Ep 20 – MI when working with people with psychosis
Ep 20 – MI when working with people with psychosis
Glenn Hinds Motivational Interviewing with people experiencing psychosis
We hope you enjoy our latest episode where we welcome Dr. Rory Allott to the program to explore using MI when working with people with a diagnosis of psychosis. Rory is a Clinical Psychologist working part-time in the National Health Service in an Early Intervention Service working with young people (14-35) and their families. Over the last 20 years he has
worked in a wide range of settings including a Diabetes resource centre, drugs services and a wide range of mental health services. Rory was a therapist and researcher on the MIDAS trial (Barrowclough et al., 2010), the largest ever randomised controlled trial of a psychological intervention (MICBT) for people experiencing psychosis and misusing substances. He teaches about supervision and motivational interviewing on the Clinical Psychology Doctoral programmes at the Universities of Manchester and Liverpool. Primarily a practitioner but with a strong interest in research, Rory has an International reputation for innovation in training and has been invited to deliver several Plenary sessions on Motivational Interviewing. He has several international publications, book chapters and conference presentations on the integration of MI and cognitive behavioural therapy.
Rory explores how Motivational Interviewing can support conversations with people experiencing psychosis by emphasising empathy, acceptance, patience and collaboration. The episode considers how practitioners can remain curious about a person’s experience without arguing about beliefs or rushing to correct them.
The discussion includes the influence of Carl Rogers, the challenge of maintaining connection, offering choice in mandated situations and the importance of professional wellbeing. These themes connect closely with Acceptance in Motivational Interviewing, Partnership and Reflective Listening.
In this episode
0:00 – Opening/introduction
1:45 – Rory’s introduction and early MI story
4:30 – Overview of Rory’s work with people with psychosis
9:20 – Empathy: Experiencing, learning, and expressing
18:45 – Noticing the need to shift in conversation: “The helicopter view”
27:20 – Carl Rogers’ influence on working with people with psychosis
33:45 – Risks in connection
38:45 – Acceptance for those with “tenaciously held beliefs”
45:00 – Professional well-being
50:00 – The power of a “kind face”
55:00 – A need for patience
59:40 – Offering choice in mandated situations
1:02:00 – Challenges from auditory hallucinations
1:08:45 – “Not being the worst…”
1:11:40 – Role of medication
1:17:43 – End of recording
Links and contact information:
- Email: rory.allott@gmail.com
- Website: https://roryallott.com/
- Short film produced by Rory and his colleagues:
- #psychosisfilm: https://www.youtube.com/watch?v=PQxZCbZ97Vc
- Paper mentioned during episode:
- Moyers, T. B., & Miller, W. R. (2013). Is low therapist empathy toxic? Psychology of Addictive Behaviors, 27(3), 878–884. https://doi.org/10.1037/a0030274
Listen to Episode 20
Contact Talking to Change
Email: podcast@glennhinds.com
Glenn: glenn@glennhinds.com
Sebastian: sebkaplan34@gmail.com
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