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The American Journal of Psychiatry, VOL. 128, No. 6

Articles | December 01, 1971

Change in Patients' Motivation for Psychotherapy

PETER E. SIFNEOS

Am J Psychiatry 1971;128:718-721.

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Associate Director, Department of Psychiatry, Beth Israel Hospital, 330 Brookline Ave., Boston, Mass. 02215 and Associate Clinical Professor of Psychiatry, Harvard Medical School, Boston, Mass.

1972, American Psychiatric Association

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Abstract

In dynamic psychotherapy diagnostic and prognostic criteria are necessary in order to determine the kind of therapy best suited to a patient's idiosyncratic needs. Linked with these needs, and thus one important criterion, is a patient's motivation for change rather than for relief of symptoms. In order to assess this motivation, the author used a seven-point scale. Of 42 patients evaluated over eight treatment sessions, only nine patients' motivation for change decreased.

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