Changing Human Behavior and Motivation

By Mohamed Thabet

What patient behaviors you want to change in your practice ?

What may make people change their behavior ??

Changing behavior,

How it happens?

Wheel of Change

Pre-contemplation Maintenance

Contemplation

Decision/Preparation

Action

Relapse

Make them think“pre-contemplation contemplation”

• If there is a problem and we didn’t think, so there is

• Denial make it so clear and straight fwd.

• Ignore show its urgency.

• Lack of insight ttt .

so

so

so

Make the decision

• Here in this stage the case start to think and weight advantages and disadvantages of the new behavior compared to the old one, till he reach a point at which he wants both behaviors at the same time.

Cont. Make the decision

• What should we do in this stage ?

Widening the gap• How?

• Profit and loss account• Time line technique • Real case demonstration

Profit and loss account

• Here you ask the case to start WRITING the benefits from the old technique (or the losses of the new one) at one side of the paper.

• Then u ask the case to WRITE the losses he/she got or may got from the old technique on the other side of the paper

Time line technique

• This technique depend on the case imagination.• It could be done in many ways

– Make the case imagine his life # (e.g.10) years from now while he is using his old behavior (worst case scenario)

– Then the case start to imagine his life #from now while using the new technique (best case scenario)

– Then start to compare out

NOW 5 years later

10 years later

Real case demonstration

• There are some other technique which looks easier but they are highly effective.

MAKE THE ACTION

• Many people -even us- take decision in their lives but fails to put the into action.

• Here all what we have to do is to provide them with suitable environment

and the necessary motivation.

Motivation

• Motivation is an inner drive, impulse, or intention that causes a person to act in a certain way or to achieve a certain goal.

• Psychological process that arouse and direct goal directed behavior.

Cont.Motivation comes from inside, not

outside.

You can’t motivate someone.

You draw on and provide direction for the motivation that's already there.

Motivational interviewing

A B

C

They have to drive themselves

behavior

Motivation in theory

Motivation

Need based

processReinforcement

Need based prospective

• F.taylor • Elton Mayo• MacGregor’s theory X/Theory Y• Maslow’s hierarchy• Hertzberg two factor theory• McClelland’s acquired need theory

Model of motivation

motivation Behavior Rewards

Feedback

Un fulfilled need

Maslow’s

Process perspective

Expectancy theory

Expectancy theory

How much do you want??and how likely are you to get it??

Effort

In order to achieve

Performance

So that I can get

Outcome

Expectancy:Will I be able to perform at the desired level on a task??

Instrumentality: What outcome would I receive if I performed at this level

Valence :How much do I want the outcome Valence :How much do I want the outcome

Reinforcement

Change his/her behavior

changed

Positive reinforcement

Negative reinforcement

(avoid punishment)

NOT

Extinction

Punishment

Relapse and maintenance

• We have to understand that relapsing is a human nature that we have to predict and deal with.

• We should have a plan for maintenance.• And with those who are relapsed we will start

the wheel once more.

Now work it out …

• Please group in pairs and Pick up a behavior you want to change in yourself and your partner should help you to grow through the wheel from contemplation to decision.

• You may use:– Profit and loss account– Time line