The myths of motivation: Time for a fresh look at some received wisdom in the eating disorders?

International Journal of Eating Disorders - Tập 45 Số 1 - Trang 1-16 - 2012
Glenn Waller1,2
1Eating Disorders Section, Institute of Psychiatry, King's College London, London, United Kingdom
2Vincent Square Eating Disorders Clinic, Central and North West London NHS Foundation Trust, London, United Kingdom

Tóm tắt

AbstractThe eating disorders typically involve poor motivation to change. This article reviews the evidence behind many of our beliefs about motivation and whether we need a different conceptual framework for understanding why patients commonly get “stuck.” The outcome literature is reviewed, and demonstrates that there is little evidence that we are effective in enhancing motivation to induce changes in symptoms. Indeed, there are suggestions that commonly used models are unhelpful. Verbal expressions of motivation are not the best indicator of likely treatment response, and can best be understood as providing a “manifesto,” which has functions that can obstruct recovery from the eating disorder. A behavioral analysis of motivation is likely to be more effective. Cognitive, emotional, and behavioral methods for enhancing motivation are outlined, with the aim of bypassing the motivational manifesto and encouraging positive therapeutic change. © 2011 by Wiley Periodicals,Inc. (Int J Eat Disord 2012)

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International Journal of Eating Disorders

Tập 45 Số 1

1-16

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