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Motivation Of Schizophrenia Patients In Imh

918 words - 4 pages

It has been known that motivation deficits are a crucial characteristic of schizophrenia. Several studies had supported the importance of motivation as it had been linked to poorer performance of neurocognition, functioning and outcome in schizophrenic patients. The Self-determination theory had provided an important explanatory framework for understanding why individuals pursue specific goals and behaviours. The SDT had been used as a basis for understanding the motivational deficits in Schizophrenia, being the two types of motivation as extrinsic and intrinsic motivation. The findings emphasized that schizophrenic patients pay more attention to extrinsically rewarding experiences.
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In that study using the IMI-SR (intrinsic motivation inventory for schizophrenia research), whose function is to capture the subjects’ reactions to instructional techniques intended to increase IM, the result was that there was significant improvement for patients who had received the motivational intervention, when measured between the pre and post treatment condition.

Extrinsic motivation, on the other hand, originates from the environment when there are physical rewards to motivate the person doing the action. Extrinsic motivation is often viewed as undesirable as it is discussed as the way to obtain a reward or to avoid a punishment. EM-based methods is often depicted as an undesirable characteristic of behaviour change techniques with the view as being mechanistic, controlling and punishing, and providing no lasting or internal benefit to the person. That is due to the negative data that was retrieved from the healthy population with adequate intrinsic motivation for target tasks. In contrary, it is known that the delivery of extrinsic rewards was known to have positive outcomes in both behavioural and cognitive rehabilitation.
My position is that, in order for patients to comply with the appointments in order to reduce patient readmission as patients suffer relapses when they default treatment and become non-compliant to medication, extrinsic motivation is required to help in cognitive rehabilitation of schizophrenic patients that have low baseline IM, as compared to the normal population where extrinsic motivation is not required as strongly as the former population due to the impaired motivation that they face. Only when extrinsic motivation is given to attract them to comply with the appointments and adhere to the medications given, will intrinsic motivation can be given to reinforce their competence.

Maslow’s hierarchy is linked to the three core needs of the SDT by how they provide a foundation for personal development that replaces the lower levels of the Maslow needs hierarchy. Developing of three components of...

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