Professional Documents
Culture Documents
THE CENTRALITY OF
MOTIVATION IN BRAIN AND MIND
close connections between virtually all
psychological processes and those associated with
emotion and goal-striving.
Ledoux (e.g., 1995) showed that, in the brain
sensory systems, pathways bifurcatesome leading
from sense organs to the cerebral cortex, and others
from sense organs to the limbic system
This suggests that sensory signals begin to trigger
emotional reactions at least as quickly as they
trigger cognitive processes that analyze the signals
in order to make more detailed sense of them
Theories
Motivation for change v motivation for
compliance
Drive theory
Push theory
Behaviour is pushed towards the goal by driving
state within the individual
When an internal driving state is aroused , the
individual is pushed to engage in behavior that
will lead to to agoal that reduces the intensity of
the driving state
Reaching the goal that reduces the driving state
is pleasurable or satisfying
Consists of
A driving state
The goal directed behavior initiated by the driving state
Attainment of the appropriate goal
The reduction of the driving state and subjective
satisfaction and relief
Incentive theory
States that the stimulus characteristic of the goal
can sometimes start a train of motivated behavior
Pull theory
The goal objects that motivate the behavior are
called incentives
Believe that individuals expect pleasure from the
attainment of what are called as positive
incentives and from the avoidance of what are
known as negative incentives
Stages of motivation
stages
precontemplation (i.e., not yet considering
change),
contemplation (i.e., considering change but not
taking action),
Preparation (i.e., planning to change),
action (i.e., making changes in ones behavior),
and
maintenance (i.e., changing ones lifestyle to
maintain new behavior)
Sources of Motivation
intrinsic sources of motivation (e.g., feeling a sense of
accomplishment)
extrinsic sources (e.g., financial incentives)
internal motivation is associated with greater long-term
change than is external motivation
among people who received outpatient alcohol
treatment, internal motivation was related positively to
both treatment involvement and retention
outpatients with high levels of both internal and
external motivation had the highest treatment retention
and treatment attendance outcomes.
Irrespective of their level of external motivation,
outpatients with low internal motivation had the worst
treatment outcomes
Assesment
Motivational measurement in historical
perspective
Thematic Apperception Test
Motivational Structure
Questionnaire
Personal
Concerns Inventory
Motivational Treatment
Approaches
Brief Motivational
Intervention
Brief (i.e., single-session) motivational intervention
uses straightforward advice and information on
the negative consequences of alcohol abuse to
motivate patients to reduce or stop drinking
Treatment approach has generally been viewed as
more relevant for problem drinkers who are not
yet alcohol dependent than for alcohol-dependent
drinkers
Brief interventions vary in duration from one to
four sessions, with each session lasting from 10 to
60 minutes
Motivational
Interviewing
Based on motivational psychology and the
stages-of-change model,
focuses on enhancing and facilitating the
patients internal motivation to change
This approach assumes that the patient is
responsible for changing his or her addictive
behavior and recognizes ambivalence as a
natural part of the process.
MI is designed to assist patients in working
through their ambivalence and in moving toward
positive behavioral change
Motivational Enhancement
Therapy
The MET approach was specifically developed for
Project MATCH, an 8-year, national, multisite, clinical
trial initiated in 1989 that compared three
alcoholism treatment methods and included a 39month follow up period
Systemic intervention technique for evoking change
Based on principles of motivational psychology and
is designed to produce rapid, internally motivated
changes
Employs motivational strategies to mobilize the
patients own change resources
Project MATCH
Project MATCH consisted of two parallel but
independent studies
one study was with patients who had received
only outpatient treatment and
the other study was with patients who had
participated in either an inpatient or a day
hospital treatment program and were currently
receiving aftercare