从自我决定论看动机访谈法疗效机理

动机访谈法是以病人为中心、促使病人自己改变问题行为的咨询技术和方法。该文从自我决定论角度,解释了动机访谈法取得疗效的机理:动机访谈法起到满足病人基本心理需要(胜任感、归属感、自主性),推动病人产生自主动机的作用,促使病人提高适应性行为的质量和稳定性,提高心理健康水平,从而取得心理治疗效果。     

动机的结构与效应：基于动机连续体的视角

动机连续体是对内部动机、外部动机进行整合的心理学概念,其对内部动机和外部动机的争论提出了不同的假设。从大理论(grand theory)视角出发,对涉及上述两个概念的理论进行梳理,将自我决定理论与其他相关理论进行整合。由此展开对内部动机、外部动机结构的讨论,总结了动机的单维结构、多维结构和复杂结构假设下的理论新进展,分别论述在拮抗效应、累加效应和其他复杂效应等假设下动机对结果变量的影响,并展开不同效应对实践应用的讨论。     

Motivational interviewing and self-determination theory in a web-based computer tailored physical activity intervention: A randomized controlled trial

Objective: This study explores whether a web-based physical activity (PA) intervention grounded in self-determination theory (SDT) and motivational interviewing (MI) is more effective and better appreciated than a traditional web-based PA intervention.

Design: A randomized controlled trial was conducted, comparing (1) I Move; a web-based PA intervention based on SDT and MI, (2) Active Plus; a traditional web-based PA intervention and (3) a waiting list control condition.

Main outcome measures: Weekly minutes of moderate to vigorous PA and weekly days with ≥30 min PA were measured through self-report at baseline and at 3 and 6 months from baseline.

Results: I Move achieved a small, but significant increase in weekly minutes of moderate to vigorous PA, while Active Plus did not have a significant impact on this outcome. Both interventions were effective in increasing weekly days with ≥30 min PA, whereas Active Plus yielded a greater effect on this outcome.

Conclusion: Overall, the web-based PA intervention grounded in SDT and MI did not outperform the traditional web-based PA intervention. Further research should reveal whether this type of intervention is profitable for long-term maintenance of PA levels.     

Motivational interviewing as a way to promote physical activity in obese adolescents: A randomised-controlled trial using self-determination theory as an explanatory framework

Using self-determination theory (SDT) as an explanatory framework, this randomised-controlled study evaluates the effect of a motivational interviewing (MI)-based intervention as an addition to a standard weight loss programme (SWLP) on physical activity (PA) practice in obese adolescents over a six-month period. Fifty-four obese adolescents (mean age?=?13?years, mean BMI?=?29.57?kg/m²) were randomly assigned to an SWLP group (n?=?28) or SWLP?+?MI group (n?=?26). Both groups received two SWLP sessions, supplemented for the SWLP?+?MI group, by six MI sessions. Perceived autonomy support, perceived competence, motivational regulations, PA and BMI were assessed at baseline, three and six months (i.e. the end of the programme). MLM analyses revealed that compared to SWLP, the SWLP?+?MI group had a greater BMI decrease and a greater PA practice increase over time. Moreover, the SWLP?+?MI group reported greater autonomy support from medical staff at the end of the programme, greater increase in integrated and identified regulations and a stronger decrease in amotivation. MI appears as an efficient counselling method as an addition to an SWLP to promote PA in the context of pediatric obesity.     

师生之间的动机感染:基于社会认知的视角

师生之间的动机感染是指在课堂情境中动机定向由教师向学生传递的过程.学生对教师行为、情绪和课堂动机气氛等线索的社会知觉是动机感染发生的基础.当前研究中,期望形成模型和教学支持模型从不同角度解释了动机感染的潜在过程.基于社会认知的视角,推测出动机感染的发生机制包含学生无意识的自动的目标感染和有意识的满足基本心理需要两条路径.该机制需要进一步验证.未来研究应关注以下几点:(1)利用质的研究方法拓展研究思路;(2)注重文化和情境等变量在动机感染中的价值;(3)动机感染双向过程的系统研究.     

Barriers to Learning Motivational Interviewing: A Survey of Motivational Interviewing Trainers' Perceptions

Trainers reported that motivational interviewing (MI)–inconsistent behaviors were frequently perceived during training and believed to create barriers to learning. More barriers were perceived in corrections than in mental health training audiences. Strategies to facilitate unlearning MI‐inconsistent behaviors may accelerate acquisition of MI.     

When Effort Is Enjoyed: Two Studies of Intrinsic Motivation for Personally Salient Activities

Distinctions between two philosophical conceptions of happiness, hedonism and eudaimonism, were applied to the study of intrinsic motivation. Modified versions of the Personally Expressive Activities Questionnaire (PEAQ) were used in two studies to contrast activities, all of which were enjoyed, but which differed in the level of effort involved. In Study 1, 173 college students were free to choose any type of activity that met the selection criteria. In Study 2, the activities chosen by 95 undergraduates were limited to activities associated with a particular leisure time or hobby activity in which the respondents engaged on a regular basis. Consistent results across the two studies indicate that High Effort–Liked activities, in comparison to Low Effort–Liked activities, were associated with greater interest, flow, and feelings of personal expressiveness, greater perceived competence, and higher scores for both self-realization values and importance. These differences are discussed for their implications for the conceptual understanding of intrinsic motivation.     

来访者动机:心理咨询与治疗理论与实践的整合

来访者动机是影响行为改变和治疗结果的重要因素,是贯穿心理咨询与治疗过程的关键问题。自我决定理论(SDT)是关于动机行为的一种宽泛理论,将动机看成一个随自主水平变化的连续体,认为来访者自主水平越高,治疗效果越好,并强调治疗师的自主支持对来访者参与和坚持改变的重要性;动机访谈(MI)则是在成瘾行为治疗中发展起来的一种临床技术和策略,遵循来访者中心的原则激发和增强来访者动机。在健康行为领域两种治疗模型有不同的起点、焦点和发展路径,研究者却发现两者可以系统而有机地整合,促进了有实证支持的实践发展。     

Perceived Cognitive Diversity and Creativity: A Multilevel Study of Motivational Mechanisms and Boundary Conditions

Adopting a motivational perspective on creativity, we theorized when and how perceived cognitive diversity in teams was associated with creativity by focusing on the mediating role of intrinsic motivation and the moderating role of learning orientation. We further expanded our contribution by examining these relationships at both the individual and team levels. We used a sample of 382 Chinese employee–supervisor pairs nested within 106 teams to test our hypotheses. The results revealed that, at both the individual and team levels, learning goal orientation significantly moderated the positive association between perceived cognitive diversity and intrinsic motivation such that the latter relationship became stronger as learning goal orientation increased. Furthermore, our findings confirmed that learning goal orientation enhanced the indirect positive relationship between perceived cognitive diversity and creativity through intrinsic motivation.     

动机性访谈：一种以咨客为中心的行为改变咨询技术

动机性访谈是目前在西方国家比较流行的一种以咨客为中心的行为改变咨询技术,但在我国关于这一技术的研究和应用都还比较少。本文概述了动机性访谈技术的理论基础、应用原则(表达神入;发展差异;接受阻抗;维持自我效能)和基本技能,并介绍了这一咨询技术的应用现状与研究方向。     

A Randomized Controlled Pilot Study of Motivational Interviewing to Change Attitudes about Adherence to Medications for Asthma

The day-to-day management of asthma relies on patient self-care practices; in particular, adherent use of asthma medications is fundamental for asthma management. However, most persons with asthma do not use their medications to clinically acceptable standards. The purpose of this study was to test the efficacy of a brief educational intervention to enhance knowledge and skills relevant to asthma self-care, and the efficacy of motivational interviewing to improve attitudes toward taking medications as prescribed. Twenty-five adults with asthma were randomly assigned to receive a brief educational intervention alone, or education plus motivational interviewing. Over time, all participants improved their knowledge of asthma and skills using a metered dose inhaler. Participants who received education alone showed a decreased level of readiness to adhere with their medications over time, whereas participants who received motivational interviewing were more likely to show a stable or increased level of readiness to adhere over time. Among participants who described themselves as not consistently adhering with their medications at the first evaluation, those who received motivational interviewing endorsed more positive attitudes toward taking medications over time. The results are supportive of the utility of motivational interviewing in enhancing participants' attitudes toward adherent medication use. Future research should test if attitude change is reflected in change in medication use.     

从好奇发生到满足：好奇反馈循环的神经生理机制

好奇是驱动信息寻求行为最主要的内部动机。从感知信息缺口使好奇发生,到对控制进行价值评估,信息寻求行为发生,再到目标信息获得使好奇满足,每一环节都受到当前信息输入和上一环节反馈输出的影响,它们构成了一个反馈循环。该循环还嵌入在个体的终生发展过程中,随着经验积累和脑的发育不断变化。好奇反馈循环模型融入了控制的期望价值模型和贝叶斯强化学习框架,整合了来自监控系统、奖赏系统、控制系统等多个脑功能系统的研究证据,为理解好奇的神经生理机制提供了新思路。     

Motivational Predictors of Change in Oral Health: An Experimental Test of Self-Determination Theory

We tested the hypothesis that a psychosocial dental intervention formulated in terms of self-determination theory would increase patients’ perceived competence and autonomous motivation for dental care and would decrease their plaque and gingivitis over a seven month period, compared to standard dental treatment. We also tested a process model in which the intervention was expected to increase perceived dental competence and autonomous motivation, that they would be positively associated with oral health behaviors (i.e., brushing and flossing), which was expected to decrease plaque and, in turn, decrease gingivitis. We also examined whether: changes in perceived competence and autonomous motivation would mediate the effect of the intervention on dental-health behaviors; dental-health behaviors would mediate the links from changes in perceived competence and autonomous motivation to change in plaque; and change in plaque would mediate the relation of dental health behaviors to change in gingivitis. Finally, we examined the fit of the overall model with structural equation modelling. Results supported all predictions.

The Effect of Approach and Avoidance Referents on Academic Outcomes: A Test of Competing Predictions

In an academic setting, we tested competing predictions derived from two conceptual models about the effects of approach and avoidance referents (e.g., goals and role models) on student performance. One model suggests a main effect such that focusing on approach referents leads to better outcomes than focusing on avoidance referents, regardless of personality (e.g., A. J. Elliot & K. M. Sheldon, 1997). Another model suggests an interaction such that focusing on either approach or avoidance referents can lead to positive outcomes, but only when people are promotion focused or prevention focused, respectively (e.g., P. Lockwood, C. H. Jordan, & Z. Kunda, 2002). Findings supported the main effect model. The more prevention focused participants were, the more avoidance goals they generated, which led to poorer grades.

Deci and Ryan's cognitive evaluation theory of intrinsic motivation: A set of common sense theorems

Cognitive evaluation theory as put forward by Deci and Ryan (1985) is examined. The theory, which deals with intrinsic and extrinsic motivation, has inspired considerable amount of empirical research in the last two decades. However, contrary to the mainstream view and that of its authors, it is argued here that the theory consists of necessary truths of common sense (folk) psychology, rather than contingent and empirically testable hypotheses. As such the theory spells out what must necessarily be the case in human motivation and the empirical evidence amassed to test its validity is irrelevant. Such testing should be abandoned if its purpose is to appraise the truth value of the theory's propositions. To empirically test necessary true propositions is not only redundant in such cases, but also a waste of time and resources.     

Motivational systems of agonistic behavior in muroid rodents: A comparative review and neural model

The data on agonistic behavior of muroid rodents that have been obtained from field observations and laboratory experiments are reviewed and compared in terms of a hypothetical model of the neural organization of these behaviors. The neural model has been presented elsewhere and is used here only as a way to organize the data. The data are organized in terms of four hypothetical motivational systems: Offense, defense, submission, and patrol/marking. The various behaviors are considered as motor patterns and are compared and analyzed in terms of the proposed motivating, releasing, and directing stimuli of the motivational systems. Interactions and overlaps between the motivational systems are also considered. It is concluded that the organization of agonistic behavior may be similar across all species of muroid rodents. Generalizations are complicated by the profound effects of ontogenetic factors. Four categories of behaviors differ from species to species: Scent-marking, submissive behaviors, threat behaviors, and alarm signals. The possible phylogenetic and ontogenetic factors in these differences are considered.