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The Use of Motivational Interviewing in Anorexia Nervosa
Author(s) -
PriceEvans Khanya,
Treasure Janet
Publication year - 2011
Publication title -
child and adolescent mental health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.912
H-Index - 46
eISSN - 1475-3588
pISSN - 1475-357X
DOI - 10.1111/j.1475-3588.2011.00595.x
Subject(s) - ambivalence , motivational interviewing , anorexia nervosa , feeling , psychology , ambiguity , autonomy , psychotherapist , cognition , social psychology , clinical psychology , psychiatry , eating disorders , psychological intervention , linguistics , philosophy , political science , law
Anorexia nervosa (AN) is often highly valued by the individual. This can result in the individual having ambiguous and ambivalent feelings towards change. This ambiguity and ambivalence poses a major hurdle within the treatment process. The use of motivational interviewing (MI) during the initial phase of treatment to subtly guide the individual towards committing to change is increasing. Working within the particular constraints that govern the treatment of AN, such as impaired cognitive function, age of the patient, and the natural (biological) and social (Mental Health Act) laws that govern the need to eat, it is possible to adjust particular assumptions of the MI model (e.g. patients autonomy) to enable treatment and care to be provided in the MI spirit (e.g. supportive, affirming and empathic).