concepts and principle of MI in an organized fashion. She starts by defining MI as “a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.” She discusses the five general principles of MI: express empathy, develop discrepancy, avoid argumentation, roll with resistance, and support self-efficacy. The author also suggests some specific strategies for building MI: open-ended questions, affirming the positives, using reflective listening, and summarizing (OARS). The author point out that developmental consideration is the key for any therapeutic communication. The author insists that based on the Erikson’s psychosocial development perspective, the use of MI may be particularly beneficial amongst adolescents. Also, according to Piaget’s cognitive developmental point of view, adolescents are in transition from concrete operational to formal operational thinking; which means that adolescents are able to think about their own thinking. So the author argues that incorporating MI approach i.e. inducing motivational thoughts at this developmental stage (adolescence) in their thinking process would be beneficial in

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