Although cognitive behavioral therapy (CBT) is a highly effective treatment for individuals with obsessive-compulsive disorder (OCD), a portion people with OCD do not benefit fully from CBT due to ambivalence about participating in treatment, nonadherence to exposure exercises, and dropout. This paper reviews the promising evidence for motivational interviewing (MI) as a therapeutic approach that is well suited to address these issues and potentially improve treatment outcomes. It will also provide a discussion of MI processes that may enhance CBT for OCD which can foster a collaborative relationship that integrates a patient's own goals and values into exposure planning, helps resolve ambivalence or reluctance to engage in exposure exercises and builds and supports patients' intrinsic motivation to participate in treatment. The review will conclude with a case report describing the use of pre-CBT MI for an individual with OCD.

中文翻译：

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强迫症认知行为治疗中的动机访谈综述。

尽管认知行为疗法 (CBT) 是一种对强迫症 (OCD) 患者非常有效的治疗方法，但由于对参与治疗的矛盾心理、不坚持暴露练习和辍学，一部分强迫症患者无法从 CBT 中完全受益。本文回顾了动机访谈 (MI) 作为一种非常适合解决这些问题并可能改善治疗结果的治疗方法的有希望的证据。它还将讨论 MI 过程，这些过程可能会增强强迫症的 CBT，这可以培养一种协作关系，将患者自己的目标和价值观整合到暴露计划中，帮助解决参与暴露练习的矛盾心理或不愿意，并建立和支持患者的内在参与治疗的动机。