Psychology Department, University of Arizona, Tucson, AZ 85721, USA.
J Clin Psychol. 2009 Nov;65(11):1168-79. doi: 10.1002/jclp.20636.
Motivational interviewing (MI) is a potentially useful tool for clinicians who are exploring ways to improve treatment outcomes with depressed clients. MI techniques may be particularly appropriate with depressed adolescents, for whom motivation to engage in therapy is often a problem and who often experience ambivalence about life choices. The present article presents a case description of MI with a depressed adolescent who was ambivalent about what life change to pursue. MI was used to help the client identify conflicts between her values, learn how they were contributing to her distress, and move toward resolving them. Advantages and limitations of these techniques are discussed.
动机访谈(MI)对于探索如何改善抑郁患者治疗效果的临床医生来说是一种非常有用的工具。对于那些常常缺乏治疗动机、对生活选择感到矛盾的抑郁青少年来说,MI 技术可能特别适用。本文通过一个对抑郁青少年的案例描述,介绍了 MI 的应用。该案例的青少年对追求何种生活改变感到犹豫不决。MI 用于帮助客户识别她的价值观之间的冲突,了解它们是如何导致她的痛苦的,并朝着解决这些冲突的方向前进。本文讨论了这些技术的优点和局限性。