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3. What is motivation
Motivation is doing something to get a reward
Assumptions about the nature of motivation:
Motivation is a key to change.
Motivation is multidimensional.
Motivation is dynamic and fluctuating
When the going gets tough, motivation gets going
Motivation can be modified.
Additional rewards can be added to make the new
behavior more rewarding, even in the face of adversity
4. Enhancing Motivation
The PIES Approach
Proximity: Provide intervention in the natural
environment
Immediacy: Intervene as soon as the problem or loss of
motivation is noticed.
Expectancy: Expect the intervention to be successful
and emphasize self-efficacy.
Simplicity: Listen, show empathy, and demonstrate
understanding works best.
5. Tips
The more types of motivation involved, the stronger the
motivational force
Signs of decreasing motivation
Failure to attempt change
“Resistance”
Excuses and “yes, buts”
Lack of enthusiasm
Have client’s rate their motivation on each target
behavior (not goal) each day.
Goal: Lose 15 pounds
Target behavior: Go to the gym
Target behavior: Drink 8 glasses of water…
6. Apply It
Goals & Target Behavior
Goal: Improve happiness (address depression)
Target Behavior: Take medication
Target Behavior: Walk 30 minutes
Target Behavior: When I feel sad, write in my journal
Goal: Improve Stress Management (reduce anxiety)
Target Behavior 1: Get adequate sleep
Target Behavior 2: Delegate unnecessary stressors
Target Behavior 3: Reduce caffeine
7. Types of Motivation
Emotional: Makes the person happy
Mental: Is the logical choice
Physical: Improves physical health, energy or
reduces pain
Social: Improves relationship with self or others,
elicits positive feedback from self and others
Spiritual: Is in alignment with values
Financial: Increases financial independence
Environmental: Makes the environment more
comfortable
8. Emotional Motivation
Things that make the person happy
Decisional Balance: Identify all the reasons
Increase these
The new behavior makes the person happy (Positive
reinforcement)
The old behavior adds distress (Negative reinforcement)
Decrease these
The old behavior makes the person happy
The new behavior adds distress
Especially useful with people who have more of a
“Feeling” temperament
9. Mental Motivation
Things that the person sees as logical
Available information to support desired behavior
Decisional Balance: Identify all the reasons
Increase these
The new behavior is logical and helpful to achieving goals
The old behavior is unhelpful to achieving goals
Decrease these
The old behavior is logical and helpful to achieving goals
The new behavior is unhelpful to achieving goals
Especially useful with people who have a “Thinking”
temperament.
10. Social Motivation
Things that increase the person’s self-esteem/self-
acceptance
Things that increase social approval/acceptance
Decisional Balance: Identify all the reasons
Increase these
The new behavior increases self-acceptance/approval & other
acceptance/approval
The old behavior is in opposition to their self-concept
The old behavior leads to rejection/isolation
Decrease these
The old behavior is socially rewarding
The new behavior does not provide self or other rewards (i.e.
changing people, places, things)
11. Spiritual Motivation
Highlight ways that the new behavior is in
alignment with values
Decisional Balance:
Increase these
Ways the new behavior is in alignment with values
Awareness of ways old behaviors are not in alignment
with values
Decrease these
The ways the old behavior aligns with values
The ways the new behavior does not align with values
12. Financial Motivation
Highlight ways that the new behavior is financially
beneficial
Decisional Balance
How did old behaviors reduce
Savings
Additional money
Redirectable funds
How do new behaviors increase
Savings
Additional money
Redirectable funds
13. Environmental Motivation
Identifying ways the new behavior will allow the
person to improve their environment
People: Kindred spirits
Places: Vacation, better neighborhood, nice restaurant
Things: upgraded car, redecorating,
Decisional balance:
In what ways will the new behavior (Highlight)
Improve the environment
Make the environment more stressful
In what was does the old behavior (decrease)
Create a comfortable environment (What will you miss?)
Create an uncomfortable environment
14. Summary
Motivation is essential to behavior change
Motivation involves “choosing” the behavior that
provides the greatest rewards for the effort.
Increasing motivation means enhancing rewards
and reducing punishments/drawbacks.