Sunday, January 31, 2021

Motivational Interviewing: Another poop-scoop

 

The New York Times had an op-ed piece* about the difficulties of changing a delu­sional (let’s say “strongly convinced”) person’s belief. Subject of the piece was the writer’s friend’s refusal to allow his children to receive a vaccine of any kind. Anchor of the piece was its promo­tion of a therapy technique called Motiva­tional Inter­view­ing. The writer believes that the nuanced and respect­fully open-minded ques­tion­ing that iden­ti­fies that process can often slide someone off his bent soapbox and onto a more rea­son­able (true) per­spec­tive. The person will “find his own intrin­sic moti­va­tion to change.” The paper was kind enough to publish my comment on the op-ed:

Some false convictions – delusions – are safe-making commitments that prevent loss of identity, loss of a sense of self. These would be person­ality disordered and psychotic delu­sions. A Narcis­sist (Trump) absolutely must believe he is the one superior person, as that’s the seam­less shell of escap­ism that keeps him from feeling his devel­op­mental abort. Other false convic­tions, such as love of Trump, might be changed if the person could go to their deep pain, in regres­sive therapy, and let it finally come out. I became an organic­ally empa­thetic per­son in a single afternoon when I reached my core pain: liber­tarian to human­ist. And there are those convictions based on bad mood, stub­­born atti­tude, that might be changed when the per­son simply feels happier about his life. There are indi­viduals who’ve “hated Blacks” (without ever having person­ally known any) who come to see with com­pas­sion once they them­selves have received compassion.

Only one person “liked” this explanation. I believe that’s because it under­mines people’s conceit of intel­lec­tual super­iority and touches the tender under­belly: People commit their consciousness to the poorly evi­denced or the non-evi­denced because they are emo­tionally troubled, not because they are cogni­tively dimmed. Readers of the Times want to believe they are better, more logical thinkers rather than know the truth: that they are relatively healthier feelers.

Do you think Motivational Interviewing will help them see that?

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* (By the way, the technique proved ineffective. The anti-vaxxer friend didn’t change his mind – https://www.nytimes.com/2021/01/31/opinion/change-someones-mind.html.)


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Comments are welcome, but I'd suggest you first read "Feeling-centered therapy" and "Ocean and boat" for a basic introduction to my kind of theory and therapy.