Motivatiedeficit, onmacht of een dubbeltje op zijn kant?

Transcriptie

1 Motivatiedeficit, onmacht of een dubbeltje op zijn kant? Herstel en re-integratie bij afhankelijkheid Charlotte Vanovenberghe CM KULeuven

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4 30%

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7 Intrinsiek extrinsiek

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12 Autonomie

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15 Relationele verbondenheid

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17 Competentie

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19 30%

20 Zelfdeterminatietheorie

21 Zelfdeterminatietheorie

22 Zelfdeterminatietheorie

23 Extern

24 Zelfdeterminatietheorie

25 Introjectie

26 Zelfdeterminatietheorie

27 Zelfdeterminatietheorie

28 Zelfdeterminatietheorie

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30 Autonome motivatie - therapietrouw

31 Autonome motivatie - methadonbehandeling

32 Alcohol Ryan, R. M., Plant, R. W., & O'Malley, S. (1995). Initial motivations for alcohol treatment: Relations with patient characteristics, treatment involvement, and dropout.

33 Onderzoek Therapietrouw Gewichtsverlies: interne externe M Alcoholafhankelijkheid: interne externe M Methadon: interne soms externe M MAAR intern steeds voorwaarde

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36 Motivational Interviewing

37 Motivational Interviewing Motiverende Gespreksvoering is een op samenwerking gerichte gespreksstijl die iemands eigen motivatie en bereidheid tot verandering versterkt.

38 EE DD RR SS

39 EE DD Express Empathy RR SS

40 Develop Discrepancy EE DD RR SS

41 Keuzevrijheid Liang Meng Qingguo Ma

42 Keuzevrijheid

43 EE DD RR SS Roll with Resistance

44 EE DD RR SS Support Self-efficacy

45 Change talk Barnett, e.a. From counselor skill to decreased marijuana use: Does change talk matter?

46 MI

47 Lundahl, B., & Burke, B. L. (2009). The effectiveness and applicability of motivational interviewing: A practice friendly review of four meta analyses.

48 GMI middelenafhankelijkheid Santa Ana et. Al. (2005). Efficacy of group motivational interviewing (GMI) for psychiatric inpatients with chemical dependence.

49 MI intrinsieke motivatie?

50 ZDT MI

51 Take home message Cave gedwongen hulpverlening Externe motivatie kan succesvol zijn, maar enkel als vergezeld door interne motivatie Cave expertrol Motiverende gesprekstechnieken interfereren niet met de lopende behandeling

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54 Referenties Altman, H., Evenson, R., & Cho, D. (1978). Predicting length of stay by patients hospitalized for alcoholism or drug dependence. Journal of Studies on Alcohol, 39, Burke, B. L., Arkowitz, H., & Menchola, M. (2003). The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. Barnett, E., Moyers, T. B., Sussman, S., Smith, C., Rohrbach, L. A., Sun, P., & Spruijt-Metz, D. (2014). From counselor skill to decreased marijuana use: Does change talk matter?. Journal of substance abuse treatment, 46(4), Larimer, M. E., & Palmer, R. S. (1999). Relapse prevention: An overview of Marlatt's cognitive-behavioral model. Alcohol research and Health, 23(2), Markland, D., Ryan, R. M., Tobin, V. J., & Rollnick, S. (2005). Motivational interviewing and self determination theory. Journal of social and clinical psychology, 24(6), Meng, L., & Ma, Q. (2015). Live as we choose: The role of autonomy support in facilitating intrinsic motivation. International Journal of Psychophysiology, 98(3), Miller, W. (1985). Motivation for treatment: A review with special emphasis on alcoholism. Psychological Bulletin, 98, Ryan, R. M. (1995). Psychological needs and the facilitation of integrative processes. Journal of personality, 63(3), Ryan, R. M., Plant, R. W., & O'Malley, S. (1995). Initial motivations for alcohol treatment: Relations with patient characteristics, treatment involvement, and dropout. Addictive behaviors, 20(3), Santa Ana, E. J., Wulfert, E., & Nietert, P. J. (2007). Efficacy of group motivational interviewing (GMI) for psychiatric inpatients with chemical dependence. Journal of Consulting and Clinical Psychology, 75(5), 816.

55 Referenties Sheldon, K. M., Joiner, T., & Williams, G. (2003). Motivating health: Applying self-determination theory in the clinic. Yale: Yale University Press Simoneau, H., & Bergeron, J. (2003). Factors affecting motivation during the first six weeks of treatment. Addictive behaviors, 28(7), Stein, L. A. R., & Lebeau-Craven, R. (2002). Motivational interviewing and relapse prevention for DWI: A pilot study. Journal of drug issues, 32(4), Vansteenkiste, M., & Sheldon, K. M. (2006). There's nothing more practical than a good theory: Integrating motivational interviewing and self determination theory. British journal of clinical psychology, 45(1), Warneken, F., & Tomasello, M. (2009). The roots of human altruism. British Journal of Psychology, 100(3), Wild, T. C., Cunningham, J. A., & Ryan, R. M. (2006). Social pressure, coercion, and client engagement at treatment entry: A selfdetermination theory perspective. Addictive behaviors, 31(10), Williams, G. C., Grow, V. M., Freedman, Z. R., Ryan, R. M., & Deci, E. L. (1996). Motivational predictors of weight loss and weight-loss maintenance. Journal of personality and social psychology, 70(1), 115. Williams, G. C. (2002). Improving patients health through supporting the autonomy of patients and providers. In E. L. Deci & R. M. Ryan (Eds.), Handbook of self-determination research. Rochester: University of Rochester Press. Zeldman, A., Ryan, R. M., & Fiscella, K. (2004). Motivation, autonomy support, and entity beliefs: Their role in methadone maintenance treatment. Journal of Social and Clinical Psychology, 23(5),