The LORS-enabled dialogue: improving insight in psychotic illnesses.

Full Abstract

Patients often underestimate the degree of their psychiatric illness and consequently have difficulty effectively participating in interventions to optimize recovery. This problem of insight may be connected with neurological difficulties resulting in poor explicit memory; however, most interventions nurses use to help patients improve their understanding of illness rely on explicit memory. The discrepancy between clinician and patient scores on the Levels of Recovery from Psychotic Disorders Scale (LORS) has been correlated with measures of insight and psychopathology. This difference can be used in a therapeutic dialogue, the LORS-Enabled Dialogue (LED). This intervention engages patients' implicit memory, asking a series of open-ended questions and using motivational interviewing to help promote patients' attainment of life goals. Large-scale studies of this intervention are currently underway and should help better define questions about the effectiveness of the LED.

Author information

Author/s: Sousa, Sharon (S);

Affiliation: University of Massachusetts Darmouth, North Dartmouth 02747-2300, USA ssousa(-atsign-)umassd.edu

Journal and publication information

Publication Type: Journal Article; Review

Journal: Journal of psychosocial nursing and mental health services (J Psychosoc Nurs Ment Health Serv), published in United States. (Language: eng)

Reference: 2008-Feb; vol 46 (issue 2) : pp 44-51

Dates: Created 2008/02/25; Completed 2008/03/21; Revised 2008/11/14;

PMID: 18293783, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: J Psychosoc Nurs Ment Health Serv. 2008 Sep;46(9):16; author reply 16. (PMID: 18825838)

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