basic techniques to help someone to change his/her own behaviors

1. Changing Human Behavior and
Motivation
By
Mohamed Thabet

2. What patient behaviors you want to
change in your practice ?

3. What may make people change their
behavior ??

4. Changing behavior,
How it happens?

5. Wheel of Change
Pre-contemplation Maintenance
Contemplation
Decision/
Preparation Action
Relapse

7. Make them think
“pre-contemplation contemplation”
• If there is a problem and we didn’t think, so
there is
• Denial make it so clear and straight fwd.
• Ignore show its urgency.
• Lack of insight ttt .
so
so
so

8. Make the decision
• Here in this stage the case start to think and
weight advantages and disadvantages of the new
behavior compared to the old one, till he reach a
point at which he wants both behaviors at the
same time.

9. Cont. Make the decision
• What should we do in this stage ?
Widening the gap
• How?
• Profit and loss account
• Time line technique
• Real case demonstration

10. Profit and loss account
• Here you ask the case to start WRITING
the benefits from the old technique (or
the losses of the new one) at one side of
the paper.
• Then u ask the case to WRITE the losses
he/she got or may got from the old
technique on the other side of the paper

11. Time line technique
• This technique depend on the case
imagination.
• It could be done in many ways
– Make the case imagine his life # (e.g.10) years
from now while he is using his old behavior (worst
case scenario)
– Then the case start to imagine his life #from now
while using the new technique (best case
scenario)
– Then start to compare out

12. NOW 5
years
later
10
years
later

13. Real case demonstration
• There are some other technique which looks
easier but they are highly effective.

14. MAKE THE ACTION
• Many people -even us- take decision in their lives
but fails to put the into action.
• Here all what we have to do is to provide them
with suitable environment
and the necessary motivation.

15. Motivation
• Motivation is an inner drive, impulse, or
intention that causes a person to act in a
certain way or to achieve a certain goal.
• Psychological process that arouse and
direct goal directed behavior.

16. Cont.
Motivation comes from inside, not
outside.
You can’t motivate someone.
You draw on and provide direction for
the motivation that's already there.

17. Motivational interviewing
A
B
C
They have to drive themselves
behavior

18. Motivation in theory
Motivation
Need based
processReinforcement

19. Need based prospective
• F.taylor
• Elton Mayo
• MacGregor’s theory X/Theory Y
• Maslow’s hierarchy
• Hertzberg two factor theory
• McClelland’s acquired need theory

20. Model of motivation
motivation Behavior Rewards
Feedback
Un fulfilled
need

21. Maslow’s

22. Process perspective
Expectancy theory

23. Expectancy theory
How much do you want??and how likely are you
to get it??

24. Effort Performance Outcome
Expectancy:
Will I be able to
perform at the
desired level on a
task??
Instrumentality:
What outcome
would I receive if I
performed at this
level
Valence :
How much
do I want the
outcome

25. Reinforcement
Change his/her
behavior
changed
Positive
reinforcement
Negative
reinforcement
(avoid punishment)
NOT
Extinction
Punishment

26. Relapse and maintenance
• We have to understand that relapsing is a
human nature that we have to predict and
deal with.
• We should have a plan for maintenance.
• And with those who are relapsed we will start
the wheel once more.

27. Now work it out …
• Please group in pairs and Pick up a behavior
you want to change in yourself and your
partner should help you to grow through the
wheel from contemplation to decision.
• You may use:
– Profit and loss account
– Time line