The myths of motivation: Time for a fresh look at some received wisdom in the eating disorders?
Version of Record online: 14 FEB 2011
Copyright © 2011 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 45, Issue 1, pages 1–16, January 2012
How to Cite
Waller, G. (2012), The myths of motivation: Time for a fresh look at some received wisdom in the eating disorders?. Int. J. Eat. Disord., 45: 1–16. doi: 10.1002/eat.20900
- Issue online: 14 DEC 2011
- Version of Record online: 14 FEB 2011
- Manuscript Accepted: 8 OCT 2010
- eating disorders;
The 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)