6. Motivation to Change

  1. John R. E. Fox2 and
  2. Ken P. Goss3
  1. Catherine Kitson

Published Online: 3 OCT 2012

DOI: 10.1002/9781118328910.ch6

Eating and its Disorders

Eating and its Disorders

How to Cite

Kitson, C. (2012) Motivation to Change, in Eating and its Disorders (eds J. R. E. Fox and K. P. Goss), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118328910.ch6

Editor Information

  1. 2

    Division of Clinical Psychology, University of Manchester, UK

  2. 3

    Coventry Eating Disorders Service, United Kingdom

Author Information

  1. Liverpool and Sefton Eating Disorder Service (Mersey Care NHS Trust), UK

Publication History

  1. Published Online: 3 OCT 2012
  2. Published Print: 9 OCT 2012

ISBN Information

Print ISBN: 9780470683545

Online ISBN: 9781118328910



  • change;
  • eating disorders (EDs);
  • motivational enhancement therapy (MET);
  • motivational interviewing (MI);
  • therapeutic techniques;
  • Transtheoretical Model of Change


This chapter provides an introduction to motivation to change in eating disorders (EDs), with guidance for the clinician on how to assess, and work towards enhancing motivation, as well as providing an overview of the academic context. Addressing low or fluctuating motivation is one of the key challenges of working with people with EDs. The chapter begins with a case study to illustrate some of these challenges. Consideration is given to therapeutic frameworks, styles and techniques, with examples of how each of these was used with the client in the case study. The second part of the chapter discusses emerging theoretical models and reviews outcome studies for motivational enhancement interventions. The chapter concludes by discussing the factors to be considered when deciding whether or not the time is right for therapy, and highlighting potential areas for future development in the research literature.