Mustivation or Motivation? The Nurturing Role of Basic Psychological Need Satisfaction Maarten Vansteenkiste University Gent, Belgium Contactadress: [email protected] www.vopspsy.ugent.be www.psych.rochester.edu/SDT Collaborators S. Van Petegem Ghent University L. Claes University of Leuven K. M. Sheldon University of Missouri R. M. Ryan University of Rochester J. Reeve Korea University Bart Soenens Ghent University E. L. Deci University of Rochester Bart Duriez University of Leuven L. Matos University of Lima T. Kasser Knox College C. P. Niemiec University of Rochester W. Beyers Ghent University H. De Witte University of Leuven W. Lens University of Leuven E. Kins Ghent University A. Assor Ben Gurion University A. Mouratidis University of Leuven J. Verstuyf Ghent University N. Aelterman Ghent University L. Haerens Ghent University D. Wuyts Ghent University V. Chirkov University of Saskatchewan K. Sheldon University of Missouri L. Boone Ghent University A. Mouratidis University of Leuven K. Luyckx University of Leuven E. Sierens University of Leuven W. Vandereycken University of Leuven B. Deforche Bruxelles University L. Matos Lima University A. Van den Broeck University of Brussels B. Neyrinck University of Leuven M. Standage University of Bath S. Sebire University of Bath B. Chen Ghent University SELF-DETERMINATION THEORY Prof. Edward Deci (University of Rochester, NY) Prof. Richard Ryan (University of Rochester, NY) Objectives of talk 1. Providing an overview on key principles of Self-Determination Theory 2. Selectively linking Self-Determination Theory to - prevalent notions: e.g., self-control - other theories of behavior change: e.g., motivational interviewing Any behavior change requires energy! The critical questions are 1) … which factors can furnish the necessary energy for sustained behavioral change? 2) … whether the amount of available energy depends on the motives or reasons underlying behavior change? - Ethymological meaning: Motivation < movere = to move - Basic question = “Why do (not) engage in behavior change” ⇒ Capturing hetereogenity in clients/people - Universal question that applies to all possible health behaviors • Physical activity • Losing weight • Smoking cessation • Eating regulation • Diabetes management Etc. Vansteenkiste, M., Niemiec, C., & Soenens, B. (2010). The development of the five mini-theories of self-determination theory: An historical overview, emerging trends, and future directions. In T. Urdan & S. Karabenick (Eds.). Advances in Motivation and Achievement, vol. 16: The decade ahead (pp. 105-166). UK: Emerald Publishing. Overview 1. The Energetic Basis of Behavior Change: Basic Psychological Need Satisfaction 2. Quality of Motivation: Autonomous versus Controlled Functioning 3. The Nurturing role of a Need-supportive Counseling Style Vansteenkiste, M., Niemiec, C., & Soenens, B. (2010). The development of the five mini-theories of self-determination theory: An historical overview, emerging trends, and future directions. In T. Urdan & S. Karabenick (Eds.). Advances in Motivation and Achievement, vol. 16: The decade ahead (pp. 105-166). UK: Emerald Publishing. PART I The Energetic Basis of Behavior Change: Basic Psychological Need Satisfaction Self-determination Theory: Meta-theoretical assumptions 1. Passive / reactive entities 2. No inherent growth-oriented nature 3. Social environment programs & controls people’s behavior 1. Pro-active organism that acts upon his environment 2. Oriented towards growth, selforganization & integration 3. Social environment can facilitate & support development 4. Social development can also awaken vulnerabilities and lead to passivity & defensive functioning Vansteenkiste, M., & Ryan, R. M. (2013). On psychological growth and vulnerability: Basic psychological need satisfaction and need frustration as an unifying principle. Journal of Psychotherapy Integration. SOCIAL CONTEXT ENERGIZATION OUTCOMES Need-supportive environment Basic psychological need satisfaction Behavior change & growth “the best” Need-thwarting environment Basic psychological need frustration Passivity & resistance to change “the beast” Vansteenkiste, M., & Ryan, R. M. (2013). On psychological growth and vulnerability: Basic psychological need satisfaction and need frustration as an unifying principle. Journal of Psychotherapy Integration. Which needs meet the following criteria? Psychological rather than physiological Innate rather than acquired Universal rather than culturebounded Fundamental Basic psychological needs Need for Autonomy A - Being oneself - Psychological freedom - Volition Need for Relatedness R Need for Competence C - Being loved by others - Feeling capable to achieve desired outcomes - Having close and intimate relations - Feeling effective Dozens of studies have provided evidence for the association between need satisfaction and 1. …various well-being outcomes • self-reported vitality and positive affect (e.g., Reis et al., 2000; Sheldon, et al., 1996) • teacher-rated adjustment (e.g., Adhmad, Vansteenkiste, & Soenens, 2013) 2. …in various cultures and nations • Russia (e.g., Deci et al., 2001) • Korea (e.g., Jang et al., 2009) 3. … in various age groups • adults (e.g., Laguardia et al., 2000) • children (e.g., Sebire et al., today) Statement: Need Satisfaction = Universal Vitamin When people, regardless of their cultural background, educational level or age, feel psychological free, confident and related, they will benefit from it. Do the benefits of need satisfaction radiate to the way how we regulate our physical needs? Daily need satisfaction and daily eating regulation Diary study 5! N = 302 female adolescents; Mean age = 17.7 years 4! Person A 3! 2! 1! Daily Bulimic 0! symptoms -1! -2! Person B -3! -4! -5! 1! 2! 3! 4! 5! 6! 7! 8! 9! 10!11!12!13!14! Days Binge-Eating and Healthy Eating as a Function of Daily Need Satisfaction and Frustration Fixed effects Binge-Eating Healthy Eating Intercept 1.313 (0.025) 2.836 (0.025) Daily need satisfaction -0.006 (0.017) 0.064*** (0.017) Daily need frustration 0.126 *** (0.012) -0.003 (0.012) Verstuyf, J., Vansteenkiste, M., & Soenens, B. (2013). Daily ups-and-downs binge eating symptoms: The role of need satisfaction, self-control and emotional eating style. Journal of Social and Clinical Psychology, 32, 335-361 Figure 1: Plot of Interaction Effect between Emotional Eating and Need Frustration in the Prediction of Binge Eating Symptoms 3,3 3,1 Binge eating 2,9 2,7 2,5 low emotional eating style 2,3 high emotional eating style 2,1 1,9 1,7 low need frustration (-1 SD) high need frustration (+ 1SD) Need frustration Verstuyf, J., Vansteenkiste, M., & Soenens, B. (2013). Daily ups-and-downs binge eating symptoms: The role of need satisfaction, self-control and emotional eating style. Journal of Social and Clinical Psychology, 32, 335-361 Statement On the interface between psychological and physical need satisfaction - Psychological need satisfaction furnishes the necessary energy for the ongoing regulation of physical needs - Likely a reciprocal relations between both PART II Need Satisfaction as Fuel for Optimal Motivation: Autonomous and Controlled Functioning UNITARIAN CONCEPT Low motivation DIFFERENTIATED CONCEPT High motivation -Self-efficacy theory (Bandura) - Expectancy-valence theory (Vroom, Feather) Poor quality motivation Good quality motivation Controlled motivation Autonomous motivation -Self-Determination Theory Which subtypes of motivation are distinguished within SDT? ⇒ I’m going to be more physically active in 2013 ... ‘because my doctor expects me to do so’ ‘because I can only reward myself with a snack if I do so’ Punishment rewards expectation ‘because I can only be proud of myself if I do so’ ‘because I would feel guilty if I wouldn’t do so’ Shame, guilt, self-worth Controlled motivation Mustivation ‘because I feel more energetic if I do so’ Personal relevance, meaningful ‘because I just like to exercise’ Pleasure, passion, interest Autonomous motivation Volitional motivation Process of internalisation = ownership of change Does quality of motivation matter? Are Autonomously Motivated Teenagers more Active and Engaged During PE classes? - - N = 739 students (Mean age = 14.36 years), belonging to 46 classes Two outcomes: • Videotaping entire class and rating degree of engagement • Physical activity levels as recorded by accelerometers PHYSICAL ACTIVITY LEVEL (N = 543) FIXED PART Intercept Predictors Personal autonomous motivation Collective autonomous mo?va?on Collective controlled mo?va?on Collective amo?va?on RANDOM PART reference model Class level variance Pupil level variance RANDOM PART test model Class level variance Pupil level variance Test significance of test model -‐2*loglikelihood reference model -‐2*loglikelihood test model χ2(3) β 33.03 S.E. 2.52 1.35*** 22.06*** -‐7.41 6.72 σ2 150.95 103.21 σ2 112.79 118.79 0.48 6.30 8.28 8.16 S.E. 33.48 6.55 S.E. 25.45 8.97 4207.84 4185.18 p < .001 Aelterman, N., Vansteenkiste, M., Van Keer, H., Van den Berghe, L., De Meyer, J., & Haerens, L. (2012). Students’ objectively measured physical activity levels and engagement as a function of between-class and between-student differences in motivation toward physical education. Journal of Sport & Exercise Psychology, 34, 457-480. ENGAGEMENT (N = 668) FIXED PART Intercept Predictors Collective autonomous mo?va?on Collective controlled mo?va?on Collective amo?va?on RANDOM PART reference model Class level variance RANDOM PART test model Class level variance Test significance of test model -‐2*loglikelihood reference model -‐2*loglikelihood test model χ2(3) β 1.84 S.E. 0.02 0.70*** -‐0.24* -‐0.21* σ2 0.23 σ2 0.16 0.06 0.08 0.08 S.E. 0.01 S.E. 0.01 983.94 935.52 p < .001 Aelterman, N., Vansteenkiste, M., Van Keer, H., Van den Berghe, L., De Meyer, J., & Haerens, L. (2012). Students’ objectively measured physical activity levels and engagement as a function of between-class and between-student differences in motivation toward physical education. Journal of Sport & Exercise Psychology, 34, 457-480. Is more motivation not better? Are highly motivated dieters functioning in the best way? - - N = 450 weigth watch clients (Mean age = 44.44 y) Outcomes: • Healthy eating behaviors • Eating pathology Autonomous Motivation (AM) Controlled Motivation (CM) Variable-centered approach Person-centered approach Types of dieters? 1,5 1 0,5 0 -0,5 -1 -1,5 Red = controlled motivation Blue = autonomous motivation Healthy eating behaviors 4,2 4 3,8 3,6 3,4 3,2 3 I’m fed up with my diet! I’m sick of it! Who suffers from a diet burn-out? ‘Regulating my eating behaviors is exhausting’ ‘At the end of the day, I feel tired because I have to Burn out 2,8 2,6 2,4 2,2 2 1,8 1,6 1,4 1,2 regulate my eating behaviors’ » ‘I stuff myself with food’ ‘I eat restricted when others are around, but binge Bulimic symptoms 3 2,8 2,6 2,4 2,2 2 1,8 1,6 when I’m alone’ » Statement: “Less is sometimes more”: Quality of motivation matters It is not just important that people are motivated for behavior change, they can best display the most desirable motivational profile, that is, one characterized by autonomous rather than controlled motivation. The distinction ‘autonomous’ and ‘controlled’ motivation is critical for various aspects of behavior change, including - Weight loss (e.g., Moller et al., 2012; Silva et al., 2010; Williams et al., 1996) - Medicine • Dental care (e.g., Halvari et al., 2012) • Medication adherence (e.g., Williams et al., 2009) • Diabetes management (e.g., Senecal et al., 2000) - Exercising (Markland & Tobin, 2010; Verloigne, et al., 2012) and adopting a physical active lifestyle (e.g., Haerens et al., 2010; Hagger et al., 2006; Sebire et al., 2011; see Teixeira et al., 2012 for a review) - Eating regulation (e.g., Pelletier et al., 2004; Pelletier & Dion, 2007; see Verstuyf et al., 2012 for an overview) - Physical eduation (e.g., Ntoumanis, 2001; Standage et al., 2012) Life style change Physical activity & exercising Smoking cessation Eating regulation Weight loss Medication intake Mustivation - volitional motivation = ROBUST distinction, with high PREDICTIVE validity Towards conceptual clarification Does being autonomously motivated mean that one has to pursue change on one’s own, that is, without the help of others? NO! Chen, B., Vansteenkiste, M., Beyers, W., Soenens, B., & Van Petegem, S. (in press). Autonomy in family decision-making among Chinese adolescents: Disentangling the dual meaning of autonomy. Journal of Cross-cultural Psychology. Independence Dependence e.g., ‘self-help dieter’ e.g., consulting a health counselor Autonomous or volitional Controlled or imposed ⇒ 4 combinations are possible! Chen, B., Vansteenkiste, M., Beyers, W., Soenens, B., & Van Petegem, S. (in press). Autonomy in family decision-making among Chinese adolescents: Disentangling the dual meaning of autonomy. Journal of Cross-cultural Psychology. Towards conceptual clarification Is the act of self-control by definition autonomously motivated? NO! Self-control - Desirable characteristic defined as “the use of cognitive and attentional resources to override, inhibit, or alter impulses in the service of attaining personal goals or satisfying motives" (Vohs & Heatherton, 2000, p. 214) - Will-power; ‘character’ e.g. Restricting food intake, engaging in physical activity - Such acts of self-control can be variously motivated! (e.g., Moller, Ryan, & Deci, 2006) Act of self-control Autonomous & controlled motivation “What people do” “Why people do what they do” - Effectiveness of self-control will depend on the motivational force underlying the self-control Act of self-control Autonomously motivated Controlled motivated Flexible functioning Process focus Less energy draining Greater persistence Rigid functioning Result focus Energy draining Breakdowns in self-control Why would pressured self-control more easily result in a breakdown? People can defy/revolt against - inner pressuring forces - externally pressuring forces Does oppositional defiance constitute a different motive for non-engagement? - Oppositional defiance = intentionality (directional behavior) = blunt rejection to engage in the requested behavior = (re)active form of functioning = arises as a function of need frustration ⇒ Controlled motivation & oppositional defiance go often hand in hand! Oppositional defiance in the physical education class: Its unique predictive validity - - N = 519 (Mean age = 15.76 years), belonging to 30 classes Outcomes: • Student-level: Engagement & resentment • Class-level: Teacher rated learning & engagement Aelterman, N., Vansteenkiste, M., Soenens, B., & Haerens, L. (submitted). Oppositional defiance as a motivating force in physical education: A dimensional and person-centered approach. Manuscript submitted for publication. FIXED PART Intercept Average class autonomous motivation Average class controlled motivation Average class amotivation Average class oppositional defiance RANDOM PART intercept only model Class level variance RANDOM PART multiple predictor model Class level variance Test of significance Reference model Deviance test model (-2LL) Χ2 (df) Rated collective engagement Rated collective learning B (S.E.) B (S.E.) 1.92 (.04) .45 (.08) -.29 (.14) .25 (.12) -.46 (.08) σ2 (S.E.) .31 (.02) σ2 (S.E.) .25 (.02) 712.92 680.14 32.78*** β .39*** -.10* .13* -.29*** 1.04 (.17) 2.02 (.31) -1.34 (.59) .74 (.49) -2.33 (.34) σ2 (S.E.) 5.54 (.36) σ2 (S.E.) 4.07 (.27) β .41*** -.11* .09 -.35*** 1971.10 1926.97 44.13*** Note. *p <.05; **p < .01; ***p < .001. Aelterman, N., Vansteenkiste, M., Soenens, B., & Haerens, L. (submitted). Oppositional defiance as a motivating force in physical education: A dimensional and person-centered approach. Statement: Towards a differentiated view on non-engagement Many individuals are not engaging in change; yet, this nonengagement can be variously motivated: - Discouragement (amotivation) - Oppositional defiance = straightforward refusal to change - Reflective defiance = choice not to change! ⇒ What is the consequence of this viewpoint? Vansteenkiste, M., Williams, G. C., & Resnicow, K. (2012). Toward systematic integration between Self-Determination Theory and motivational interviewing as examples of top-down and bottom-up intervention development: Autonomy or volition as a fundamental theoretical principle. International Journal of Behavioral Nutrition and Physical Activity, 9:23 Statement: Towards a differentiated view on non-engagement 1) Autonomous functioning = meaningful outcome by itself, regardless of behavior change ⇒ Autonomy enhancement = criterion of therapeutic success ⇒ Necessary to broaden our view on therapeutic success! 2) Clinical implication: Task of the health counselor = encouraging autonomous functioning to change or not to change ⇒ Manifestation of unconditional regard Vansteenkiste, M., Williams, G. C., & Resnicow, K. (2012). Toward systematic integration between Self-Determination Theory and motivational interviewing as examples of top-down and bottom-up intervention development: Autonomy or volition as a fundamental theoretical principle. International Journal of Behavioral Nutrition and Physical Activity, 9:23 PART III The Nurturing Role of Need-supportive Counseling Autonomysupportive vs. controlling environment Involved vs. cold environment Structured vs. chaotic environment Autonomy Relatedness Competence What is motivating language? Do guilt-trips work? A comparing with inviting language “What you will really need for change is character. I have seen many clients here, but without willpower, you won’t be able to make.” - - N = 80 5th and 6th grade obese children (11-12 year; adjusted BMI > 182%) Outcomes: • Type of learning • Persistence Vansteenkiste, M., Simons, J., Lens, W., Soenens, B., & Matos, L. (2005). Examining the impact of extrinsic versus intrinsic goal framing and internally controlling versus autonomy-supportive communication style on early adolescents’ acadamic achievement. Child Development, 76, 483-501. Learning activity (i.e., reading a text on the food pyramid) Autonomysupportive language Internally controlling language Vansteenkiste, M., Simons, J., Lens, W., Soenens, B., & Matos, L. (2005). Examining the impact of extrinsic versus intrinsic goal framing and internally controlling versus autonomy-supportive communication style on early adolescents’ acadamic achievement. Child Development, 76, 483-501. • Instructions: Internally controlling (& extrinsic goal) The text that we ask you to read discusses a few eating habits that you can try to master. Researchers say that children who eat each day one piece out of each leaf of the four-leafed clover think that they will remain more attractive and good-looking when they are 16-17 years old; children also think that they will remain more appealing for others. Moreover, many children also think that they will not become fat or will even lose weight by paying attention to their diet. To feel better about their appearance and slim figure many children follow the guidelines of the four-leafed clover. They do this by eating more fruit, yoghurt, and vegetables instead of eating candy or drinking soft drinks (e.g., cola, fanta, ice-tea etc.). Thus, many children follow the four-leafed clover because they would feel guilty if they would become fat or because they would become less attractive and appealing due to their own fault. So, it is for your own good that we ask you to attentively read the guidelines of the fourleafed clover. Vansteenkiste, M., Simons, J., Lens, W., Soenens, B., & Matos, L. (2005). Examining the impact of extrinsic versus intrinsic goal framing and internally controlling versus autonomy-supportive communication style on early adolescents’ acadamic achievement. Child Development, 76, 483-501. • Instructions: Autonomy-supportive (& intrinsic goal) The text that we ask you to read discusses a few eating habits that you can try to master. Researchers say that children can pay attention to their diet by eating each day one piece out of each leaf of the four-leafed clover. In this way, you are more likely to remain healthy and physically fit when you are 16-17 years old. Thus, remaining in shape and active might be good reasons for you to decide to follow the guidelines of the four-leafed clover. You could do this by eating more fruit, yoghurt, and vegetables instead of eating candy or drinking soft drinks (e.g., cola, fanta, ice-tea etc.). Because you want to avoid becoming unhealthy and ill, you can try to follow the guidelines of the four-leafed clover on a daily basis. If you want to stay active and fit, you might decide to follow the guidelines of the four-leafed clover. Because of these reasons, it might be important for you to attentively read the text on the four-leafed clover. Vansteenkiste, M., Simons, J., Lens, W., Soenens, B., & Matos, L. (2005). Examining the impact of extrinsic versus intrinsic goal framing and internally controlling versus autonomy-supportive communication style on early adolescents’ acadamic achievement. Child Development, 76, 483-501. 8,5 8 7,5 Green = superficial learning 7 6,5 6 Blue = deep level learning 5,5 5 4,5 4 Autonomysupport Internal control Vansteenkiste, M., Simons, J., Lens, W., Soenens, B., & Matos, L. (2005). Examining the impact of extrinsic versus intrinsic goal framing and internally controlling versus autonomy-supportive communication style on early adolescents’ acadamic achievement. Child Development, 76, 483-501. Figure 1 - Pieces of Eaten Fruit By Experimental Condition over Time 8 7 6 5 Autonomy support 4 Internally controlling 3 2 1 0 Baseline 1st week 3rd week Figure 2 – Percentage of Diet-attendance By Experimental Condition 0,8 0,7 0,6 0,5 0,4 Internally controlling 0,3 Autonomy support 0,2 0,1 0 1 2 3 4 5 6 7 8 9 10 Figure 3 - Percentage Overweight By Experimental Condition 260 250 240 Autonomy support 230 Internally controlling 220 210 200 Baseline 6 months one year 2 years Additional issues: 1) Do people need to be consciously aware of their autonomy to benefit from it? ⇒ No! (e.g., Radel, Sarrazin, & Pelletier, 2009) 2) Can we train socializing agents to increasingly adopt a need-supportive style? ⇒ Yes! (e.g., Cheon et al., 2012) 3) Can we observe socializing agents’ need-support and move beyond self-reports? ⇒ Yes! (e.g., Haerens et al., 2012) 4) Which other features are characteristic of an autonomysupportive approach? • Work from the person’s frame of reference (e.g., Deci, et al., 1994) • Providing a meaningful rationale for a request (e.g., Jang, 2008) • Allow input and encourage self-initiation & experimentation = empowering • Offer choice whenver possible (e.g., Patall et al., 2008; Mouratidis et al., 2011) Are autonomy-supportive health counselors refraining from giving any advise? Counselor autonomy-support does not imply that (Vansteenkiste, et al., 2012; Williams et al., 2012) a) Clients are left by themselves to resolve their problems b) Health counselors can not provide any advise or even introduce prohibitions, as if clients need to enjoy unlimited freedom Structure = guidance Autonomy supportive environment Controlling environment Lack of structure = chaos Most motivating cocktail = combination of counselor autonomysupport & structure! ⇒ How can advise be given in a need-supportive way (see also Rollnick, 2013)? 1. Try to avoid given redundant advise 2. Try to provide advise in an autonomy-supportive way by asking permission to give advise 3. Try to pay attention to the timing of the advise - Up front ó after taking internal frame of reference Vansteenkiste, M., Williams, G. C., & Resnicow, K. (2012). Toward systematic integration between Self-Determination Theory and motivational interviewing as examples of top-down and bottom-up intervention development: Autonomy or volition as a fundamental theoretical principle. International Journal of Behavioral Nutrition and Physical Activity, 9:23 How does SDT relate to Motivational Interviewing? Thema?c Series with 7 review papers and 2 commentaries: “Self-‐Determina?on Theory and Mo?va?onal Interviewing in Behavioral Nutri?on, Physical Ac?vity, and Health” Teixeira, P., Palmeira, A., & Vansteenkiste, M. (2012). The role of Self-Determination Theory and Motivational Interviewing in behavioral nutrition, physical activity, and health: An introduction to the IJBNPA Special Series. International Journal of Behavioral Nutrition and Physical Activity, 9:17 MI SDT Clinical model Theory Description of motivational conversational skills = rather bottom-up Explaining why change happens = Rather top down Potential for integration Vansteenkiste, M., Williams, G. C., & Resnicow, K. (2012). Toward systematic integration between Self-Determination Theory and motivational interviewing as examples of top-down and bottom-up intervention development: Autonomy or volition as a fundamental theoretical principle. International Journal of Behavioral Nutrition and Physical Activity, 9:23 For two frameworks to be integrated, they need to have a shared theoretical platform Shared vocabulary Shared meta-theoretical foundation ⇒ ongoing, yet, not fully actualized yet! Vansteenkiste, M., Williams, G. C., & Resnicow, K. (2012). Toward systematic integration between Self-Determination Theory and motivational interviewing as examples of top-down and bottom-up intervention development: Autonomy or volition as a fundamental theoretical principle. International Journal of Behavioral Nutrition and Physical Activity, 9:23 1. Distinction autonomy & independence 2. Qualitative view on change talk ‘Need’ = imperative language - e.g. “I have to…” - e.g. “I must …” ‘Reasons’ = more specific - e.g. “I would have more energy” ⇒ Consequence: change talk = surface manifestation of change = what the couselor hears (Oliver, Markland, & Hardy, 2008, 2010; Vansteenkiste, et al., 2012) ⇒ Need satisfaction = critical mechanism! Vansteenkiste, M., Williams, G. C., & Resnicow, K. (2012). Toward systematic integration between Self-Determination Theory and motivational interviewing as examples of top-down and bottom-up intervention development: Autonomy or volition as a fundamental theoretical principle. International Journal of Behavioral Nutrition and Physical Activity, 9:23 3. By identifying the critical mechanism of change, one can move beyond the interactional/communicative level to the structural level Theory SDT Clinical model MI Communication level Communication level Structural level (e.g., school, district, societal level) Vansteenkiste, M., Williams, G. C., & Resnicow, K. (2012). Toward systematic integration between Self-Determination Theory and motivational interviewing as examples of top-down and bottom-up intervention development: Autonomy or volition as a fundamental theoretical principle. International Journal of Behavioral Nutrition and Physical Activity, 9:23 Conclusion Need support cannot be reduced to a set of motivating tricks with the explicit intent to • increase the motivation of the client • obtain desired results (e.g., weight loss) = INSTRUMENTALISATION of need support ⇒ Clinical implication: Need support manifests through an attitude of sincere interest & curiosity, regardless of his/her change plans! Thank your for your attention! I am happy to answer any questions you have!
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