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Attachment and motivational strategies in adolescence: exploring links.

Within the framework of attachment theory and of motivation goal theory, this study explored the relation between quality of attachment strategies and quality of motivational strategies in a sample of young adolescents. Specifically, this study examined patterns of thoughts, behaviors, and emotions as they related to representations of attachment and motivational functioning in situations that challenge or threaten three psychological needs (emotional security, competence, and autonomy). Forty-four students, aged 11 to 14 years, responded to imagined stressful situations in order to: (a) assess attachment strategies; (b) identify and assess students' motivational strategies in stressful classroom circumstances; (c) assess motivational strategies of students with high and low control and agency beliefs; and (d) examine the relations between attachment and motivational strategies. Four distinct action patterns were identified: flexible action, rigid action, passive behavior, and disorganized behavior. Significant relations were found between control beliefs and motivational strategies, as well as a trend toward relations between attachment and motivational strategies, suggesting that secure adolescents show more constructive motivational strategies and less disorganized strategies when compared to insecure adolescents.

Adolescent↗

Kant's assessment of motivation in the fulfillment of social obligations.

This paper explores the motivations of physicians who promote the health of their communities through the fulfillment of social obligations beyond the boundaries of their own patients. Based on the assumption that physicians do not have social obligations, this paper looks at the normative, motivational question, namely "How should physicians be motivated to fulfill social obligations?" The paper traces the Kantian view of morality and motivation. The distinctions between required, merely permissible, and forbidden actions is drawn. Furthermore, Kant's view that required actions done in accordance with duty are of no moral worth is critiqued from three stand points. First, it is argued that just because motivations outside of Kantian-based duty are not as good, it does not follow that these motivations are of no moral worth. Second, it is argued that there are some motivations behind required actions that are clearly better than other motivations. Third, it is argued that required actions done in accordance with duty are clearly better than those actions done without relevance to duty. The paper concludes that many required actions done in accordance with duty are performed from motivations that do have moral worth.

Altruism↗

Motivational deficit in depression: people's expectations x outcomes' impacts.

Concludes that depression consists of low reward motivation and high punisher motivation. The argument is as follows: Clinical observation and research agree that depression is primarily a motivational deficit. Learning theories agree that motivation consists of both the organism's expectations and the outcome's impact (value or aversiveness), i.e., motivation = expectation X impact. Popular theories and research agree that depressed people's expectations and their impacts differ from those of nondepressed people. Depressed people often expect few rewards and many punishers, and the impact of rewards is low while that of punishers is high. By substituting known expectancies and impacts into the motivation equation, it becomes clear that depressed people suffer a motivational deficit. A specific deduction is that depressed people exhibit their most severe motivational deficits in ambiguous social situations. This deduction generates the hypothesis that in ambiguous social situations, depressed people should engage in few instrumental, operant behaviors, but many escape and avoidance behaviors.

Avoidance Learning↗

Why exercise?: a preliminary investigation of an exercise motivation index among individuals with rheumatic conditions and healthy individuals.

The study was undertaken to investigate the test-retest stability and the criterion-related validity of a modified Swedish version of an exercise motivation index (EMI), and its use with individuals with rheumatic conditions, and with healthy individuals who exercised regularly. The EMI consists of 23 statements divided into three sub-scores for physical, psychological and social motivation. Ninety-five individuals with rheumatic conditions (mean age 60 years, mean symptom duration 15 years, 79% female) and 131 healthy individuals (mean age 52 years, 76% female), all attending exercise classes at least once a week, filled out the EMI. Sub-samples also filled out three visual analogue scales designed to measure physical, psychological and social exercise motivation, and filled out the EMI a second time one week later. The results indicated that psychological and physical exercise motivation was equally important in both samples. Social motivation was less important in both samples, but more pronounced in the rheumatic sample and among older individuals. In the rheumatic sample, physical motivation was more important among women and psychological motivation was more important among younger individuals. Test-retest stability for the EMI was satisfactory in both samples, while criterion-related validity was poor. The results of our preliminary investigation of the EMI suggest that the survey of physical, psychological and social motivation for exercise seems meaningful. Further work on the validity of the EMI is needed.

Case-Control Studies↗

Obsessive-compulsive disorder as a disturbance of security motivation: constraints on comorbidity.

Patients with OCD often meet criteria for additional psychiatric disorders, with the incidence of comorbidity being as high as 75% in some studies. Here we examine the theoretical plausibility that in OCD much of the domain of co-morbid presentations encompasses related perturbations of the security motivation system. According to a recent proposal, the security motivation system represents a biologically primitive special motivation that is activated by potential (as opposed to imminent) danger to self or intimate others and engages a set of specialized species-typical behaviors (such as checking and washing) to handle potential danger. Because the task of security motivation is open ended, in the sense that no consummatory stimuli can exist in the real world to indicate the absence of potential danger, the shutdown of security motivation is produced by a self-generated feeling of knowing, a satiety signal termed yedasentience. In this schema, OCD results from a failure to generate or respond to the yedasentience signal: without this negative feedback the patient persists abnormally long in a strong motivational state having to do with primal, basic threats to existence, a condition that leads to prolonged engagement in security-related behaviors, such as the checking and washing, characteristic of OCD compulsions and obsessions. Considering the proposed neuronatomy of security motivation system and OCD, we discuss the likelihood that the phenomenon of "spread of allied reflexes" can produce other security-related psychiatric conditions, as well as the possibility that disturbances along different pathways of the security motivation system can lead to apparently different disorders.

Anxiety↗

Habituation and recovery of salivation and motivated responding for food in children.

Salivary responses habituate to repeated presentations of food cues, and these responses recover when new food stimuli are presented. Research suggests that within-session changes in motivated responding for food may also habituate, and motivated responding may, therefore, recover when new foods are presented. The purpose of this study was to evaluate similarities in the pattern of salivation and motivated responding for a cheeseburger stimulus in children, followed by either a novel stimulus (French fries) or another cheeseburger trial. The order of the task (salivation or motivation) was counterbalanced over days. Salivation and motivated responding for cheeseburger were reliably reduced over seven trials, and responses recovered after presentation of French fries on trial 8. Random regression models showed a significant relationship between the rate of change in motivated responding and salivation. These results provide additional support for similarities in processes that regulate salivation and motivated responding for food and strengthen support for the hypothesis that changes in motivated responding can be understood by habituation theory.

Child↗

Modeling treatment motivation in substance-abusing women with children.

OBJECTIVES: Children are often considered a primary motivator for women seeking substance abuse treatment. This study tested a model predicting treatment motivation in substance-abusing mothers. METHODS: This study was a secondary analysis of the Drug Absue Treatment Outcome Study (DATOS). It used structural equation modeling to describe factors influencing motivation for treatment. DATOS is a national study of substance abusers entering treatment. Treatment was provided by a sampling of community-based programs, free-standing hospitals, hospital units, county-funded programs, modified therapeutic communities, and criminal justice programs. The subsample of women with children under the age of 18 for whom custody of children could be determined was selected (n=1371). The variables comprising each factor were based on self-report, and standardized scales measuring level of drug involvement, psychological functioning, children, and a desire to stop using drugs were used. RESULTS: Drug involvement was positively related to poorer psychological functioning, child custody issues, and the desire to stop using drugs. Child custody issues had a negative influence, while poorer psychological functioning and a desire to stop using drugs positively influenced treatment motivation. CONCLUSIONS: The negative influence that children have on treatment motivation may reflect the practical or emotional difficulties of having to leave children behind or in some instances having children placed in foster care. Specifically, losing custody of children, particularly with little expectation they will be reunified, may serve as a detriment to motivation. Popular beliefs hold that children serve as a primary source of a mother's treatment motivation; however this study found the opposite was true. Children should not automatically be considered a primary source of motivation for participation in treatment.

Adolescent↗

Different functionality of the medial and orbital prefrontal cortex during a sexually motivated task in rats.

This study was designed to analyze whether the electroencephalographic (EEG) activity of the medial (mPFC) and orbital prefrontal cortex (oPFC) was modified during the performance of male rats in a T maze under two different conditions, sexually motivated (with previous intromission and females in the goal boxes of the lateral arms) or sexually non-motivated (without previous intromission and with empty goal boxes). Relative power (RP) of three EEG band frequencies, and inter-hemispheric correlation (r) were calculated and a comparison was made between rats under motivated and non-motivated conditions. In the mPFC of sexually motivated males, an increase of the RP in the 6-7 Hz band as well as a decrease in the 8-11 Hz band was observed in relation to an awake-quiet state and during the walk in the maze stem. Similarly, an increase in the r of the 6-7 Hz band was observed during the walk in the maze stem and when remaining near to a receptive female, when compared to non-motivated males. In the oPFC, only the RP of the 6-7 Hz band was increased during the walk in the maze stem of the motivated males. These data suggest that, among sexually motivated males, the mPFC is involved both in anticipatory and motor execution during the performance of the T maze task, whereas the oPFC is only involved in the motor execution of the T maze. These results are in line with other studies suggesting that the mPFC and oPFC are functionally distinct, regions which may work together during certain behaviors and physiological conditions.

Analysis of Variance↗

Instrumental and normative motives for compliance with traffic laws among young and older drivers.

The study compares young and older drivers' motives for compliance with traffic laws. Instrumental motives, such as perceived danger of violations, and normative motives, such as a sense of obligation to obey the law, were explored. A questionnaire was administered to 693 male drivers in the Israeli army. The results support previous findings, showing that young drivers' motives for compliance with traffic laws, both instrumental and normative, are weaker than those of older drivers. The differences between the two age groups are larger with regard to normative than to instrumental motives. The commission of traffic violations by young drivers is predicted by the normative motives of a sense of obligation to obey traffic laws and perceived fairness of punishment. The commission of driving violation by older drivers is predicted by the instrumental motive of perceived danger of violations. The differences between young and older drivers' motives are discussed.

Adolescent↗

Understanding donors' motivations: a study of unrelated bone marrow donors.

Medical advances in bone marrow transplantation techniques and immunosuppressive medications have dramatically increased the number of such transplants performed each year, and consequently, the demand for bone marrow from unrelated donors. Although physiological aspects of bone marrow donation have been thoroughly investigated, very few studies have examined psychosocial factors that may impact individuals' donation decisions and outcomes. To examine one particular set of donor psychosocial issues, this study investigated motives for bone marrow donation among 343 unrelated bone marrow donors who donated through the National Marrow Donor Program. Six distinct types of donor motives were identified from open-ended questionnaire responses. Donors most frequently reported motives reflecting some awareness of both the costs (to themselves) and potential benefits (to themselves and the recipient) of donation. A desire to act in accordance with social or religious precepts, expected positive feelings about donating, empathy for the recipient, and the simple desire to help another person were also commonly cited reasons for donating. Among a series of donor background characteristics, donors' gender was the variable most strongly associated with motive type; women were most likely to cite expected positive feelings, empathy, and the desire to help someone. Central study findings indicated that donor motives predicted donors reactions to donation even after the effects of donor background characteristics (including gender) were controlled. Donors who reported exchange motives (weighing costs and benefits) and donors who reported simple (or idealized) helping motives experienced the donation as less positive in terms of higher predonation ambivalence and negative postdonation psychological reactions than did remaining donors. Donors who reported positive feeling and empathy motives had the most positive donation reactions in terms of lower ambivalence, and feeling like better persons postdonation. These finding add substantially to the body of work concerning medical volunteerism generally, and also have important practical implications for the recruitment and education of potential bone marrow donors.

Adult↗

A critical review of the concept of patient motivation in the literature on physical rehabilitation.

Rehabilitation professionals have long suspected that a patient's motivation plays an important role in determining the outcome of therapy, despite the lack of a clear definition of the phenomenon. The fact that such a subjective concept is commonly used by clinicians prompted this investigation into the range and nature of professional understandings of patient motivation. The literature dealing with physical rehabilitation and motivation was reviewed and was found to fall into three broad groups. One group of mainly clinical articles conceives of motivation as an internal 'personality trait' of the individual patient, and explains the nature and causes of motivation purely in terms of internal dispositions. Another body of literature considers motivation to be a quality which is affected by social factors, and stresses the importance of awareness of such factors in explaining motivation. The third approach considers social factors in combination with personality or clinical characteristics. It is argued that the personality-based approach facilitates moralising in the therapeutic encounter, a problem which is both highlighted and critiqued by the methodology which emphasises the importance of social factors. The practical implications of the relative merits of these different theories of motivation are considered.

Humans↗

A group motivational treatment for chemical dependency.

Patient "motivation" has been implicated as a critical component in addiction treatment outcomes. To date, treatments utilizing motivational elements have been conducted as individual interventions. We describe the development of a Group Motivational Intervention (GMI), a four-session, manual-driven group approach that employs key hypothesized motivational elements. These include the six motivational elements derived by Miller and Sanchez (1994) from successful alcoholism treatments, described with the acronym, FRAMES (feedback, responsibility, advice, menu of options, empathy, and self-efficacy). GMI is additionally informed by concepts derived from "self-determination theory" (Deci & Ryan, 1985), concerned with understanding motivation as either internal/autonomous or external/controlled. Evidence indicates that people will value and persist longer in behaviors that they perceive as autonomously motivated. GMI techniques utilize the interpersonal factors found to be autonomy-supportive in self-determination theory. Preliminary results from a randomized clinical trial suggest that key motivational processes are affected by GMI: patients perceive the GMI environment and group leader as significantly more "autonomy supportive" than treatment "as usual."

Alcoholism↗

Motivation to control one's environment in individuals with obsessive-compulsive, depressive, and normal personality traits.

This study investigated whether people are motivated for control and considered both the dispositional and situational factors that affect this motivation. Thirty male and 30 female undergraduates, divided equally among individuals with obsessive-compulsive, depressive, and normal personality styles, were given different levels of information about how to exercise control in an effective manner. Motivation for control was assessed by performance on a task in which the level of performance determined whether a subject obtained control over an outcome. In addition, feelings of self-efficacy were measured. The hypothesis that people are motivated to have personal control was confirmed. Furthermore, this motivation for control could not be accounted for by the variance attributable to feelings of self-efficacy, that is, the expectancy of gaining a good outcome by having personal control. Although feelings of self-efficacy were influenced by the level of information provided to subjects, for most subjects, the motivation for control, per se, was not affected. In contrast, obsessive-compulsive males seemed to respond differently to the information manipulation from other subjects, being motivated for control only when a higher level of information was provided. The effects of depressive and obsessive-compulsive personality styles on the motivation for control were reconsidered.

Compulsive Personality Disorder↗

The causes of organizational citizenship behavior: a motivational analysis.

This study addressed the role of motives in organizational citizenship behavior (OCB). Three motives were identified through factor analyses: prosocial values, organizational concern, and impression management. Scales that measured these motives and other variables known to covary with OCB were administered to 141 municipal employees and were correlated with self-, peer, and supervisor ratings of 5 aspects of OCB. Relative to the other motives, prosocial values motives were most strongly associated with OCB directed at individuals, and organizational concern motives were most strongly associated with OCB directed toward the organization. Each of the motives accounted for unique amounts of variance in OCB. The results suggest that motives may play an important role in OCB.

Adolescent↗

Hierarchical representation of motives in goal setting.

The authors developed a framework for thinking about motives in goal setting. The reasons for choosing a particular goal are represented in a hierarchical network of motives. To uncover context-specific motives and their interconnections, the authors propose a procedure based on the elicitation of justifications for one's goal. The authors applied the procedure to the motivation of volunteering to join the Italian Army by officers (N = 151) and 3 groups of enlisted soldiers (Garibaldi Brigade, N = 141; Folgore Brigade, N = 144; and volunteers in training, N = 150). The resulting idiographic motives and linkages between motives were validated by regressing attitudes, intentions to reenlist, and commitment toward the army on motives and linkages between motives. A heuristic nomothetic summary of goals, arranged in an interconnected hierarchy, was derived.

Adult↗

Dispositional attribution: multiple inferences about motive-related traits.

This research views dispositional inference as a process whereby perceivers integrate multiple inferences about a target person's motives and traits. The findings suggest that although perceived motives may stimulate extra attributional processing (S. Fein, 1996), the content of the inferred motive is important as well. Perceivers learned about situational forces implying that a target person had free choice, no choice, or an ulterior motive for helpful behavior. Inferences about the target's helpfulness differed depending on whether the target's behavior was attributed to an obedience motive (no-choice condition) or to a selfish motive (ulterior-motive condition). In general, inferences about motives were more predictive of dispositional inferences than were global causal attributions (to situational vs. dispositional forces) or base rate assumptions.

Adolescent↗

A comparative investigation of dental and medical student's motivation towards career choice.

OBJECTIVE: A number of recent studies have investigated the motivations underlying the career choice of dental and medical students, suggesting that they may be very different. However, as yet, no studies have been conducted which provide a direct comparison of dental and medical students studying in the same place. Accordingly, the aim of this investigation was to conduct a survey which directly compared the motivation of a selection of dental and medical students at Manchester University. STUDY DESIGN: A questionnaire was developed for this study on the basis of previous surveys investigating the motivations of dental and medical students towards career choice. Six dimensions were covered in the questionnaire including: status and security; the nature of the occupation; career opportunities; patient care and working with people; use of personal skills; and interest in science. In addition, students were asked about the role of work experience in either dentistry or medicine. The questionnaire was distributed to 80 medical students and 80 dental students chosen from a random selection of lecture slots. RESULTS: The results were analysed using the Mann-Whitney U test. Statistically significant differences were revealed in all six areas of career choice motivation. For instance, dental students were significantly more likely to be motivated by factors relating to status and security and the nature of their occupation (eg regular working hours, self employment and independence). By contrast, medical students were significantly more likely to be motivated by factors relating to career opportunities, patient care and working with people, use of personal skills, and interest in science. Work experience was a strong motivating factor in the case of both dental and medical students (though especially for dental students). CONCLUSIONS: In comparison with dental students, medical students manifested a more professional attitude in which altruism and intellectual challenge constituted central motivating factors. By contrast, dental students demonstrated more of a commitment to personal and financial gain. The paper queries how useful such attitudes are to a re-oriented dental profession whose aspiration is to provide more accountable and community oriented services.

Attitude of Health Personnel↗

[Motivation for psychosomatic-psychotherapeutic treatment of vocational stresses -- development and validation of a questionnaire].

BACKGROUND: There is a lack of questionnaires assessing the motivation of inpatients to scrutinize occupational stresses and deal with them as part of their psychotherapeutic treatment. Work-related stress contributes significantly to the development of mental disorders. Vocational reintegration is an outcome criterion for the success of vocational rehabilitation. Patients are often not motivated for dealing with occupational stresses during inpatient medical rehabilitation. Therefore it is necessary to assess patient motivation at the beginning of treatment, in order to assign them to specific interventions, e. g. promoting motivation. METHOD: A questionnaire (Fragebogen zur berufsbezogenen Therapiemotivation -- FBTM) consisting of 84 items was developed, based on published questionnaires for psychotherapy motivation. 283 psychosomatic rehabilitation inpatients were administered the FBTM, subsequently analyzed by item and factor analyses. Based on a second sample (n = 282) confirmatory factor analyses and validation of the questionnaire were executed. RESULTS: Item and factor analyses revealed a four factor structure. 24 items constituted the subscales that could be described as "intention to change", "wish for pension", "negative treatment expectations" and "active coping". Reliability (Cronbach's Alpha) was satisfactory with coefficients between 0.69 and 0.87, and only low correlations could be found between the four subscales. Correlations with other measures were most pronounced for the subscale "intention to change". Some significant but low correlations could be reported between the FBTM and a standardized questionnaire of psychotherapy motivation (FMP). Confirmatory factor analyses of a second sample (n = 282) confirmed the original four factors. First evidence of sensitivity could be observed in a sample of patients who took part in an intervention promoting work-related therapy motivation during psychosomatic inpatient rehabilitation. CONCLUSIONS: The FBTM is a reliable and valid instrument assessing work-related therapy motivation of inpatients, as a relevant therapeutic measure in psychosomatic rehabilitation. Further validation, especially the analysis of predictive validity is desirable.

Adaptation, Psychological↗