J. Hofman: Deniotivation and Pseudo-motivation.
The question is posed why so much attention is paid to motivation in psychiatry.
As reasons are stressed the dependency on the motivation of the patient, the possibility that demotivation is a symptom of many psychiatric disorders and also the possibility that calling a patient unmotivated is an accepted way of masking therapeutic impotence. In stead of calling a patient unmotivated it is often preferable to speak of a motivational dissonance between patient and therapist.
Some reasons to be unmotivated are called. Focusing on the psychotherapeutic situation, the role of socio-economic differences between patient and therapist is stressed; as far as the therapist is unable to tide over this social gap, he functions as an inductor of demotivation. Finally attention is paid to pseudo-motivation, in such a way that a number of factors, giving rise to the continuation of a therapy without being of any real value for the positive outcome of that therapy are summarized.