The change process in alcoholics: client motivation and denial in the treatment of alcoholism within the context of contemporary nursing |
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| Authors: | John McMahon RMN BA Scottish Home and Health |
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| Institution: | Alcohol Unit, Gartnavel Royal Hospital, Greater Glasgow Health Board, Scotland. |
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| Abstract: | Despite being constantly cited as a critical intervening variable in the recovery from alcohol problems, there is a paucity of literature on client motivation. This paper reviews the current literature which impacts on motivation and its importance in treatment and develops in a stepwise manner the revised expectancy/motivation hypothesis, tentatively explaining both motivation and denial as a natural process in behavioural change. Because of the revised expectancy/motivation hypothesis' distinctly defined stages which closely relate to the process of nursing and the qualitative and quantitative measurement it entails which the nursing process demands, it offers a particularly appropriate model for treatment within nurse practice. |
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