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This article provides a review of extant literature on Motivational Interviewing (MI) and its effect on medical/biopsychosocial treatment regimen adherence and general health outcomes in the geriatric population (>65 years). This is the first comprehensive literature review study exploring the effects of MI on older adults representative of typical age group seen in geriatrics clinics (i.e., >65 years, with many patients well into their 70s and 80s).The goal of the review is to provide readers with a focused, up-to-date outcome research review and to discuss the feasibility of clinical applications of MI within an interdisciplinary geriatric clinical settings and its adaptation for use with older individuals dealing with both mental health and general medical conditions. To be included in this review, studies had to be randomized controlled design, examine the effects of Motivational Interviewing, and include participants with an average age of 65 years or more. Though limited in number, 7 out of 9 studies reviewed showed a significant improvement in health outcomes as a result of Motivational Interviewing treatment. The two studies that showed no significant improvements included telephone-based MI counseling rather than face-to-face MI treatment. MI shows promise as an effective treatment in affecting health behavioral change for older adults, but further studies are needed to identify key necessary therapeutic features of the MI with this population.

Author Contact Information: Mirsad Serdarevic, Ph.D. Assistant Professor of Psychology Psychology Program Coordinator International University of Sarajevo Tel.: 061-036-716 mirsad.serdarevic@gmail.com Abstract The purpose of this article is to illustrate limitations of Dr. Thomas S. Szasz's absolutist approach in critiquing psychiatry, psychotherapy, and the concept of mental illness most famously expressed in The Myth of Mental Illness (Szasz, 1961). This article illustrates that Szasz mistook scientific proof for absolute truth. First, a comparison of scientific proof to its superior relation, mathematical proof, illustrates its theoretical short-comings. Szasz relies, sometimes subtly, sometimes quite overtly, but always selectively on "real science" to present psychiatry and the mental health fields as imposters in the field of medicine or health, while neglecting to see or discuss limitations of "science" in general and medicine in particular. Secondly, a summary of evidence supporting psychotherapy's effectiveness will be presented, the discussion of which was either consciously or unconsciously omitted in Szasz's (1978; 1988) The Myth of Psychotherapy. Third, summary of Pennington's (2002) integration of both biological and psychological basis of psychopathology through cognitive neuroscientific theoretical framework is presented as it reasonably addresses Szasz's confusion about and critique of mental illness and the mind-body problem.

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