Understanding clients’ motivation is key in helping to promote personal integration, growth, and change. SDT research on psychotherapy has found, for example, that it makes a difference whether a person freely chooses to start or continue in therapy because it’s personally important to them, or whether they feel forced or pressured into doing so. In other words, whether one’s motivation for therapy is more internal, or more external, matters. But motivation, of course, can change over time, and part of that has to do with the quality of the relationship between the client and the therapist. As well, there is also a lot that we are only now starting to learn about the link between people’s psychological needs and the kind of problems they may be struggling with in life. It’s possible that many of the struggles we encounter can be traced, at least in part, to experiences in which our basic needs (for relationships, for feelings of competence, for opportunities to make personally meaningful choices) are not or cannot be satisfied.
When clients feel listened to, valued, and understood by their therapist, they are more likely to engage in counseling for reasons that feel personally important and self-chosen. This also seems to be the case as they begin to feel more confident, in the course of therapy, that change is possible for them. Again, we are learning a lot about how the way that client and counselor work together makes a difference in the therapy; in other words, the quality of their relationship matters. As well, learning new ways to meet one’s needs for relationships, competence, and choice can be part of the work of therapy, from an SDT perspective.
Motivation in the client-counselor relationship
Theoretical contexts of trauma counseling
(2011) Cognitive and Behavioral Practice
Integrating motivational interviewing and self-determination theory with cognitive behavioural therapy to prevent suicide
(2011) The Counseling Psychologist
Motivation and autonomy in counseling, psychotherapy, and behavior change: A look at theory and practice
(2010) The Counseling Psychologist
Autonomy as process and outcome: Revisiting cultural and practical issues in motivation for counseling
(2021) The Journal of Psychodrama, Sociometry, and Group Psychotherapy