ISSN 1671-3710
CN 11-4766/R

心理科学进展 ›› 2016, Vol. 24 ›› Issue (2): 261-269.doi: 10.3724/SP.J.1042.2016.00261

• 研究前沿 • 上一篇    下一篇



  1. (中国地质大学应用心理学研究所, 武汉 430074)
  • 收稿日期:2015-05-18 出版日期:2016-02-15 发布日期:2016-02-15
  • 通讯作者: 刘陈陵, E-mail:
  • 基金资助:


Client Motivation: An Integration of Theory and Practice in Counseling and Psychotherapy

LIU Chen-Ling; WANG Yun   

  1. (Institute of Applied Psychology, Geoscience of China University, Wuhan 430074, China)
  • Received:2015-05-18 Online:2016-02-15 Published:2016-02-15
  • Contact: 刘陈陵, E-mail:


来访者动机是影响行为改变和治疗结果的重要因素, 是贯穿心理咨询与治疗过程的关键问题。自我决定理论(SDT)是关于动机行为的一种宽泛理论, 将动机看成一个随自主水平变化的连续体, 认为来访者自主水平越高, 治疗效果越好, 并强调治疗师的自主支持对来访者参与和坚持改变的重要性; 动机访谈(MI)则是在成瘾行为治疗中发展起来的一种临床技术和策略, 遵循来访者中心的原则激发和增强来访者动机。在健康行为领域两种治疗模型有不同的起点、焦点和发展路径, 研究者却发现两者可以系统而有机地整合, 促进了有实证支持的实践发展。

关键词: 来访者动机, 自我决定理论, 动机访谈, 自主, 自主支持


Client motivation is key for behavior change and treatment result. It is also critical in the process of counseling and psychotherapy. Self-determination theory (SDT), a broad theory of motivated behavior, defines client motivation using a taxonomy along a relative-autonomy continuum.The more clients present autonomous motivation, treatment outcome is more effective.It addresses that therapist’s autonomy support is critical to clients’ active engagement and adherence in change. Motivational Interviewing (MI) is an another popular clinic technology and strategy in health contexts, initially used to treat addictions. For it can follow the person-centered guiding to elicit and strengthen client motivation to change. Although there are different starting points, foci and developmental processes between them, the potential for systematic integration between both approaches was found to enhance evidence-based practice. Recently client motivation has received increasing attention across counseling approaches.

Key words: client motivation, self-determination theory, motivational interviewing, autonomy, autonomy support