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Michael Ostacher's avatar

In our addiction clinic we practice Motivational Interviewing with our patients, helping them find their own motivation to take action and change, putting the locus of control on the patient, since they are the ones who have to make decisions in their lives and we — literally — cannot make them for them. It is not, traditionally, about giving advice. Motivational Interviewing is shortened to MI, but my oldest colleague in the clinic, a brilliant psychologist, has many times said, “Dr. O doesn’t practice MI, he practices MO [my initials].” It’s my version of parentalism, I think, putting the locus of control on the patient, but with a bit of persuasion (usually a decision about starting or staying on a life-saving medication, or staying in care). What a great piece, Adam.

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